ty Agreement copy of this letter to:

Transcription

1 March 6, 2013 Mr. Pierre Noel Chief Eecutive Officer Inc. 705 Mackay Street, Pembroke, ON K8A 1G City Park Drive, Suite 204 Ottawa, ON K1J 1A3 Tel: Toll Free: Fa: , promenadee City Park Bureau 204 Ottawa, ON K1J 1A3 Téléphone : Sans frais : Télécopieur : Dear Mr. Noel, Re: Multi-Sector Service Accountabilit ty Agreement When the Champlain Local Health Integration Network (the LHIN ) ) and the Inc. (the HSP ) entered into a service accountability agreement for a three year term effective April (the M-SAA ), there was insufficient information available to complete Schedules A, B and E for the third year of the term. The LHIN would now like to update the M-SAA to include the required financial, service activity and performance indicators for fiscal year to Schedules A, B and E. Subject to HSP s agreement, the M-SAAA will be amended with effect April 1, 2013, by adding the Supplemental Schedules A, B and E (the Schedules ) that are included in Appendi 1 to this letter, thereby incorporating the equired financial, service activity and performance indicators for fiscal year. To the etent that there are any conflicts between the current M-SAA and this amendment, the amendment will govern in respect of the Schedules. All other terms and conditionss in the M-SAAA will remain the same. Please indicate the HSP s acceptance of, and agreement to this amendment, by signing below and returning one copy of this letter to: Ms. Suzanne Dionne Senior Director Health System Accountability Suzanne.Dionne@lhins.on.ca Fa: Please return a copy of the letter by March 25, If you have any questions or concerns please contact Patrick Manhire, Senior Accountability Specialist at or send an to Patrick.Manhire@lhins.on.ca. The LHIN commends you and your team for your hard work and dedication during this process and we look forward to maintaining a strong working relationship with you. Sincerely, Chantale LeClerc CEO, Champlain LHIN cc. Dr. Wilbert Keon, Board Chair, Champlain LHIN Encl: Appendi 1 (Schedules A, B & E)

2 1900 City Park Drive, Suite 204 Ottawa, ON K1J 1A3 Tel: Toll Free: Fa: , promenade City Park Bureau 204 Ottawa, ON K1J 1A3 Téléphone : Sans frais : Télécopieur : Inc. re: Amendment of M-SAA for fiscal 13/14 March 6, 2013 AGREED TO AND ACCEPTED BY: Inc. By: Mr. Pierre Noel, Chief Eecutive Officer, I have the authority to bind Inc. And By: Ms. Kelly Hollihan, Chair of the Board, I have the authority to bind Inc.

3 Detailed Description of Services Services Provided With LHIN Funding Service Case Management * Case Management Mental Health Primary Care- Clinics/Programs * MH Assertive Community Treatment Teams MH Early Intervention MH Diversion and Court Support MH Abuse Services MH Social Rehab./Recreation MH Psycho geriatric Crisis Intervention * Crisis Intervention Mental Health Residential Services * Res. Mental Health Short Term Crisis Support Beds Consumer/Survivor/Family Initiatives * Consumer Survivor Initiatives Peer/Self Help Consumer Survivor Initiatives Alternative Businesses Consumer Survivor Initiatives Family Initiatives No Changes Renfrew County NL/NG Ottawa West Ottawa Centre Ottawa East Within LHIN Eastern Count. Catchment Area Served HNHB WW SW ES ALL CW Supplemental: Schedule A1: Detailed Description of Services MH Other LHIN Areas TC CEN CE SE CH NS NE NW

4 Population and Geography Narratives Supplemental: Schedule A2: Population and Geography Narratives Client Population New funding received for Geriatric Psychiatry Behavioural Supports serving population greater than 65 years of age and also younger with onset dementia and behavioural problems. Support is for is for families, LTC LTC facili es, facilities, caregivers, and residen al and residential care including care including educa on education and interven on. and intervention. New funding received for Geriatric Psychiatry Behavioural Supports serving population greater than 65 years of age and also younger with onset dementia and behavioural problems. Outcomes also includes improving quality of life and and decreasing hospital and ER visits. Outcomes also includes improving quality of life and and decreasing hospital and ER visits. We continue to serve all residents of Renfrew county who identify with having a mental illness. This includes approimatley 3000 clients a year across the entire county. We continue to serve all residents of Renfrew county who identify with having a mental illness. This includes approimatley 3000 clients a year across the entire county. Geography Served Renfrew Renfrew County County Geriatric Psychiatry - Monday to Friday - 8:30 am to 4:30 pm Geriatric Psychiatry Monday to Friday 8:30 am to 4:30 pm Most of our services operate on a Monday to Friday basis however ACTT and our Crisis Team have etended hours from 8-8 pm seven days a week. Most of our services operate on a Monday to Friday basis however ACTT and our Crisis Team have etended hours from 8 8 pm seven days a week.

