Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… ·...

122
Mississauga Halton LHIN CSS and MH&A Sector Meeting June 11, 2010

Transcript of Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… ·...

Page 1: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Mississauga Halton LHINCSS and MHampA Sector Meeting

June 11 2010

AgendaAgenda

Welcome and Agenda

Community Care Information Management Program (CCIM)

bull

Human Resource Information System (HRIS) Presentation

Herb Spence ndash

Stakeholder Engagement HRISEugene Cortes -

Project Lead CMHampA Sector HRISSajneet

Sodhi

ndash

Project Lead CSS Sector HRIS 60 min

Mississauga Halton LHIN ReCharge

Program Kristina Hall Executive DirectorNucleus Housing 15 min

~ BREAK ~ 15 min

CSS ndash

Common Assessment Project (CAP) Alan Fleming

ndash

Implementation LeadAshim

Rizki

ndash

Project Lead CCIM MH and CW LHIN 20 min

Finance Update Paulette Zulianello Senior Lead Funding and Allocation MH LHIN 10 min

MH LHIN Strategic Investmentsbull Aging at Home Update

Narendra Shah COOMH LHIN 35 min

Integration Feedback and Exercise(as per attached feedback focus on 2 areas for discussion training and back office integration)

Angela Jacobs Senior LeadPerformance and Integration MH LHIN 15 min

Canadian Red Cross Update Valerie Cook Integrated ManagerCanadian Red Cross CHS 5 min

QuestionsCommentsNext Meeting September 10 2010

Angela Jacobs 5 min

Community Care Information Management Program (CCIM)

Human Resource Information System

(HRIS) Presentation

Herb SpenceEugene CortesSajneet

Sodhi

4

Welcome

5

Community Care Information Management

HRIS PROJECT

CSS and CMHampA Sectors

June 2010

Presentation Agenda Introduction amp Overview HRIS Project Background amp Solution OverviewBenefits and Implementation ProcessTraining amp CommunicationsHRIS Support Centre LHIN Summary and Next

StepsQampA

7

Introductions

bull

Herb Spence Stakeholder EngagementBusiness Relationship -

CSS amp CMHampA Sectors HRIS Project

bull

Sajneet Sodhi Project Lead ndash

CSS Sector HRIS Project

bull

Larry Radzio Implementation Lead ndash

CSS Sector HRIS Project

bull

Paolo Primiani Implementation Lead ndash

CMHampA Sector HRIS Project

Presentation Objectives

bull

Provide a high level overview of the Community Care Information Management (CCIM) program

bull

Introduce the Human Resources Information Systems (HRIS) project and the benefits of participating

bull

Discuss the implementation and training process

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 2: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

AgendaAgenda

Welcome and Agenda

Community Care Information Management Program (CCIM)

bull

Human Resource Information System (HRIS) Presentation

Herb Spence ndash

Stakeholder Engagement HRISEugene Cortes -

Project Lead CMHampA Sector HRISSajneet

Sodhi

ndash

Project Lead CSS Sector HRIS 60 min

Mississauga Halton LHIN ReCharge

Program Kristina Hall Executive DirectorNucleus Housing 15 min

~ BREAK ~ 15 min

CSS ndash

Common Assessment Project (CAP) Alan Fleming

ndash

Implementation LeadAshim

Rizki

ndash

Project Lead CCIM MH and CW LHIN 20 min

Finance Update Paulette Zulianello Senior Lead Funding and Allocation MH LHIN 10 min

MH LHIN Strategic Investmentsbull Aging at Home Update

Narendra Shah COOMH LHIN 35 min

Integration Feedback and Exercise(as per attached feedback focus on 2 areas for discussion training and back office integration)

Angela Jacobs Senior LeadPerformance and Integration MH LHIN 15 min

Canadian Red Cross Update Valerie Cook Integrated ManagerCanadian Red Cross CHS 5 min

QuestionsCommentsNext Meeting September 10 2010

Angela Jacobs 5 min

Community Care Information Management Program (CCIM)

Human Resource Information System

(HRIS) Presentation

Herb SpenceEugene CortesSajneet

Sodhi

4

Welcome

5

Community Care Information Management

HRIS PROJECT

CSS and CMHampA Sectors

June 2010

Presentation Agenda Introduction amp Overview HRIS Project Background amp Solution OverviewBenefits and Implementation ProcessTraining amp CommunicationsHRIS Support Centre LHIN Summary and Next

StepsQampA

7

Introductions

bull

Herb Spence Stakeholder EngagementBusiness Relationship -

CSS amp CMHampA Sectors HRIS Project

bull

Sajneet Sodhi Project Lead ndash

CSS Sector HRIS Project

bull

Larry Radzio Implementation Lead ndash

CSS Sector HRIS Project

bull

Paolo Primiani Implementation Lead ndash

CMHampA Sector HRIS Project

Presentation Objectives

bull

Provide a high level overview of the Community Care Information Management (CCIM) program

bull

Introduce the Human Resources Information Systems (HRIS) project and the benefits of participating

bull

Discuss the implementation and training process

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 3: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Community Care Information Management Program (CCIM)

Human Resource Information System

(HRIS) Presentation

Herb SpenceEugene CortesSajneet

Sodhi

4

Welcome

5

Community Care Information Management

HRIS PROJECT

CSS and CMHampA Sectors

June 2010

Presentation Agenda Introduction amp Overview HRIS Project Background amp Solution OverviewBenefits and Implementation ProcessTraining amp CommunicationsHRIS Support Centre LHIN Summary and Next

StepsQampA

7

Introductions

bull

Herb Spence Stakeholder EngagementBusiness Relationship -

CSS amp CMHampA Sectors HRIS Project

bull

Sajneet Sodhi Project Lead ndash

CSS Sector HRIS Project

bull

Larry Radzio Implementation Lead ndash

CSS Sector HRIS Project

bull

Paolo Primiani Implementation Lead ndash

CMHampA Sector HRIS Project

Presentation Objectives

bull

Provide a high level overview of the Community Care Information Management (CCIM) program

bull

Introduce the Human Resources Information Systems (HRIS) project and the benefits of participating

bull

Discuss the implementation and training process

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 4: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

4

Welcome

5

Community Care Information Management

HRIS PROJECT

CSS and CMHampA Sectors

June 2010

Presentation Agenda Introduction amp Overview HRIS Project Background amp Solution OverviewBenefits and Implementation ProcessTraining amp CommunicationsHRIS Support Centre LHIN Summary and Next

StepsQampA

7

Introductions

bull

Herb Spence Stakeholder EngagementBusiness Relationship -

CSS amp CMHampA Sectors HRIS Project

bull

Sajneet Sodhi Project Lead ndash

CSS Sector HRIS Project

bull

Larry Radzio Implementation Lead ndash

CSS Sector HRIS Project

bull

Paolo Primiani Implementation Lead ndash

CMHampA Sector HRIS Project

Presentation Objectives

bull

Provide a high level overview of the Community Care Information Management (CCIM) program

bull

Introduce the Human Resources Information Systems (HRIS) project and the benefits of participating

bull

Discuss the implementation and training process

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 5: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

