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Tracey Keighley-Clarke, Operations Director, Regional Cancer Program and Mental Health and Addictions Program
Child and Youth Mental Health Program & Child and Youth Mental Health Program & Adult Inpatient Mental Health Renovations Adult Inpatient Mental Health Renovations Coalition Council Meeting May 2015
Date Event
2007 RVH Clinical Priorities approved by RVH Board• Child and Youth Mental Health (MH) Program
2008 RVH Board approves Child and Youth Proposal Presentation to NSM LHIN
2010 Care Connections established
2011 NSM Leadership Council recommends proceeding with Child and Youth MH program at RVH
2012 RVH responds to RFP from Care Connections Mental Health and Addictions Coordinating Council for Child & Youth Services
RVH Successful
2013 RVH cohorts 4 beds to cluster Child and Youth MH admissions
2014 RVH Board approved Child & Youth MH Program as part of the Clinical Services Plan
RVH initiated functional planning and structural design
March 2015 Pre Capital Submission Form Submission to NSM LHIN
HistoryHistory
• Only LHIN in province that does not have Child and Youth Inpatient beds
• NSM LHIN families must travel outside of the LHIN boundaries to receive treatment.
• Access to existing Child and Youth Mental Health & Addictions programs challenging
RationaleRationale
Child and Youth Program at RVH Status
Recruit child psychiatrist (in-hospital, outpatient, community and on-call practice)
Interim Urgent Care Clinic – Child and Youth
Develop NSM LHIN Child and Youth Services at RVH with Stakeholders
Status
Program and Service Development
Capital Plans and Equipment
Child and Youth MH ProgramChild and Youth MH Program
Date Event
October 2014 Functional program completed
February 2015Sketch Plan signed off•Interim Program Strategy Development•Comprehensive Program Development Initiated
March 2015Pre Capital Submission Form (PCSF) completed•RVH’s Performance & Audit Committee approval•RVH’s Board of Directors approval
April 2015
Submit PCSF and Stage 1 Proposal to NSM LHIN Board•NSM LHIN’s Health System Improvement Committee approval•NSM LHIN’s Board of Directors approval•Endorsement of PCSF by NSM LHIN sent to MoHLTC•MoHLTC review and approval
May 2015Submit Functional Program (Stage 2) after NSH LHIN endorse PCSF and Stage 1
Progress to DateProgress to Date
MOHLTCMOHLTC // NSM LHINNSM LHIN FrameworkFramework forfor EarlyEarly CapitalCapital PlanningPlanning StagesStages
Stages Date
Pre-Capital Submission (PCSF) April 2015
Stage 1 Service Delivery Model April 2015
Stage 2* Functional Program May 2015
Stage 3* Preliminary Design Development May 2015
• 3.1/3.2 - Block Schematic & Sketch Plan Report
June 2015
Stage 4* Working Drawings October 2015
Stage 5* Implementation Nov 2015 – Dec 2016
* MoHLTC must approve each stage before proceeding to the next stage.
RVH NSM LHIN MoHLTC
PCSF XMarch 2015
XApril 2015
STAGE 1A XMarch 2015
XApril 2015
STAGE 1B XMarch 2015
XApril 2015
STAGE 2 XMay 2015
X(FYI)
XMay 2015
STAGE 3.1/3.2 XJuly 2015
XJuly 2015
STAGE 4 XSeptember 2015
XSeptember 2015
ApprovalApproval ProcessProcess
CapitalCapital HighlightsHighlights• Complete Project (12,640 Sq.ft. Component GSF)
• Child & Youth Mental Health and Addictions Program
• Psychiatrist offices + Adult MHAP Inpatient Unit Renovation
• Child & Youth Mental Health & Addictions Program
7,850 Sq.ft. • Situated on Level 3 (3NA Psychiatrist offices)
• 8 bed inpatient unit
• Day hospital program adjacent to inpatient unit
• Inpatient (Adult) Mental Health & Addictions Program Alterations 4,790 Sq.ft.• Move Psychiatrist offices and support to (3SC)Mental Health offices and adult day
hospital
• Alterations inside Adult inpatient unit to accommodate allied health staff relocations from Mental health offices
Site Analysis- Level 3 Original Bldg.Site Analysis- Level 3 Original Bldg.
