Embed Size (px)
Citation preview
MULTI-SECTOR SERVICE ACCOUNTABILITY AGREEMENT (MSAA)
2019-22 MSAA Template and
2019/20 MSAA Schedules and Indicators
Information Session
February 27, 2019
Outline
1. Context
2. 2019-22 MSAA Template Changes
3. 2019/20 MSAA Schedules & Indicators Changes
4. 2019/20 LHIN-Specific Performance Obligations
5. MSAA Timelines & Next Steps
6. Questions
2
Context2019-22 MSAA Template Update
• On February 1st, 2019, a new three-year MSAA Template was
approved by 2/3 (majority) of LHIN Boards of Directors
• The MSAA Template will be in place for the period from
April 1, 2019 to March 31, 2022.
• The MSAA Template for 2019-22 has been updated to:
• Create consistency among all three types of SAAs
• Add clarity to provisions
• Make corrections to clauses
3
Context2019-22 MSAA Template Update
Some changes to MSAA Template include:
• Added provision related to “Factors Beyond an HSP’s Control”
• Updated “Repayment and Recovery” provision for clarification
• Added provision related to the “Process for Recovery of Funding”
• Amended provision related to “CEO Performance and Payment”
• A provision added based on Auditor General recommendation related
continued care for complex patients
(Refer to 2019-22 MSAA Summary of Main Differences document posted
on MH LHIN website)
4
2019/20 MSAA Schedules
5
Previous
Schedule
New
Schedule
(2019/20)
Title of Schedule Changes to MSAA Schedule
A N/A 1: Description of Services
2: Population & Geography
Description of Services (Removed)
Population & Geography (Removed)
Moved into 2019/20 CAPS Narrative but does
not form part of the 2019/20 MSAA schedules.
B A 1: Total LHIN Funding
2: Clinical Activity – Summary
Total LHIN Funding – no changes
Clinical Activity – Summary (Removed)
C B Reports Updated to reflect applicable 2019-22
reporting periods.
Community Engagement and Integration
Activities Reporting added.
2019/20 MSAA Schedules
6
Previous
Schedule
New
Schedule
(2019/20)
Title of Schedule Changes to MSAA Schedule
D C Directives, Guidelines
and Policies
Added additional directives, policies and
guidelines.
E D Performance See D sub-schedules below
E1 D1 Core Indicators Core Indicators moved from Performance to new
Monitoring Category:
• Variance Forecast to Actual Expenditures
• Variance Forecast to Actual Units of Service
• Alternate Level of Care (ALC) Rate
Number of Individuals Served (By Functional
Centre) – name change only
E2a D2a Clinical Activity - Detail No change
2019/20 MSAA Schedules
7
Previous
Schedule
New
Schedule
(2019/20)
Title of Schedule Changes to MSAA Schedule
E2b D2b CHC Sector Specific Indicators Performance indicators (no changes)
Travel time (New indicator added
under explanatory)
High risk urban population (New
indicator added under explanatory)
E2c D2c CMH&A Sector Specific Indicators Explanatory indicators (no changes)
Ontario Perception of Care Tool for
MH&A (OPOC) (New indicator added
under developmental)
E2d D2d CSS Sector Specific Indicators No changes
E3a D3a LHIN-Specific Performance
Obligations
Updated (see slides 10-12)
2019/20 MSAA Schedules
8
Previous
Schedule
New
Schedule
(2019/20)
Title of Schedule Changes to MSAA Schedule
E3b D3b CHC Local Indicators Updated for HSPs with Diabetes programs.
E3c D3c CSS Local Indicators Updated for HSPs with Diabetes programs.
E3d D3d CMH&A Local Indicators N/A
F E Project Funding Agreement
Template
This is an optional schedule.
The MH LHIN uses other mechanisms with
HSPs for funding projects and amending
the SAA (e.g. business case template, LHIN
funding letters)
G F Declaration of Compliance No change.
MSAA Indicators2019-20 MSAA Indicators Update
Indicator
Category
Definition / Criteria
Performance • A measure of HSP performance for which a Performance Target is set.