5

Community Care Information Management

HRIS PROJECT

CSS and CMHampA Sectors

June 2010

Presentation Agenda Introduction amp Overview HRIS Project Background amp Solution OverviewBenefits and Implementation ProcessTraining amp CommunicationsHRIS Support Centre LHIN Summary and Next

StepsQampA

7

Introductions

bull

Herb Spence Stakeholder EngagementBusiness Relationship -

CSS amp CMHampA Sectors HRIS Project

bull

Sajneet Sodhi Project Lead ndash

CSS Sector HRIS Project

bull

Larry Radzio Implementation Lead ndash

CSS Sector HRIS Project

bull

Paolo Primiani Implementation Lead ndash

CMHampA Sector HRIS Project

Presentation Objectives

bull

Provide a high level overview of the Community Care Information Management (CCIM) program

bull

Introduce the Human Resources Information Systems (HRIS) project and the benefits of participating

bull

Discuss the implementation and training process

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 6: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Presentation Agenda Introduction amp Overview HRIS Project Background amp Solution OverviewBenefits and Implementation ProcessTraining amp CommunicationsHRIS Support Centre LHIN Summary and Next

StepsQampA

7

Introductions

bull

Herb Spence Stakeholder EngagementBusiness Relationship -

CSS amp CMHampA Sectors HRIS Project

bull

Sajneet Sodhi Project Lead ndash

CSS Sector HRIS Project

bull

Larry Radzio Implementation Lead ndash

CSS Sector HRIS Project

bull

Paolo Primiani Implementation Lead ndash

CMHampA Sector HRIS Project

Presentation Objectives

bull

Provide a high level overview of the Community Care Information Management (CCIM) program

bull

Introduce the Human Resources Information Systems (HRIS) project and the benefits of participating

bull

Discuss the implementation and training process

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 7: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

7

Introductions

bull

Herb Spence Stakeholder EngagementBusiness Relationship -

CSS amp CMHampA Sectors HRIS Project

bull

Sajneet Sodhi Project Lead ndash

CSS Sector HRIS Project

bull

Larry Radzio Implementation Lead ndash

CSS Sector HRIS Project

bull

Paolo Primiani Implementation Lead ndash

CMHampA Sector HRIS Project

Presentation Objectives

bull

Provide a high level overview of the Community Care Information Management (CCIM) program

bull

Introduce the Human Resources Information Systems (HRIS) project and the benefits of participating

bull

Discuss the implementation and training process

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 8: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Presentation Objectives

bull

Provide a high level overview of the Community Care Information Management (CCIM) program

bull

Introduce the Human Resources Information Systems (HRIS) project and the benefits of participating

bull

Discuss the implementation and training process

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 9: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Community Care Information Management (CCIM)ldquoCCIM strives to improve client outcomes by efficiently delivering the

right community health service at the right timerdquo

bull

Two major project streams designed to address sector priorities bull

Aim to create universally acceptable clinical and business standards across the sector and have the potential for cross-sector application

BUSINESS SYSTEMS COMMON ASSESSMENTS

Standards processes and tools to collect financial and statistical data including human resources and payroll

Tools to facilitate the collection and use of client information

Used for evidence-based decision support for planning integration and funding of community services

Create a sustainable approach to managing and measuring improvement in client outcomes over time

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 10: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

CommonAssessment

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Common Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres

CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 11: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

HRIS Project Background

bull

Initiated by the Ministry of Health and Long-Term Care (MOHLTC) in August 2008

bull

Supports both the Community Mental Health and Addictions (CMHampA) and the Community Support Services (CSS) sectors with a HR and Payroll software solution Quadrantndash

Recently began supporting the Small and Complex Continuing Care Hospitals (SCCH) sector

bull

Organizations have been receiving training since February 2009

bull

Implementation with organizations began in March 2009

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 12: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

HRIS Project Milestones

Aug-08 Nov-08 Jan-09 Mar-09 May-09 Jul-09 Sep-09 Nov-09 Jan-10 Mar-10Sep-08

MOHLTC Project

Announcement

Software Solution RFP

Issued

Initial Announcement

to Sectors

HRIS Training

HRIS Implementation

Creation of Advisory

Working Groups

Launched HRIS Support Centre

50th

Organization Fully

Implemented

Launched HRIS Webinar Series

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 13: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Classification Medium13

HRIS Solution Overviewbull

Quadrant is composed of a variety of modulesndash

Human Resourcesndash

Payrollndash

Schedulingndash

Self Service including QHRnet

bull

Hosted in a secure central environment

bull

CCIM is responsible forndash

Back-up amp maintenancendash

Applying patches and releases (ie tax updates)

bull

Solution meets all relevant security amp privacy regulations

bull

Organizations own and ONLY have access to their data

bull

Participating organizations receive a lifetime license for Quadrant

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 14: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Quadrant Modules

Human Resourcesbull Captures employee demographicsbull Position-centric design and

managementbull Configurable form templates and

process checklistsbull User and system based notifications

Payrollbull Ability to generate manual and

automated time cards bull Pay cycle managementbull Ability to adjust earnings deductions

and allowances bull Efficient manual automatic special

and retro pay processing

Schedulingbull Easy schedule creation and

administrationbull Applies to organizations with simple

or complex scheduling rulesbull Compatible with multi-site multi-

position andor multi-union work environments

Self Service including QHRnetEmployees have the ability to

bull View and edit personal demographic information

bull View and print pay statementsbull View and print work schedulesbull View and track benefit banks

A 20 minute Software Demo is in the package provided to you

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 15: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Benefits of Implementing the HRIS Software Solution Quadrant

Automates and streamlines HR and Payroll processesbull

Manual processes are automated leading to better use of time and resources

Allows for efficient OHRS data collection and reportingbull

Reduces back-office duplicationbull

Ensures the information is provided in the right format to MOHLTC and LHINs

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 16: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Benefits of Implementing the HRIS Software Solution Quadrant (continued)

Interfaces with the financial and statistical management solutionbull

Organizations can export human resources and payroll data and interface it with Microsoft Dynamics GP

bull

Compatibility with 3rd party applications using generic interfaces ndashminimum configuration effort to import as well as export data from and to other applications

Provides evidence-based information for system planningbull

Organizations will have the ability to generate reliable reports for resource planning data collection and information management

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 17: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

HRIS Project Eligibility

bull

CMHampA and CSS organizations are eligible to participate

bull

Organizations must have submitted a successful Ontario Healthcare Reporting Standards (OHRS)MIS Trial Balance

bull Organizations are encouraged to implement the software however

it is not mandatory

bull Current project end date is March 2012

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 18: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

18

Typical HRIS Project Implementation Process

Step 1

Step 8

Step 9

Step 4

Step 5

Step 6

Step 7

Step 2

Step 3

Go- Live

Participate in Parallel Testing

Configure Application Database

Complete HR amp Payroll training

sessions

Complete Implementation

Project Plan

Participate in Kick-Off Call

Complete Connectivity

Test

E-mail confirmation

of participation

HRIS Project Life Cycle

Start working together on

Starter Kits 1 2 and 3

ldquoLiverdquo Support for

participating organizations

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 19: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

