NSM LHIN CAPS Education Fiscal

Transcription

1 NSM LHIN CAPS Education Fiscal

2 Agenda 1. Context Why a Schedule Refresh? Planning for a Schedule Refresh - CAPS MSAA Schedule Refresh Content 2. CAPS Submission & Timelines 3. Completing the CAPS for 2017/18 4. Next Steps & Discussion 2

3 Context CAPS Submission In light of on-going LHIN renewal activity across the province and the potential for legislative changes in the fall, there is pan-lhin agreement to minimize changes to MSAA agreement this year. In order to retain the integrity of the existing MSAA agreements and 16/17 Schedules, which are both LHIN Board and Health Service Provider (HSP) board approved, all NSM HSPs will be completing a CAPS for fiscal

4 MSAA Schedule Refresh Schedule Title Description A 1. Description of Services Describes the services delivered by the HSP 2. Population & Geography Describes the HSP client populations and geography served B 1. *Total LHIN Funding Service Plan 2. *Clinical Activity Summary Describes the financial and statistical status of the HSP. C Reports Identifies and sets due dates for HSP reporting D Directives, Guidelines, Policies & Standards Identifies applicable MOHLTC policies. Changes for will include : Addition of the Personal Support Services Wage Enhancement Directive (2014) New Community Financial Policy (June 2015) 4

5 MSAA Schedule Refresh (cont d) Schedule Title Description E 1. Core Indicators *If making changes to CAPS, Schedule refresh required Identifies indicators, standards and local performance requirements 2a. Clinical Activity Detail *If making changes to CAPS, Schedule refresh required 2b. CHC Sector Specific Indicators 2c. CMH&A Sector Specific Indicators 2d. CSS Sector Specific Indicators 2e. CCAC Sector Specific Indicators 3a. Local Indicators & Obligations F Project Funding Agreement Template Template used for funding special projects G Compliance *Update for new time period Form completed by the HSPs Board of Directors to declare that the HSP has complied with the terms of the Agreement 5

6 CAPS Submission & Timelines Completing the CAPS & MSAA Schedule refresh Activity Target Dates CAPS Launch in SRI for HSPs October 10, 2016 LHINs Complete Local HSP CAPS Education October 19, 2016 Completed CAPS refresh submitted through SRI to LHINs November 30, 2016 LHIN Analysis, Final Negotiations of Indicator Targets and Population of Schedules January 15, 2017 HSP Board approved CAPS January 31, 2017 Final MSAA extension and Schedules sent to Community HSPs for Board approval February 28, 2017 HSP-signed MSAAs returned to the LHIN by March 15, 2017 Year 4 of the current MSAA comes into effect April 1, 2017 HSP Action Required 6

7 CAPS Submission & Timelines Main Differences (cont d) Main differences between and Financial: Additional line added to all Financial tabs. Row 68 - Other administrative expense This row is used to capture administrative expenses that do not fit in the other 4 administrative categories. However, this is not a M-SAA indicator. It is suggested to report expense under this line only if necessary. All Fin_* tabs contain a breakdown of spending on administration. All HSPs are required to provide a breakdown of fiscal budgeted administration expenses by these categories. 7

8 Completing the CAPS for

9 Improving the CAPS Incorporating feedback from previous CAPS processes Stakeholder feedback identified the following high level themes: Simplify forms. Reduce errors through early testing. Updated OHRS functional centres. Additional reporting lines under Administrative Expenses as per MSAA indicators. 9

10 Completing the CAPS Community Accountability Planning Submission Tool 1. Go to If you are already registered, you can follow the red arrow and click SRI Submissions. If not, you can follow the purple arrow and click Register for a new account 10

11 Checking Out your CAPS 2. Click Submissions in the top left, and then from that drop down menu click Create New Submission 11

12 Checking Out your CAPS (cont d) 3. Select the applicable report then click the create button 12

13 Checking Out your CAPS (cont d) 4. The report now should be listed under In Progress. It may take a few minutes to appear, so please be patient. It should be noted that when traffic is at its highest (for instance, closest to the due dates), it will take longer to appear. If it is taking a very long time, you can select refresh, however, doing so will slow down the system. 13

14 Checking Out your CAPS (cont d) 5. Select the report that you want to prepare by clicking the blue hyperlink. 14

15 Checking Out your CAPS (cont d) 6. Click Check Out and Download Now the file is stored in your local drive. The file is ready to be edited. 15

16 Main Page When the CAPS file is first launched the following Menu Page will display. This page provides links to each form contained within the CAPS. First, when opening the report, if the yellow bar appears, make sure you enable editing and content. 16

17 Main Page Note: Please go to the Identification tab to select your respective LHIN. Column B is added in CAPS to check for changes from the previous CAPS. As part of the audit process to understand changes, the icon in the example beside will help LHINs identify which sheets of the CAPS submission has any difference between the 16/17 budget column and the 17/18 column. 17

18 Refreshing the Information All data from the 2016/2017 CAPS has been carried over to the new CAPS. The 2017/18 Budget column will show the 2016/17 Financial/Service data from the previous CAPS. The 2017/18 column will be pre-populated based on the 2016/17 Updated Budget column. If there are no changes to make for HSPs from the updated budget, the file simply needs to be checked out and checked in (with no additional changes made). 18

19 Commenting in your CAPS Comments: The Comments column should be used to explain differences between the budgets across the years. The comments provide clarification and will help the LHIN understand why reallocations have been made between functional centers and understand why budget changes are being made by the HSP. 19

