Contract Monitoring
Continuing Care
Facilitated by:
Lynn Redford, Provincial Director, Special Initiatives and Resource Development, Community, Seniors, Addiction & Mental Health
Chair, AHS Continuing Care Interdepartmental Working Group
Jennifer Elalmi,
Compliance Specialist, Contract Monitoring, Risk & Internal Controls, CPSM
• Background of Continuing Care Reporting Initiative
• Overview of Objectives & Roles
• Questions
Agenda / Purpose
• Established in response to HQCA & OAG Recommendations on CC Reporting
• Who is Involved?
o AHS Continuing Care Interdepartmental Working Group (IWG) formed in 2014
o CPSM Contract Monitoring
o CPSM Contract Sourcing
o Zone Operations
o Provincial Continuing Care
Background
• AHS Members and Participants include:
• The IWG is tasked with:
Who is the IWG?
• Zone Operations
• Seniors Health
• Business Advisory Services
• Internal Audit
• CPSM (Sourcing & Contract Monitoring Teams)
• Workforce Development
• Patient Care Based Funding
• Legal
Assessing current-state Developing future-state reporting
Accountability reporting Creating standardized provincial reporting
Aligning reports to eliminate duplication
Issues Identified in AHS Reporting:
• Multiple AHS contacts
• Inefficient / Hardcopy report to various addresses
• Different AHS departments request same info
• No information provided to Zone Operations
• Inconsistent across zones
Current State
Solution: Let’s Simplify
• Central Report System via Contract Monitoring
• User-Friendly
• Standardized report templates
• Improve Access to Information
• Consistent reporting across zones
Future Desired State
• Contract Monitoring is a division within Risk & Internal Controls under Contracting, Procurement & Supply Management (CPSM)
o Lead: Ian Thomson – Executive Director, Risk & Internal Controls
• Our CPSM Contract Monitoring Team consists of: o David Lee – Provincial Director
o Jennifer Elalmi – Compliance Specialist
o Georgiana Gilchrist – Compliance Specialist
• Email Contact: [email protected]
Who is CPSM Contract Monitoring?
• Electronic Report sent via secure link
• Scheduled Reminders
• Live help Monday-Friday
• System Available 24/7
• Automatic Submissions
• Immediate Receipt & Data Storage
• Operator summaries provided to Zone Operations for review and distribution
Features of Contract Monitoring
How Does it Work?
1. Secure Link to Electronic Reporting Program sent to Provider
2. Provider completes Online Template and hits “Submit”
3. Contract Monitoring downloads Submission Data
4. Individual Provider Summaries generated & sent to Zone Operations
(Note: Sampling of Current Contract Reporting Accountabilities – see Reporting Elements Chart for full listing)
• Hours Utilization
• Patient Concerns
• Insurance
• Business Continuity Plans
• Staffing Plans
• Accreditation Status/Certificate
• Missed Visits
• Infection Outbreaks
What will be collected in new system?
This system will not replace:
• Financial reporting to FIRMS (LTC, SL,
PCH only) or HomeFirst (Urban Zones using
HomeFirst)
• CC Health Services Standards on-site
audits
• Reportable Incidents to Alberta Health
Post Data Submission
Zone Operations initiates
Follow-up & Discussion
with Provider
• Provider Summaries to be distributed to Zone Operations
• Data is provided to QIPE for CCQARM Dashboard
Report Completed &
Data Submitted by
Provider
Provider Summaries
generated & sent to
Zone Operations
Contract Monitoring Care Provider
Zone Operations
QIPE
QIPE utilizes data for
CCQARM
• CPSM Contract Monitoring aims to provide the following value-added support
services to Zone Operations:
o Data Collection,
o Reminders,
o Tracking,
o Compilation of Data,
o Individual Provider Summaries
Value Added Services
Questions?
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