19

Implementation - Testimonials

ldquoThe implementation team have been a great team to work with and have assisted us with all of our needs in an efficient and timely manner We look forward to our continued relationship and utilizing the softwarersquos full benefitsrdquo

ndash Karen Cutmore Support and Housing Halton

ldquoGreat news Upload was successful Followed instructions for Importing Quadrant HR Export into Microsoft Dynamics GP Worked like hot knife cutting through butter ndash so easyrdquo

ndash Victoria Best Links2care

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 20: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

HRIS Project Trainingbull

Training customized tondash

Reflect requirements of the sectorndash

Suit organizational needsbull

Courses currently available

Human Resources (mandatory) 2 days

Payroll (mandatory) 3 days

Year End Payroll (optional) 1 day

Report Writing 1 (optional) 3 days

HR Suite (optional) 2 days

Scheduling (optional) On Demand

QHRnet Basic End-Users and Admin Just-In-Time (Online CD)

bull

Future coursesQHRnet Leave Management (optional) To be determined

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 21: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

21

Training - Testimonials

ldquoWe are ready for live implementation of QHR this week The configuration and training have met our needs and will certainly cut down on the manual calculations that we presently do The reports set up will increase the reporting we do and give our Board of Directors a more thorough picture of our staffing costs hours etc The compatibility with GP will also greatly cut down on the time needed for the quarterly trial balancesrdquo

- Sheryl Niemienen SENACA Seniors Day Program

ldquoIt is an excellent training session Its clear a lot of work was done in preparation Its a lot of material to cover and I feel like Ive at least got a good start on the implementationrdquondash Susan Buono Summit House

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 22: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Communications

bull

Information sessions are held across all 14 LHINs Recently we presented to CMHampA and CSS organizations in HNHB and South West LHINs

bull

Webinar presentations for organizations interested in the HRIS project (over 140 CMHampA and CSS participants registered for four webinar sessions)

bull

Quarterly newsletters designed to provide the latest information as well as lessons learned and testimonials to all CMHampA and CSS organizations A Systems for Success newsletter was sent to all organizations and LHINs in March 2010

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 23: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

HRIS Support Centre

ldquoLiverdquo support available 800 AM ndash 600 PM EST except onweekends and holidays

To contact the HRIS Support Centre

CSScsshrisccimonca1-877-706-8094

CMHampA cmh_ahrisccimonca1-877-706-8095

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 24: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

24

Support - Testimonials

ldquoThank you very much for all the help last week on our manual payment for vacation payout I appreciate all that the support team have done for us the support team really went above and beyond The vacation pay also went through and all my co-workers thank the support teamrdquo

ndash Katalin Majoros Seniors Life Enhancement Centres

ldquoI need to point out how excellent the Support Center is They are very polite with an excellent response timerdquo

ndash Dipika Nayar Hospice of Peel (HeartHouse Hospice)

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 25: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

25

Participating Organizations To Date

bull

Participating organizations range in size (small medium and large) provide a variety of services and vary in degrees of complexity

bull

98 CMHampA and 112 CSS organizations have implemented or are currently implementing Quadrant across the province across all 14 LHINs

bull

Of these 46 CMHampA and 60 CSS have implemented the HRIS software solution Quadrant

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 26: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

26

MH LHIN HRIS Summary (as of May 2010)

Community Mental Health and Addictions (CMHampA) bull

In total there are 9

CMHampA organizations in the MH LHIN

bull

2 organizations are currently implementing the HRIS software solution Quadrant

bull

4

organizations are fully implemented with Quadrant

Please see the Appendix at the end of this presentation for a full list of participating organizations in the MH LHIN

Community Support Services (CSS)bull

In total there are 33 CSS organizations in the MH LHIN

bull

3

organizations are currently implementing the HRIS software solution Quadrant

bull

7

organizations are fully implemented with Quadrant

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 27: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Next Stepsbull

Talk to CMHampA and CSS organizations about their experiences implementing Quadrant

bull

For more information or if you would like to sign-up for the HRIS project please contact Saj

bull

The project lead will reach out to your organization to answer any questions

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 28: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

29

Appendix

bull

CMHampA Organizations Implemented and Implementing Quadrant

bull

CSS Organizations Implemented and Implementing Quadrant

bull

Number of CSS and CMHampA Organizations Currently Implementing Quadrant by LHIN

bull

Sample list of User Defined Folders (UDFs)bull

Sample list of Checklists

bull

Sample list of Reportsbull

Case Study St Josephrsquos Home Care

29

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 29: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

30

CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CMHampA

Halton Alcohol and Drug Assessment Prevention and Treatment

Halton Recovery House

Hope Place Womens Treatment Centre

Summit House

Support and Housing Halton formerly Oakville Re-Entry Homes Incorporated

Supported Training and Rehabilitation in Diverse Environments

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 30: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

31

CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)

Sector Organization Implemented Implementing

CSS

Dixie Bloor Neighbourhood Drop-In Centre

Hospice Of Peel Inc

Links2care (Georgetown)

Nucleus Independent Living Inc

MICBA Forum Italia Community Services

Peel Cheshire Homes Inc (Streetsville)

Peel Senior Link

Rehabilitation Foundation For The Disabled - Peel Region

SENACA Seniors Day Program - Halton Incorporated

Seniors Life Enhancement Centres

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 31: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

32

Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN

32

LHIN of CSS Organizations

of CMHampA Organizations

Total per LHIN LHIN Name

LHIN 1 9 11 20 Erie St Clair

LHIN 2 5 10 15 South West

LHIN 3 3 4 7 Waterloo Wellington

LHIN 4 21 12 33 Hamilton Niagara Haldimand Brant

LHIN 5 5 2 7 Central West

LHIN 6 10 6 16 Mississauga Halton

LHIN 7 10 9 19 Toronto Central

LHIN 8 8 2 10 Central

LHIN 9 10 7 17 Central East

LHIN 10 6 5 11 South East

LHIN 11 8 11 19 Champlain

LHIN 12 10 4 14 North Simcoe Muskoka

LHIN 13 5 10 15 North East

LHIN 14 2 5 7 North West

Total all LHINs 112 98 210

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 32: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Sample List of User Defined Folders (UDFs)New Hire

ndash

Benefits Enrollmentsndash

Code of Conductndash

Criminal Records Checkndash

Employee Photondash

Letter of Offerndash

Foreign Workersndash

Reference Check

Educationndash

Education Fundingndash

HCA Challenge Programndash

Regional Orientationndash

Succession Planning or Staff Development Plans

Performance Managementndash

Arbitrationndash

Attendance Managementndash

Disciplinary Actionsndash

Grievancendash

Performance ReviewAppraisalndash

Probationary Review

Human Resourcesndash

Exit Interviewndash

Increment Datesndash

Recruitment amp Retention Grantsndash

Trial Periodndash

Transfersndash

Vacation Increments

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 33: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Sample List of User Defined Folders (UDFs) continuedhellip