5 Summary of Revenue & Epenses Return to Main>>> Supplemental: Schedule B1: Budget 2013/14 LHIN Program Revenue & Epenses REVENUE Funding - Local Health Integrated Networks (LHIN) (Allocation) Row # Account: Financial (F) Reference OHRS VERSION Budget 12 F $6,705,868 Funding - Provincial MOHLTC (Allocation) 13 F $0 Funding - MOHLTC Other funding envelopes 14 F $27,115 Funding - LHINs One Time 15 F $0 Funding MOHLTC One Time 16 F $0 Paymaster Flow Through 17 F $96,120 Service Recipient Revenue 18 F to $4,200 Subtotal Revenue LHIN/MOHLTC 19 Sum of Rows 12 to 18 $6,833,303 Recoveries from Eternal/Internal Sources 20 F 120* $73,064 Donations 21 F 140* $0 22 F 130* to 190*, 110*, [ecl. F 11006, 11008, 11010, 11012, $14, , 11019, to 11090, 131*, 140*, 141*, 151*] Other Funding Sources and Other Revenue Subtotal Other Revenues 23 Sum of Rows 20 to 22 $87,206 TOTAL REVENUE- Fund Type 2 24 Sum of Rows 19 and 23 $6,920,509 EXPENSES Compensation Salaries and Wages (Worked + Benefit + Purchased) 27 F 31010, 31030, 31090, 35010, 35030, $4,360,794 Benefit Contributions 28 F to 31085, to $1,068,148 Employee Future Benefit Compensation 29 F 305* $0 Nurse Practitioner Remuneration 30 F 380* $0 Medical Staff Remuneration 31 F 390*, [ecl. F 39092] $37,700 Sessional Fees 32 F $182,145 Service Costs Med/Surgical Supplies and Drugs 34 F 460*, 465*, 560*, 565* $1,510 Supplies and Sundry Epenses (ecl. Med/Surg Supplies & 35 F 4*, 5*, 6*, [ecl. F 460*, 465*, 560*, 565*, 69596, 69571, $860,862 Drugs) 72000, 62800, 45100, 69700] Community One Time Epense 36 F $0 Equipment Epenses 37 F 7*, [ecl. F 750*, 780* ] $28, F 750*, 780* $27,298 Amortization on Major Equip and Software License and Fees Contracted Out Epense 39 F 8* $95,000 Buildings and Grounds Epenses 40 F 9*, [ecl. F 950*] $285,400 Building Amortization 41 F 9* $0 TOTAL EXPENSES Fund Type 2 42 Sum of Rows 27 to 41 $6,947,807 NET SURPLUS/(DEFICIT) FROM OPERATIONS 43 Row 24 minus Row 42 ($27,298) Amortization - Grants/Donations Revenue 44 F 131*, 141* & 151* $27,298 SURPLUS/DEFICIT Including Amortization of Grants/Donations 45 Sum of Rows 43 to 44 $0 FUND TYPE 3 - OTHER Total Revenue (Type 3) 47 F 1* $184,000 Total Epenses (Type 3) 48 F 3*, F 4*, F 5*, F 6*, F 7*, F 8*, F 9* $184,000 NET SURPLUS/(DEFICIT) FUND TYPE 3 49 Row 47 minus Row 48 $0 FUND TYPE 1 - HOSPITAL Total Revenue (Type 1) 51 F 1* $0 Total Epenses (Type 1) 52 F 3*, F 4*, F 5*, F 6*, F 7*, F 8*, F 9* $0 NET SURPLUS/(DEFICIT) FUND TYPE 1 53 Row 51 minus Row 52 $0 ALL FUND TYPES Total Revenue (All Funds) 55 Line 13 + line 32 + line 35 $7,131,807 Total Epenses (All Funds) 56 Line 28 + line 33 + line 36 $7,131,807 NET SURPLUS/(DEFICIT) ALL FUND TYPES 57 Row 55 minus Row 56 $0 Total Administration Epenses Allocated to the TPBEs Undistributed Accounting Centres 59 82* $0 Administration and Support Services * $1,051,588 Management Clinical Services $0 Medical Resources $0 Total Administrative & Undistributed Epenses (Included in fund type 2 epenses above) 63 Sum of Rows (included in Fund Type 2 epenses above $1,051,588

6 Activity Summary Supplemental: Schedule B2 Budget 2013/14 Service Category Budget OHRS Framework Level 3 Visits F2F, Tel.,In-House, Cont. Out Not Uniquely Identified Service Recipient Interactions Hours of Care In-House & Contracted Out Individuals Inpatient/Resid Served by ent Days Functional Centre Attendance Days Face-to- Face Group Sessions (# of group sessions- not individuals) Meal Delivered- Mental Health Combined Sessions Group Participant Attendances (Reg & Non- Reg) Service Provider Interactions (All Time Intervals) Service Provider Group Interactions (All Time Intervals) Total Case Management , Total COM Primary Care , , Totals COM Crisis Intervention , , Total COM Day/Night Care Sub-Total COM In-Home Health Care Sub-Total COM Private/Home School Sub-Total COM Publicly Funded Schools Sub-total COM Mental Health/Addictions Total In-Home Care Sub-total COM In-Home Support Services COM Private/Home School Support - Personal Services COM - Respite Service Total In Home Support Services Sub-Total COM Residential-Mental Health Sub-Total COM Residential-Addictions Sub-total Residential Hospice- End of Life (EOL) Total COM Residential Services Total COM Health Promotion and Education Total COM Consumer/Survivor/Family Initiatives , Total COM Information and Referral Service Total Provincial Health System Development Total CSS In-Home and Community Services (CSS IH COM) Total CSS-ABI Services Total CSS Community Support Initiatives Total Other Initiatives 72 5* Total Activity- LHIN Managed 41, ,535 6,