Child and Youth Mental Health
Mental Health Offices
Adult Mental Health
Food Court
Staff E
ntran
ce
Child and Youth Inpatient Unit Child and Youth Inpatient Unit
Child and Youth Mental Health Inpatient
Child and Youth Day Hospital
CapitalCapital HighlightsHighlights
Next Steps:
• User review of room detail and requirements
• Furniture, Fixtures & Equipment coordination
• Coordination of mechanical/electrical systems
• Preparation of construction documents
• Staffing rates based on 2015/2016 Fiscal year.
• Includes benefits and support services costs (EVS, Food/Nutrition, Security, etc.)
Funding - OperationalFunding - Operational
Total Operating Costs Cost
Year 1 $3.080M
Funding – Proposed Budget Funding – Proposed Budget
Program Staffing Hrly Rate$ FTE $ FTE $ FTE $
Lead Psychiatrist* -$ 1.0 -$ - -$ 1.0 -$ Psychiatrist -$ 1.0 -$ - -$ 1.0 -$ RN 44.00$ 8.7 936,807$ 1.6 172,286$ 10.3 1,109,094$ RPN 28.86$ 3.6 254,259$ - -$ 3.6 254,259$ Child and Youth Worker 30.00$ 2.8 205,569$ 2.0 146,835$ 4.8 352,404$ Social Worker 47.03$ 1.0 115,094$ 1.6 184,151$ 2.6 299,245$ Occupational Therapist 47.00$ 0.6 69,012$ 0.4 46,008$ 1.0 115,021$ Recreation Therapist 30.00$ - -$ 0.4 29,367$ 0.4 29,367$ Psychologist 61.54$ 0.5 75,300$ 0.5 75,300$ 1.0 150,600$ EVS 21.00$ 1.2 61,671$ - -$ 1.2 61,671$ Food Services 21.00$ 1.0 51,392$ - -$ 1.0 51,392$ Security Offi cer 21.00$ 0.5 25,696$ - -$ 0.5 25,696$ Patient Service Clerk 28.14$ 4.3 296,122$ - -$ 4.3 297,499$ Manager* 59.26$ 1.0 145,024$ - -$ 0.5 72,512$ Total 27.2 2,235,948$ 6.5 653,947$ 35.2 2,818,760$
56,000$ 14,000$ - 70,000$
18,329$ 98,608$
5,000$ nil
5,000$ 35,000$ 10,000$ 20,000$
191,937$ 3,080,697$
Day Hospital & OutpatientInpatient Total
Total Program Cost
Program Supply Cost Support Service CostEnvironmental ServicesFood ServicesHealth RecordsSecurity SuppliesLab & ImagingUtilities IT (license cost)Human Resources (TSSI & EAP)Total Support Service costs
PRELIMINARY CAPITAL COSTING* COST
Construction, planning and ancillary costs
Child and Youth Program <$310,000> $3,453,010
Adult Outpatient Mental Health <$90,000> $184,690
Adult Inpatient Mental Health <$100,000> $357,800
Construction Buffer $500,000
SUBTOTAL $4,495,000
Furniture and equipment $ 500,000
TOTAL (rounded up by $4,500) $5,000,000
CapitalCapital
Funders:•RVH Foundation ($3.0M – Hearts & Minds Campaign)•RVH Capital Priority•MoHLTC – Capital Project•MCYS
* Hanscombs Limited March 05, 2015
• Fundraising – Hearts & Minds Campaign
• Approval Process• Performance & Audit Committee – March 24, 2015
• Care Connections Child and Adolescent Steering Committee-March 27th, 2015
• RVH Board of Directors Meeting – March 31, 2015
• NSM LHIN Health System Improvement Committee – April 10, 2015
• NSM LHIN Board of Directors Meeting – April 27, 2015
• RVH Corporate Quality and Operations Cmte. - May 21, 2015
• Coalition Council - May 28th, 2015
NextNext StepsSteps
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