Health amp Safetyndash

Annual Staff Immunizationndash

Drug Screenndash

HepB

Immunizationndash

Incident Reportndash

TB Immunizationndash

Occ

Health Formndash

Vision Testing

Leave Managementndash

Disability Rehabndash

Duty to Accommodatendash

Leave of Absencendash

MPICndash

Return to Workndash

WCBCritical Job InjuryHealth amp Safety Incident

Employer Propertyndash

Building Securityndash

Equipment RepairReplacendash

Facility Property-Employersndash

Insured Driver List

Service Recognitionndash

Rewards amp Recognition Rewardndash

Service Awards

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 34: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Sample List of Checklists

ndash

Submit Request for Hire to HRndash

Schedule Orientationndash

Verify Qualificationsndash

Prepare amp Send Offer Letterndash

Approved Staffing Request Form

ndash

Schedule Appointmentsndash

Hire Application in QHRndash

Administer TB Testsndash

Add Immunization Historyndash

Add Criminal Code UDFndash

Add Probationary UDF

ndash

Confirm Orientation Completion

ndash

Take Employee Photondash

Confirm Hire Datendash

Schedule Benefit Appointmentndash

Enter Probationary Periodndash

Enter Employment Infondash

Enter Payment Infondash

Enter Contact Informationndash

Enter Position amp Remunerationndash

Enter Deductions amp Benefitsndash

Complete Employee File

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 35: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Sample List of Reportsndash

Assigned Position Reportndash

Banks EE Benefit Reportndash

Contacts Reportndash

Deleted Leave Request Reportndash

Demographicndash

Direct Deduction Range Reportndash

Employee Banksndash

Employee Birthday by Month Reportndash

Employee Classndash

Employee Hire Reportndash

Employee Information Reportndash

Employee Pension Rate Reportndash

Employee Status Reportndash

Employee Termination Reportndash

Federal Provincial TD1 Reportndash

PA T4 Exception Reportndash

Pension Annual Report ndash

Withholding Report

ndash

Allowances Setup Reportndash

Banks Setup Reportndash

Chart of Accounts Reportndash

Checklist Reportndash

Competencies Configurationndash

Deductions Setup Reportndash

Master Position Vacancy Reportndash

MOH Headcountndash

Notification Group Addressesndash

Occupation and Pay Scalesndash

Availability by Position Reportndash

Available Shifts Reportndash

Basic Schedule Filterndash

Daily Staffing Analysisndash

Filter Schedule by Open Shiftsndash

EFT File Summary Reportndash

Employee T4ndash

Employer T4

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 36: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Case Study St Josephrsquos Home Care Hamilton

Presented by Steve Moore Manager Business amp Systems St Josephrsquos Home Care

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 37: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Who is St Josephrsquos Home Carebull

A member of the St Josephrsquos Health System which includesndash

St Josephrsquos Villandash

St Josephrsquos Healthcare Hamiltonndash

St Maryrsquos Hospital Kitchenerndash

St Josephrsquos Health Centre Guelphndash

St Josephrsquos Life care Centre Brantford

bull

Our part of the continuum of care is Home Carebull

Our programs includendash

Visiting Shift and Specialty Nursing contracts with the HNHB CCAC

ndash

PSW HSW Supportive Housing programsndash

PSW Specialty programs such as Constant Care amp Caregiver Relief

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 38: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Why did we choose to implement the Quadrant HRIS Solution1

Faced with OHRS Reporting

2

No existing system to track and report on earned hours or other statistics

3

Existing payroll HR solution high processing fees but limited benefits

4

Hours to be paid keyed in as totals per pay period making monthly reporting and analysis difficult With labor being our major cost imprecise accruals made variance reporting difficult

5

Tracking and reporting of banks such as vacation and sick time was very manual

6

In a four union environment seniority calculations were a real chore

7

No opportunity to import timecard data

8

Applying pay rate increases mid-pay period was a lot of work

9

Poor centralized HR functionality

10

Poor reporting on payroll HR data

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 39: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Our Implementation Processbull

Initial contact with CCIM ndash

March 2009bull

Became aware of both HRIS (Quadrant) and MIS (Dynamics GP) solutionsbull

Decided to proceed with HRIS (Quadrant) solution firstbull

Implementation consultants assigned and project plan created ndash

June July 2009

bull

Go Live target set for first pay period in 2010bull

First training HR and Payroll ndash

Project Lead ndash

Steve Moore ndash

June 2009bull

Main training for three staff HR and Payroll ndash

September 2009bull

HR Suite Training ndash

Project Lead ndash

Steve Moore ndash

November 2009bull

Configuration complete by Mid-November 2009bull

Parallel testing complete by Early December 2009ndash

Simulated parallel run Actual payroll from old system re-processed in Quadrant on an off-week

bull

Go Live successful on targetbull

Report writer 1 training ndash

Project Lead ndash

Steve Moore ndash

February 2010

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 40: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

What is nextbull

Implement HR Suite functionalityndash

Competenciesndash

User Defined Foldersndash

Checklistsndash

Notifications

bull

QHR Net which provides forndash

Internet access for employees to pay statementsndash

Opportunity to allow employees to update their own demographics

bull

Demonstration on Training and Scheduling modulesbull

Advanced Report Writer training

bull

Ongoing membership in HRIS Advisory Working Group

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 41: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Challenges

bull

TIME bull

Chart of Accountsndash

OHRS Restrictionsndash

Understanding the algorithms used in Quadrant processingndash

Because Dynamics GP not implemented first there was a need to negotiate back and forth between HRIS and MIS Implementation teams

bull

Lack of Configuration training up frontbull

Lack of technical documentation

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 42: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Rewardsbull

Trainers are experienced and excellent and the training materials used were actually produced by those same trainers

bull

Trainers use ldquoParking Lotsrdquo

when they cannot answer questions then they get the answers and provide them in class or if necessary via email if the class has already finished

bull

Strong implementation Teamsndash

Some you meetndash

Some you donrsquotbull

Experienced implementation teams bring strong actual experience and methodologies

bull

Very good help desk Support personnel strong on payroll amp HR processes with available more technical support when needed

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 43: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Summarybull

Our entire list of concerns over our old solution have been resolved with Quadrant but specificallyndash

Of 290 employees we efficiently import payroll data for all but

6ndash

We have vastly improved payroll related controls thanks to an improved ability to balance approved timecard data against hours and dollars about to be processed in Quadrant

ndash

We can now easily apply mid-pay period rate increases

bull

We expect to Go Live with Dynamics GP in late summerbull

We look forward to working with features of Quadrant that will be a bonus for usndash

HR Suitendash

QHR Netndash

Training modulendash

Scheduling modulendash

Other modules that may comendash

Advanced Report Writer training

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 44: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Contact Information

bull

You will find that CCIM has a strong HRIS implementation and training team however if I can be of any assistance

bull

I am an active member of the HRIS Advisory Working Group

bull

You can also contact me atndash

smoorestjhcca

ndash

Phone (905) 522-6887 ext 2254

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 45: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Thank You

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 46: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Mississauga Halton LHIN ReCharge Program

Kristina Hall

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 47: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Break

15 Minutes

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 48: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CSS ndash