7 Core Indicators All Sectors Supplemental: Schedule E1 CORE INDICATORS- All Sectors Accountability Indicators % Total Margin 0.00 >=0% Fund Type 2- Balanced Budget $0 0 Proportion of Budget Spent on Administration 15.1% < 18% Variance Forecast to Actual Ependitures 0.0% < 5% Variance Forecast to Actual Units of Service 0.0% < 5% Eplanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) > No negative variance is accepted for Total Margin > Fund Type 2- Balanced Budget: HSP's are required to submit a balanced budget.

8 Service Activity Indicators All Sectors Supplemental: Schedule E2a Service Activity Indicators- All Sectors COM Case Management Mental Health COM Clinics/Programs - MH Assertive Community Treatment Teams Mental Health Sessions COM Clinics/Programs - MH Early Intervention COM Clinics/Programs - MH Diversion and Court Support COM Clinics/Programs - MH Abuse Services COM Clinics/Programs - MH Social Rehab./Recreation Not Uniquely Identified Service Recipient Interactions COM Clinics/Programs - MH Psycho-geriatric COM Crisis Intervention - Mental Health Not Uniquely Identified Service Recipient Interactions COM Res. Mental Health - Short Term Crisis Support Beds Inpatient/Resident Days OHRS Description & Functional Centre *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. *25.20 N/A 13, *$2,143,689 N/A *10.00 N/A 6, *$966,185 N/A *0.40 N/A *$45,814 N/A *1.50 N/A *$131,782 N/A *0.77 N/A *$78,421 N/A *7.60 N/A 13, *$613,612 N/A *7.40 N/A 2, *$744,341 N/A *5.00 N/A 3, , *$556,848 N/A *$36,500 N/A

9 Service Activity Indicators All Sectors COM Consumer Survivor Initiatives - Peer/Self Help Not Uniquely Identified Service Recipient Interactions Attendance Days Face-to-Face COM Consumer Survivor Initiatives - Alternative Businesses Attendance Days Face-to-Face COM Consumer Survivor Initiatives - Family Initiatives Not Uniquely Identified Service Recipient Interactions TOTAL FUNCTIONAL CENTRES & CHC Not Uniquely Identified Service Recipient Interactions Inpatient/Resident Days Attendance Days Face-to-Face Mental Health Sessions Supplemental: Schedule E2a Service Activity Indicators- All Sectors *1.75 N/A , *$74,983 N/A *1.00 N/A , *$36,493 N/A *0.20 N/A *$9,222 N/A *67.7 N/A 41, , , *$6,947,807 N/A

10 Sector Specific Indicators Mental Health & Addictions Inc. Supplemental Schedule E2c: MH&A Specific Indicators Accountability Indicators Percentage ALC Days 16.0% <17.6% Repeat Unscheduled Emergency Visits within 30 days for Mental Health Conditions 16.4% <18.04% Repeat Unscheduled Emergency Visits within 30 days for Substance Abuse Conditions 32.6% <35.86% Eplanatory Indicators Average Number of Days Waited from Referral/Application to initial Assesment Complete Average Number of Days Waited from Initial Assessment Compete to Service Initiation Client Eperience

11 LHIN Local Indicators LHIN Specific (POMS) Supplemental Schedule E3: LHIN Local Indicators Sector: Activity All Sectors - Measure/Obligation - Alignment of Strategic Plans with IHSP Pursuant to Section 6 of the MSAA 2011/14, "CAPS will be aligned with the LHIN's Integrated Health Service Plan and will reflect local LHIN priorities and initiatives." Each Health Service Provider will outline in its CAPS its proposed contribution in moving these priorities forward. Upon request of the LHIN, the Health Service Provider will provide a report outlining the progress and outcomes of the initiatives outlined in the CAPS. Sector: Activity All Sectors - Measure/Obligation - French Language Services The Health Service Provider will work with the French Language Health Services Network of Eastern Ontario (le Réseau) and the LHIN in either reviewing and updating their French Language Service designation plans (if designated); or (as needed) in beginning or completing their designation process over the term of the agreement. Sector: Mental Health and Addictions Activity Concurrent Disorder Screening - - Measure/Obligation To help build a more integrated system, the HSP will continue to use the common web based concurrent disorders screening tool, the Global Appraisal of Individual Need Short Screener (GAIN SS), adopted by March 31, 2012.