20 Additional Reporting Lines under Administration In 2015/16, four new explanatory indicators were added to your MSAA. These are the four main areas that make up Administration & Support Services. In , a new line is added to the Administration & Support Services that is not an explanatory indicator. Please enter your information into each of the following lines to populate Administration & Support Services : Plant Operations; Volunteer Services; Information Systems Support; General Administration and Other Administrative Expense (Added in ) 20

21 Indicate TPBE in the Service Selection Screen To select the functional centres for your programs, please go to the Service Selection Screen. Just put an x next to the functional centres you provide (in the column marked off with a blue arrow). Then, next to that functional centre (in the column titled TPBE ) with the black arrow, select what Transfer Payment Business Entity that functional centre belongs to. 21

22 Turn a reporting row visible in the activity summary tab In the previous CAPS, the mandatory statistics were not in alignment with the most updated OHRS guidelines. Also, the column indicating whether a statistic was Mandatory was not visible; lines where prior information were entered, but not mandatory were not shown, causing prior incorrect information to be added to the totals. The example below shows Hours of Care in totals, but nothing under Functional Centers. 22

23 Turn a reporting row visible in the activity summary tab In the CAPS, a reporting row is visible when it is mandatory under the updated OHRS guidelines or if a number exists/is entered in either the 2016/17 Budget or 2017/18 Budget. Column Mandatory is now shown, but is locked for editing and is for reference only. This should help cue providers as to the correct lines to report under and thereby standardize data across the province. 23

24 Verifying the Edit Checks Green happy faces indicate successful edit checks. Red sad faces indicate failed edit checks, which must be corrected before submitting the CAPS If you see a red sad face, a description of the problem to be resolved will appear in the Message Area of the row. 24

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

26 CAPS Principles 26

27 Principles for Approving CAPS Each CAPS must present a balanced budget for fiscal No base funding increases can be budgeted (fiscal budgeted revenue must equal fiscal confirmed revenue) No unconfirmed one-time funding can be budgeted in fiscal No overall service reductions. Service volumes budgeted in fiscal cannot be less than the fiscal budgeted volumes plus additional volumes targeted through new funding allocations. Health service providers may propose shifts in services to better meet community demand for services and to align with provincial priorities. 27

28 CAPS Principles Proportion of Budget Spent on Administration

29 Proportion of Budget Spent on Administration To support a consistent, transparent and accountable approach to the Community Accountability Planning Submissions (CAPS), the NSM LHIN is planning to introduce a cap on the proportion of LHIN funding that can be spent on administration (functional centres 721*). HSPs currently spending below the capped proportion are expected to maintain their current spending proportion. HSPs wishing to request a proportion of spending on administration above the cap must provide a written explanation to the NSM LHIN, detailing why the higher target is needed. At the sole discretion of the LHIN, an exception to the cap may be granted. 29

30 Summary of Spending on Administration Targets Sector MSAA Target MSAA Upper Corridor Community Care Access Centre 7.2% 8.6% Community Support Services 18.8% 22.5% Community Health Centres 22.8% 27.4% Community Mental Health and Addictions 15.3% 18.4% For each HSP s respective sector, the target and upper corridor above will be used to populate Schedule E1. To meet this principle, HSPs must submit a CAPS with a proportion of budget spent on administration at, or below, the upper corridor for their sector (CAPS Excel Reference = Fin_Summary!E83) Like all CAPS Principles, the LHIN has discretion to approve exceptions where an evidence-based reason exists to do so. 30

31 CAPS Principles Cost Per Unit of Service

32 Standardized Cost Per Unit Budgeting There is variation in the cost per unit of service for each functional centre across providers. Different factors may contribute to the variation amongst HSP costs, however, the move towards a standardized costs per unit of service is in line with increasing service delivery capacity in NSM and supporting a sustainable universal public health care system. The NSM LHIN has set a maximum cost per unit of service for various functional centres that is to be used by HSPs when budgeting; the rates are based on actual NSM results from fiscal

33 Standardized Cost Per Unit Budgeting HSPs with a Total Cost For Functional Centre exceeding $50,000 are expected to budget at, or below, the standardized cost per unit. HSPs with a current cost per unit below the new standard are expected to maintain current rates. HSPs with a current cost per unit above the new standard, that require a multi-year strategy to achieve the standard and budget a 10% reduction in their cost per unit, will be deemed to have met this principle. Like all CAPS Principles, the LHIN has discretion to approve exceptions where an evidence-based reason exists to do so. 33

34 List of Applicable Functional Centres Functional Centre Cost per Unit Service Activity Case Management/Supportive Counselling & Services - Mental Health $ Multi-Mode Clinics/Programs - General Clinic $ Visit Clinics/Programs - MH Counseling and Treatment $ Visit MH Assertive Community Treatment Teams $ Visit MH Early Intervention $ Multi-Mode MH Psycho-geriatric $ Visit Addictions Treatment-Substance Abuse $ Multi-Mode Crisis Intervention - Mental Health $ Visit COM Residential Addiction - Treatment Services-Substance Abuse $ Multi-Mode CSS IH - Social and Congregate Dining $ Attendance Days CSS IH - Transportation - Client $ Visit CSS IH - Day Services $ Attendance Days CSS IH - Personal Support/Independence Training $ Hour CSS IH - Assisted Living Services $ Resident Days CSS IH - Assisted Living Services for Adults with Physical Disabilities $ Resident Days Note: multi-mode is the combined service activity from multiple delivery methods (e.g. visits, attendance days, group participant attendances) 34

35 CAPS Principles Individuals Served by Organization

36 Individuals Served by Organization HSPs have historically reported statistical counts for 455* Individuals Served by Functional Centre. **NEW** Beginning fiscal please report statistic 855* Individuals Served by Organization reported in Undistributed Accounting Centres 82* in all SRI submissions. 36

37 Q&A Please enter questions into the webinar chat box 37