Common Assessment Project (CAP)

Ashim

RizkiAllen Flaming

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 49: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Presentation for

CSS amp MHampA Sector Meeting

June 11th 2010

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 50: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CSS CAP Project

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 51: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CSS CAP Project

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 52: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CSS Cap Project

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 53: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CSS CAP Project

Project Team for Community Care Information Management (CCIM)

bull

Ashim

Rizki Project Lead ndash MH amp CW LHINs

bull

Allen Flaming Implementation Lead ndash MH LHIN

LHIN Project Teambull

Judy Bowyer MH LHIN

bull

Priti Patel MH LHIN

bull

Steering Committee ndash MH LHIN CSS Providers

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 54: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Infrastructure amp Operations Standards Security Privacy amp Risk Management Transition

Community Care Information Management (CCIM) Program

CCAC CSS CMHampA LTCH CHC SCCH

Local Health Integration Networks (LHINs)

Integrated Data Strategy

AssessmentProjects

Business Systems

Common IntakeAssessment

Tool

Long Stay Assessment

Software

ManagementInformation

Systems

Human Resources Information

Systems

ManagementInformation

Systems

Human Resources Information

Systems

Management Information

Systems

HumanResourcesInformation

Systems

ManagementInformation

Systems

Human Resources Information

Systems

interRAI Community

Health Assessment

Ontario Common

Assessment of Need

Resident Assessment Instrument

MDS 20

Management Information

Systems

Completed and transitionedInitiation stage Pilot stage Currently rolling out

CCAC = Community Care Access Centres CSS = Community Support Services CMHampA = Community Mental Health and AddictionsLTCH = Long-Term Care Homes SCCH = Small amp Complex Continuing Care Hospitals CHC = Community Health Centres

Management Information

Systems

Integrated Assessment Record

ScreeningCapability

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 55: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Referral

Screener ToolSelf administered or org

administered

Service PlanningRight Service for Right Client

Data Sharing

Data Submission

More intensive servicesSupportive HousingAdult Day Program

Need for a comprehensive assessment

Less intensive servicesMeals Delivery

Transportation

Drop-in Centre

Outcomes

Out of SCOPE

In SCOPE

Reports

Data Management

CSS CAP project scope

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 56: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

How we are working in partnershipInformation Management Alliance

CSS CAP Steering Committee

Working and Reference Groups LHIN Implementation Steering Committees

LHIN n

etc

Mississauga Halton LHIN Consent Management Aboriginal

Data Mgmt Mobility

Shared Ax Reports

Best Practices -DQ Education

Screener Cross Sector

Common Assessment

PROJECT TEAM Project Management

BusinessProcess EducationImplementation

Communications

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 57: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CSS CAP implementation model

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 58: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CSS CAP Project ndash Next Steps

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 59: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CSS CAP Project

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 60: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CHOICES ndash ALL Same Time

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 61: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

CHOICES ndash GROUPS Differing Times

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 62: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Take Away Considerations

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 63: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Take Away Considerations

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 64: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

MHLHIN Financial Update

Paulette Zulianello Senior LeadFunding and Allocation

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 65: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

TRAINING

Took place June 4th

to June 10th

2 more in case you have missed out

CMHampA ndash

June 15th

1200 to 130 pm

CSS ndash

June 16th

930 to 1100 am

Last Chance

Q4 CAT Reporting and ARR

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 66: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Tips and Tools

Reminder ndash

Follow each step in sequence

Q4 flat file must successfully upload to WERS before working on ARR ( keep both open until complete)

Use CAT version 25 not 21

Print entire report not each page

Community Analysis Tool (CAT User Guide 30)(troubleshooting pg 61)

CAT Q4 Reporting Quick Guide (pg 4 all 16 steps)

ARR HSP Guide V11bull `

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 67: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Tips and Tools (contrsquod)

Auditors can print Auditorrsquos Report on own Letterhead

No exception in 200910 ndash

all must procure Auditrsquos Report

Accrual information not requiredNo ARR statistics ndash

only Q4 CAT

Make sure required variances are explained

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 68: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Tips and Tools (contrsquod)

Technical contact ndash

KimHewittontariocaCMHampA ARR contact ndash

VivianTsangontarioca

CSS ARR contact ndash

KelvinWongontariocaMirella and myself Q4 and ARR ndash

due June 30

Supplementary Reporting for Initiatives-

June 30th

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 69: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison

Today July 1Sale

$10000

$10000

GST 5

500

PST 8

800

HST 13

1300

Total $11300 $11300

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 70: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Example PST-Taxable PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

800

HST 13

_______

1300

Total

$ 11300

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

_______

(656)

GSTHST rebate

(250)

(906)

NET COST $11050

$10394

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 71: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Example PST-Exempt PurchaseToday

July 1

Purchase

$10000

$10000

GST 5

500

PST 8

HST 13

________

1300

Total

$ 10500

$11300

GST Rebate

50

(250)

(250)

HST Rebate

82

________

(656)

GSTHST rebate

(250)

(906)

Net cost

$ 10250

$10394

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 72: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Combined Rebate Factor OntarioJuly 1

Purchase

$10000

HST 13

1300 x 6969 = 906

Total

$11300

GST Rebate 50 (250)

HST Rebate 82 (656)

GSTHST rebate

(906)

Net cost

$10394

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 73: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Net impact of HST (Incremental Effect)

bull PST-

taxable

1105rarr

10394

656 decrease

bull PST-

exempt

1025rarr

10394

144 increase

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 74: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Whats Taxable Under the HST and Whats Not

Clothing and Footwear

GST-taxable before

July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Adult Clothing 5 8 No (remains 13)

Childrens Clothing 5 No PST No (remains 5)

Shoe Repair Service 5 8 No (remains 13)

Childrens Footwear 5 No PST if $30 or less No for footwear up to size 6 (remains 5)

Tailoring Services 5 8 No (remains 13)

Dry Cleaning ServiceDry Cleaning Service 55 No PSTNo PST Yes (changes to 13)Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 75: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Whats Taxable Under the HST and Whats NothellipcontrsquodFood and

BeveragesGST-taxable

before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable

under the HST

Basic Groceries (eg Dairy Meat Vegetables Canned Goods)

No GST No PST No HST

Snack Foods (eg Chips Pop)

5 8 No (remains 13)

Qualifying Prepared Food and Beverages Sold for

$400 or Less

5 No PST No (remains 5)

Restaurant Meals for More than $400

5 8 No (remains 13)

Alcoholic Beverages 5 10-12 HST 13[1]

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 76: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Whats Taxable Under the HST and Whats NothellipcontrsquodHome Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Cable Television Services 5 8 No (remains 13)

Cell Phone Services 5 8 No (remains 13)

Municipal Water No GST No PST No HST

Home Maintenance Equipment 5 8 No (remains 13)

Home Phone Services 5 8 No (remains 13)

Home Service Calls to Repair Free-

Standing Appliances such as Stoves Refrigerators Washers Dryers and

Televisions

5 8 No (remains 13)

Home Insurance No GST 8 No (remains 8)

Electricity and Heating (eg Natural GasOil for Home)