• May trigger consequences under the MSAA.
Monitoring
(NEW)
• A measure of HSP performance that may be monitored against
provincial results or provincial targets.
• No performance target is set.
Explanatory • A measure that is connected to and helps to explain performance in a
Performance Complementary to performance indicators
• No performance target is set.
Developmental • A measure of HSP performance that requires development due to
factors such as the need for methodological refinement, testing,
consultation, or analysis of reliability, feasibility, and/or data quality
• No performance target is set.
9
2019/20 LHIN-Specific Performance Obligations
10
Performance Obligation Changes to MSAA Schedule
Governance Training No changes.
Governance Guidelines No changes.
Governance Board Evaluation No changes.
Accreditation No changes.
MH LHIN Community
Quarterly Sector MeetingsRemoved.
Communications Strategy Removed.
Client Experience Survey Updated.
Survey name changed from ‘Satisfaction’ to ‘Experience’ and dates
updated.
2019/20 LHIN-Specific Performance Obligations
11
Performance
Obligation
Changes to MSAA Schedule
Health Equity Updated.
At year end, HSPs will complete and submit a survey to demonstrate how
the Health Equity Impact Assessment (HEIA) tool has been used to
incorporate a health equity lens into at least one policy, program or service
delivery area.
To continue capacity-building through knowledge transfer, education, and
training about health equity within the MH LHIN, participation in two of the
following MH LHIN Health Equity initiatives is required:
1. Annual Health Equity Symposium
2. MH LHIN Health Equity Community of Practice
3. Health Equity education at the MH LHIN’s Regional Learning Centre
4. HEIA Community of Interest webinars
2019/20 LHIN-Specific Performance Obligations
12
Performance
Obligation
Changes to MSAA Schedule
Quality Improvement
Plan (QIP)Updated.
The HSP, within its QIP Narrative or Indicator selection, will demonstrate
alignment with the Mississauga Halton LHIN Integrated Regional QIP.
Sub-Region Planning Updated.
All Health Service Providers are required to participate in local sub-region
planning as applicable.
*Additional HSP-specific local obligations may be added to this schedule at the LHIN’s discretion.
2019/20 LHIN-Specific Performance Obligations
13
MSAA Timelines & Next StepsCompleting the MSAA Process
14
Deliverable Expected
Timelines
LHIN review and approval of CAPS sent to HSPs December 2018 –
January 2019*
Confirmation of HSP Board-approved final CAPS sent to LHIN via email January 31, 2019*
2019-22 MSAA package with new template agreement and 2019/20 schedules
sent to HSPs
March, 2019
HSP Board Approval of 2019-22 MSAA and 2019/20 Schedules, signed and
returned to LHIN via email
March 31, 2019**
Year 1 of the new 2019-22 MSAA comes into effect April 1, 2019**
* Ongoing negotiations between the LHIN and select HSPs may extend these timelines.
** In the event that the HSP is not be able to return a board-approved signed MSAA by March 31, 2019, the HSP
will need to provide the LHIN via email with a written declaration of its intent to sign, in advance of the deadline
date. In this instance, the 2018/19 MSAA will be extended until the first meeting of the HSP’s Board of Directors,
after April 1, 2019, whereby the HSP will seek the requisite approval of its Board to enable the execution of the
new MSAA.
Main Contacts
Health System Performance, Funding & Contract Management
Contact Email Phone
Jeanny Lau
- General MSAA inquiries
[email protected] (905) 337-7131 ext.271
Mirella Semple
- Financial inquiries
[email protected] (905) 337-4894
Katie Halsall
- Confirmation of HSP board approved CAPS
- Return signed 2019-22 MSAAs
[email protected] (905) 337-7131 ext.209
Oliver Blunn
Brigid Dekker
Carrie Parkinson
Senior Leads
(905) 337-7131 ext.219
(905) 337-7131 ext.228
(905) 337-7131 ext.243
16
Questions