5 No PST Yes (changes to 13)

Internet Access Services 5 No PST Yes (changes to 13)

Home Service Calls by ElectricianPlumberCarpenter to Maintain

or Repair Furnace Leaky Faucets Bathtub Toilet Electrical Wiring etc

5 No PST Yes (changes to 13)

Landscaping Lawn-Care and Private Snow Removal

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 77: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Whats Taxable Under the HST and Whats NothellipcontrsquodAccommodation Travel and

Passenger Transportation Services

GST-taxable before July

1

2010PST-taxable before

July

12010Is there a change to the amount of tax

payable under the HST

Luggage Briefcases Bags etc 5 8 No (remains 13)

Municipal Public Transit No GST No PST No HST

GO Transit No GST No PST No HST

Air travel originating in Ontario and terminating in the US[2]

5 No PST No (remains 5)

Air travel originating in Ontario and terminating outside of Canada and the US[3]

No GST No PST No HST

Rail boat and bus travel originating in Ontario and terminating outside of

Canada

No GST No RST No HST

Hotel Rooms 5 5 Yes (changes to 13)

Taxis 5 No PST Yes (changes to 13)

Campsites 5 No PST Yes (changes to 13)

Domestic Air Rail and Bus Travel originating in Ontario

5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 78: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Whats Taxable Under the HST and Whats NothellipcontrsquodMotorized Vehicles

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Vehicle Parts 5 8 No (remains 13)

Short-Term Auto Rentals 5 8 No (remains 13)

Lease of a Vehicle 5 8 No (remains 13)

Child Car Seats and Booster Seats 5 No PST No (remains 5)

Auto Insurance No GST No PST No HST

Labour

Charges to Repair Vehicle 5 8 No (remains 13)

Oil Change 5 8 No (remains 13)

Tires 5 8 No (remains 13)

Window Repair 5 8 No (remains 13)

Purchase of Vehicle from Dealer 5 8 No (remains 13)

Boats 5 8 No (remains 13)

Snowmobiles 5 8 No (remains 13)

Recreational Vehicles 5 8 No (remains 13)

Private Resale of Car (including Registration)

No GST 8 Yes[4] (changes to 13)

GasolineDiesel 5 No PST Yes (changes to 13)

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 79: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Whats Taxable Under the HST and Whats Nothellipcontrsquod

Professional and Personal Services

GST-taxable before July 1 2010

PST-taxable before July 12010

Is there a change to the amount of tax payable under the HST

Child Care Services No GST No PST No HST

Legal Aid No GST No PST No HST

Coffins and Urns Purchased Separately from a Package of Funeral

Services

5 8 No (remains 13)

Fitness Trainer 5 No PST Yes (changes to 13)

Hair StylistBarber 5 No PST Yes (changes to 13)

Esthetician Services (eg Manicures Pedicures Facials)

5 No PST Yes (changes to 13)

Funeral Services 5 No PST Yes (changes to 13)

Legal Fees 5 No PST Yes (changes to 13)

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 80: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

HARMONIZED SALES TAX - Conclusion

No affect on Revenue-

since GST rules apply

Taxable expenses 656 decrease

Non-taxable expenses 144 increase

144 increase applies to services and energy costs that were previously PST exempt

Slight changes to OHRS account description not the account numbers

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 81: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

MH LHIN Strategic Investments Aging at Home Update

Narendra Shah

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 82: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Aging At Home Peer Exchange Forum May 10-11 2010 MH LHIN

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 83: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

I

Reduce ALC days and LOS in hospitalsII

Reduce demand (wait list) for LTC homesIII

Reduce unnecessary ER visits

Mississauga Halton LHINrsquos Strategic Approach to A H

Strategic Objectives

I

Invest in Seniors with Complex Needs (usually 75+ age) in the communityII

Invest in LTC homes to reduce ERhospitalization of 4000+ residents and increase LTC homes capacity to care for ldquohigher needrdquo

seniorsIII

Use proven common set of assessmenteligibility tools (RAI family) across all sectors-home care SDL ADP LTC and CCC to ensure right care right setting at the right time and right cost

How

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 84: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Acute Care FY 0708 FY 0809 FY 0910 (1)Change to 0910

FY 0708 FY0809

Total Days 354055 372563 355182 03 -47

Total Pts 60864 61408 63077

Avg LOS 582 607 563 -32 -72

Total ALC Days 35844 47650 32918 -82 -309

Total ALC Pts 2174 2432 2623 206 78

Avg ALC LOS 1649 1959 1255

ALC 1010 1280 927 -82 -276

(1) Q4 0910 Projection using average Q4 proportion of 0708 and 0809 and Q3 YTD year-over-year average growth

MH LHIN Trend in ALC Day amp Patients 2008-09-2010

353 absolute point reduction in ALC Days in 0910

Pre-AHPre-AH Impact of AHImpact of AH

36 27

-239 -359Results

Growth

Despite growth we have good results

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 85: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Source MH LHIN Daily ALC Census

151

67

6 Month Average

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 86: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

High Risk Seniors (MAPLe

3+)Clients taken from Hospitals Community and LTC Sectors

Integral part of Joint Discharge Process in hospitals and CCAC

201011Additional Performance

Requirements

Reform of SH to Supports for Daily

LivingFocus on Reducing LTC Needs

247 Integrated ApproachLHIN-wide Mobile Capacity

Extensive Interaction with Hospitals and CCAC

$247M

NewClients

740

Expand to Support difficult cases in Hospitals and LTCHs Clients assisted to avoid ERHospiitalReduce ALC

ABISignificant outreach to Hospitals and LTCHs $49M

LHIN-wide ApproachIntegrated Transportation $19M

Reduce LTCER DemandUse of Care Giver Stress (CGS) Tool

Enhanced Respite CareBlock of Time $39M270

Integrated Home MakingMaintenance$22M

All referrals from CCACHigher Needs ndash

MAPLe

3Reduce LTC Demand

Adult Day ServicesSupport more ldquoat riskrdquo

Seniors$84M385

Stand-alone Transportation Services $15M

Transformation of CSS Sector to Focus on Frail ElderlyTransformation of CSS Sector to Focus on Frail Elderlyto Stay at Home Safelyto Stay at Home Safely

Pre-LHIN 200708 CSS Performance

Requirements

Objective Increase Capacity to Reduce Dependence on Institutions (LTC and Hospital Sector)

$343M

Clients

Balanced BudgetClient Satisfaction

Supportive HousingMost clients MAPLe

12sNo 247 support

Limited integration with hospitals

$135M

Adult Day ServicesMost clients MAPLe

12s $55M

ABIResidential with Community Outreach $36M

Respite CareDay-To-Day Caregiver Relief

$29M

Home MakingMaintenance $10M

Other CSS $63M

Other CSS $77M

$537M

Support Higher Need ldquoAt Riskrdquo

SeniorsSupport Higher Need ldquoAt Riskrdquo

Seniors

SILO Integrated ApproachSILO Integrated Approach

Increase of $194M

bull

Free Existing Hospital Capacity

bull

Right Placements in LTC Sector by CCAC

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 87: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

99

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

4100 Beds 27 homes

Convalescent Care Program Post Inn

Convalescent Care Program Post Inn

Restore Program ‐

MLCRestore Program ‐

MLC

220 bed LTC Facility at Trillium

West Toronto ndash 54

4100 Beds 27 homes

Dialysis at 2 homesDialysis at 2 homes

Behavioural Unit ndash

Sheridan

Villa

Behavioural Unit ndash

Sheridan

Villa

Psycho Geriatrc

Outreach

ABI Outreach

NP Program

Quality

Improvement

with OHQC ndash 8

Homes

Specialization

Quality Im

provement

MH LHIN MH LHIN ndashndash

Transformation of LTC SectorTransformation of LTC Sector

Pre‐LHIN LHIN ndash February 2010

Integration

(CSS amp CMHA with

LTC

Sector)

Integration

(with

Hospitals amp

CCAC)

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 88: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

100

Impact of A H Initiatives on MH LHIN Allocation By Sector (in Millions)

LHIN Allocation

200708

(Actual)

Pre-Aging Home

200910 Note 1

(Q4 Forecast)

Change

Hospitals $7135313 $7698639 789

Long Term Care Homes 1466112 1629215 1112

CCAC 1016853 1160379 1411

Community Support Services 171620 222742 2979

Supportive Housing amp SDL 134991 216294 6023

Community Mental Health 214362 239666 1180

Addictions Program 38256 42531 1117

ABI 36236 48923 3501

Total 10213743 11258389 102Note 1

0910 Data is based on MH LHIN Q3 forecast report sent to Ministry in Dec 2009

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 89: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

ChronicDisease

s

CHFCOPD

ChronicDisease

sCHFCOPD

Hom

e

Careby

CCAC

Hom

e Careby

CCAC

Adult Day

Program

s

Adult Day

Program

s

Specialize

d

Geriatric

Outreach

Specialize

d

Geriatric

Outreach

Home HelpMaintHome Makin

g

Home HelpMaintHome Makin

g

247

Crisis

Response

toMental Health ampAddictio

n

247

Crisis

Response to

Mental Health ampAddictio

n

ObjectivesLOSALCAdmission

Avoidance

ObjectivesER Use

Treatment Time

ER

Objectives Demand

Right Persons

27 Homes 4100 Beds

LTCH

CCAC EnhancedCCAC Enhanced

Transitional Beds in

Hospitals ndash 41 beds

Transitional Beds in

Hospitals ndash 41 beds

MLC Restore ‐

26

beds

MLC Restore ‐

26

beds

ABI OutreachABI Outreach

Capacity Enhancement inHomeCommunity

Transitional Capacity

CCACCSS CMHA

SDL SDL

Continenc

e

Mgmt75+

Continenc

eMgmt75+

NPrsquosInLTC

NPrsquosInLTC

Geriatri

c

System

Mgmt75+

Geriatri

c

SystemMgmt75+

Enhance

d

Respite

Enhance

dRespite

Psycho‐

geriatric

Outreac

h

Psycho‐

geriatricOutreac

h

Complex Continuing Care Reform ndash

300+ bedsComplex Continuing Care

Reform ndash

300+ beds

Regional Behaviour UnitRegional Behaviour Unit

MH LHIN Aging at Home Strategic ApproachMH LHIN Aging at Home Strategic ApproachRight Care Right Place Right Time

Convalescent

Program Post Inn ‐20

beds

Convalescent

Program Post Inn ‐20

beds

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Dementia

amp

Alzheimer

rsquos

Outreach

amp Day

Programs

Urgent Falls Progra

m

Urgent Falls Progra

m

Transportation

Enhanced PalliativeEnhanced Palliative

Sheridan VilliaBehavioural Unit ‐

19Sheridan Villia

Behavioural Unit ‐

19

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 90: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

SDLER Avoidance

ERsAvoidanceStrategies

247 Crisis Service For

Mental Health amp Addictions

CDPMMgmt

UrgentGeriatric

Clinic

NPsLTC Homes

200910

201011

MH LHIN Aging at HomeMH LHIN Aging at HomeInvestments Implications on ER ImprovementInvestments Implications on ER Improvement

Right Care Right Place Right Time

FallsClinic

CCAC Followup on all 75+

From ER

Palliative End of Life

Capacity in Home Care

1123 encounters1523 ER visits

averted

1046 Visits

8000

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 91: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year

Innovative and Best Practice Initiatives

bull Enhanced Home Care

bull Supports in Daily Living

bull Restore Program

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 92: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

MH CCAC Enhanced Services to Frail Seniors 2009-10

104

Home First Program ndash Hospital ReferralsStay at Home Program

WAH ndash LTC WAH ndash

Enhanced

MAPLe

Score 0910 Actual Clients (March 31 2010)

1 2 3 0

2 5 3 0

3 57 63 29

4 107 124 126

5 70 51 58

TOTAL Clients 241 244 213

Client Avg

MAPLe

(per above) 399 389 414

Client AvgMon

PSW hours

Before 60 Days

130

After 60 Days

108

Before 30 Days

882

After 30 Days

857

Before 30 Days

837

After 30 Days

856

Client Avg

LOS on

Enhanced Service27 months 51 months 83 months

734 717 864

Source MH CCAC March 31 2010

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 93: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

105

Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results

(1) MAPLe Pre‐SDL Client

GroupSDL Client

Group1 45 132 28 333 104 1894 64 1635 22 84

Avg

Score 296 356TOTAL Clients 263 482

Age Pre‐SDL Client

GroupSDL Client

Grouplt65 4 9

65‐74 27 9975‐84 90 21385+ 207 256

Avg

Age 859 800TOTAL Clients 328 577

813512

Referrals FY 0809 Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTAL

Hospital 0 11 5 23 81 120Non‐Hospital

Restore 0 0 2 0 2 4CCAC 88 30 83 80 76 357Other 0 1 0 13 11 25

Sub‐total 88 31 85 93 89 386

TOTAL 88 42 90 116 170 506

(1) As per available data

In buildings with high concentration of seniors

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 94: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

106

Supports for Daily Living ndash Mobile 20080910 Results

MAPLe SDL Client

Group

1 0

2 1

3 38

4 45

5 15

Avg

Score 375

TOTAL Clients 99

Age SDL Client

Grouplt65 2

65‐74 2475‐84 3485+ 39

Avg

Age NATOTAL Clients 99

Referrals Q1 0910 Q2 0910 Q3 0910 Q4 0910 TOTALHospital 4 9 11 17 41Non‐Hospital

Restore 0 0 0 2 2CCAC 5 25 14 7 51Other 1 0 2 2 5

Sub‐total 6 25 16 11 58

TOTAL 10 34 27 28 99

606737

Nimble amp Timely response

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 95: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

112

ldquoMore health care is not always better for individuals or for populationsrdquo

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 96: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Next Steps

bull Ministry expects LHINs to reallocate funds where initiatives are

not meeting outcomes or to support other initiatives that have higher success

bull We will review Year 2 results in the next 2 months and where investments are not meting performance objectives adjustments and changes will be considered

bull Finalize Year 3 funding-all one-time subject to performance expectations

bull Province-wide evaluation of A H by ICES (Ministry sanctioned)

bull LHIN evaluation of SDL

bull MH LHIN Knowledge Exchange Forum for all A H investments

bull September 29 2010mdashHOLD THIS IMPORTANT DATE

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 97: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Integration Feedback

Angela Jacobs

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 98: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Remember the Question

Given the current economic constraints that we expect to see over the next couple of years what do you see as being the best integration opportunities to sustain or improve the system

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 99: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Feedback Summary1

Back Office Integrationa)

Procurement of goods (consumables)b)

IT costsplanningsoftwarec)

Sharing ldquoexpertsrdquo

ndash

HRFinancebookeepinglegal2

Education and Traininga)

Sharing educational and skill enhancement opportunities

b)

Training of the system eg discharge plannerssocial workersCCAC regarding community services

3

Transportation4

Electronic Connections

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 100: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Summary1

Back Office Integrationbull

MH LHIN has a Procurement Committee chaired by John Simpson Senior Account Executive Shared Services West

bull

Shared Services West provides procurement services to its four hospital members and one non-member hospital

bull

Investigating opportunities ndash

whether new or existing contracts negotiated by SSW may be extended to our HSPs in the MH LHIN by consolidating existing or new contracts

bull

Everyone participated in the SSW survey

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 101: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Summary1

Education and Training example

bull

MH LHIN MHampA HSPs through SIGMHA (System Integration Group for Mental Health and Addiction) established an Education and Training Task Team

bull

Focused on building a sustainable Education Program

bull

Surveyed all HSPs regarding learning needs

bull

Held 6 workshops ndash

attendees included service providers front line staff clients and families intake staff etc

bull

Self-sustaining in terms of funding

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 102: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Summarybull

Now has transitioned into The Education Implementation Work Group to lead the development of a sustainable education and training program for service providers clients families and the community at large within the Mississauga Halton LHIN

bull

Purpose is The Education Implementation Group will

To establish a LHIN-wide education and training program focused on SIGMHArsquos

strategic directions and the results of on-going learning needs surveys and other identified training needs

bull

Possible new workshopsbull

Transitional Aged Youthbull

Diversitybull

Community Workshops for Clients and Familiesbull

Concurrent Disorder Training

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 103: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Questions

bullWhat are the initial steps the CSS sector needs to do to move towards this kind of model for training

bullWhat are the training needs required by the community sector as a whole (CSS + MHampA)

bullWhat are the initial steps needed to organize this community training

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 104: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

Canadian Red Cross Update

Valerie Cook

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS
Page 105: Mississauga Halton LHIN CSS and MH&A Sector Meeting June .../media/sites/mh/uploadedfiles/P… · Human Resource Information System (HRIS) Presentation ... Resident . Assessment .

COMMENTS QUESTIONS

  • Slide Number 1
  • Agenda
  • Community Care Information Management Program (CCIM)Human Resource Information System (HRIS) Presentation
  • Slide Number 4
  • Slide Number 5
  • Presentation Agenda
  • Introductions
  • Presentation Objectives
  • Community Care Information Management (CCIM)
  • Slide Number 10
  • HRIS Project Background
  • HRIS Project Milestones
  • HRIS Solution Overview
  • Quadrant Modules
  • Benefits of Implementing the HRIS Software Solution Quadrant
  • Benefits of Implementing the HRIS Software Solution Quadrant (continued)
  • HRIS Project Eligibility
  • Typical HRIS Project Implementation Process
  • Implementation - Testimonials
  • HRIS Project Training
  • Training - Testimonials
  • Communications
  • HRIS Support Centre
  • Support - Testimonials
  • Participating Organizations To Date
  • MH LHIN HRIS Summary (as of May 2010)
  • Next Steps
  • Slide Number 28
  • Appendix
  • CMHampA Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • CSS Orgs Implemented amp Implementing Quadrant in the MH LHIN (as of May 2010)
  • Number of CSS and CMHampA Organizations Currently Implemented and Implementing Quadrant by LHIN
  • Sample List of User Defined Folders (UDFs)
  • Sample List of User Defined Folders (UDFs) continuedhellip
  • Sample List of Checklists
  • Sample List of Reports
  • Case Study St Josephrsquos Home Care Hamilton
  • Who is St Josephrsquos Home Care
  • Why did we choose to implement the Quadrant HRIS Solution
  • Our Implementation Process
  • What is next
  • Challenges
  • Rewards
  • Summary
  • Contact Information
  • Slide Number 46
  • Mississauga Halton LHIN ReCharge Program
  • Slide Number 48
  • Slide Number 49
  • Slide Number 50
  • Slide Number 51
  • Slide Number 52
  • Slide Number 53
  • Slide Number 54
  • Slide Number 55
  • Slide Number 56
  • Slide Number 57
  • Slide Number 58
  • Break
  • CSS ndash Common Assessment Project (CAP)
  • Slide Number 61
  • CSS CAP Project
  • CSS CAP Project
  • CSS Cap Project
  • CSS CAP Project
  • Slide Number 66
  • Slide Number 67
  • Slide Number 68
  • Slide Number 69
  • CSS CAP Project ndash Next Steps
  • CSS CAP Project
  • CHOICES ndash ALL Same Time
  • CHOICES ndash GROUPS Differing Times
  • Take Away Considerations
  • Take Away Considerations
  • MHLHIN Financial Update
  • Tips and Tools
  • Tips and Tools (contrsquod)
  • Tips and Tools (contrsquod)
  • HST is coming July 1 2010 Harmonized Sales Tax Simple Comparison
  • Example PST-Taxable Purchase
  • Example PST-Exempt Purchase
  • Combined Rebate Factor Ontario
  • Net impact of HST (Incremental Effect)
  • Whats Taxable Under the HST and Whats Not
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • Whats Taxable Under the HST and Whats Nothellipcontrsquod
  • HARMONIZED SALES TAX - Conclusion
  • MH LHIN Strategic InvestmentsAging at Home Update
  • Slide Number 94
  • Mississauga Halton LHINrsquos Strategic Approach to A H
  • Slide Number 96
  • Slide Number 97
  • Slide Number 98
  • Slide Number 99
  • Slide Number 100
  • Slide Number 101
  • Slide Number 102
  • Performance of MH LHINrsquos Top Three Initiatives in Years 1amp 2 which we will invest more in this Fiscal Year
  • MH CCAC Enhanced Services to Frail Seniors 2009-10
  • Major Transformation of ldquoSupportive Housingrdquo to Supports for Daily Living ndash lsquoHub amp Spokersquo 20080910 Results
  • Supports for Daily Living ndash Mobile20080910 Results
  • Slide Number 107
  • Slide Number 108
  • Slide Number 109
  • Slide Number 110
  • Slide Number 111
  • Slide Number 112
  • Next Steps
  • Integration Feedback
  • Remember the Question
  • Feedback Summary
  • Summary
  • Summary
  • Summary
  • Questions
  • Slide Number 121
  • COMMENTS QUESTIONS