Mississauga Halton LHINCSS and MH&A Sector Meeting

June 18, 2009

AgendaIHSP Refresh Roberta Lee 10 min

Mental Health and Addictions:•Provincial MH&A Strategy•SIGMHA

Roberta Lee 30 min

Update on ASSIST Model Priti Patel 20 min

E-Health Update•Community Provider Portal •Blackberry Project

Karen McClure 20 min

Break 10 min

MH LHIN Priorities:•ALC/ER Update •Aging at Home Update

oPerformance Deliverables, Requirements and ReportingoYear 1 ResultsoYear 3 Planning

Monita O’ConnorJudy Bowyer

40 min

Joint Purchasing Shared Services West Sue Biggs 15 min

Accreditation Update Ray Applebaum/Angela Brewer

15 min

Human Services Centre – Update Ray Applebaum 5 min

Performance Requirements and Reporting Judy Bowyer 10 min

Finance Update Paulette Zulianello 5 min

Questions

Integrated Health Service Plan RefreshRoberta Lee

IHSP Refresh Timelines

Phase 1Launch Project

Phase 2Assessment of Current State

Phase 4Draft IHSP & Validate

Phase 5Finalize IHSP & DevelopAnnual Business Plan

JAN FEB MAR APR MAY JUNE JUL AUG SEPT OCT NOV DEC

2009

Project Plan, Commun. & CE Plans

Environmental Scan & Progress Report

Draft IHSP

Final IHSP Draft ASPBoard Workshop April 2, 2009

Phase 3Develop / Test Strategic Priorities - Community Engagement

Community Engagement Report

Final IHSP dueNov 30/09

Board Workshop Aug 6, 2009

We are here!

Community Engagement Phase • We have engaged ~767 individuals!

• We have met with individuals during committee meetings, focused sessions, CME, Citizen’s Reference Panel and via online web survey

• Consultation reports are all posted on our website www.mississaugahaltonlhin.on.ca

• Strong support for all of our proposed strategic and integration priorities

Groups Engaged• Health Professionals Advisory Committee

• Primary Health Care DPA Team

• Diverse Communities Session

• Health Service Provider Session

• SIGMHA Meeting

• Aboriginal Leaders Meeting

• Francophone Session

• Seniors’ Health and Wellness Advisory Group Meeting

• LTC Administrator’s Group

• Integration Advisory Group

• MPP Breakfast Meeting

• Physician CME

• Online Web Survey – 436 responses

• CDPM DPA Team

• Citizen’s Reference Panel

Next Steps

• Final CE consultation report to be completed by end of June

• Final consultation report will summarize feedback from all sessions and will outline consistencies to proposed strategic and integration priorities and other opportunities for consideration

• Special IHSP Board meeting on Aug 6 to review consultation report and revisions to proposed strategic and integration priorities

• First draft IHSP to be completed by end of Aug

Mental Health and Addiction UpdateRoberta Lee

MOHLTC – 10 Year Strategy for MH&AFocus is on 5 themes:

System Design

Healthy Communities

Consumer Partnership

Early Identification and Intervention

Increasing Capacity and Competencies

Minister’s Advisory Group on Mental Health, Addictions and Problem GamblingLHIN consultation for the System Design focused on:

Current system design priorities for MH&A services.

What design element tools are needed to provide a wide array of MH&A services.

What are the necessary elements for a system design change.

MH LHIN Responses Consultation with Heath Service Providers

Surveyed SIGMHA groupFeedback from 2 workshopsData was rolled up into a 10 page document

SIGMHA was able to provide Ministry Advisory Group direct feedback via email

Teleconference with Consultant

MH LHIN Planning and Performance• Review and utilize the 10 year Strategy feedback from local HSPs and

consumers.

• Analyze Community wait times and function of ED and Community MH&A services for gaps and areas of improvement. Implement a strategy.

• Reduce MH&A repeat admissions to ED by 10%.

• Access- Review the feasibility for Central Intake and Referral.

• Navigation- Educate Family Physicians and HSPs on available MH&A services. Provide MH LHIN Resource guide to utilize for referrals.

• Integration- develop Transitional Aged Team to assist with integrating child/youth into the Adult sector.

• Continue integration of MH&A services- cross training of frontline staff.

• HSPs to have Accreditation by 2010-11.

Service Integration Group for Mental Health and Addictions - SIGMHATask Teams:

Quality

Co-Location

Education and Training

Integration

Transitional Aged Youth

Quality, Measurement & Evaluation Task TeamSecured consensus on Quality Framework for MH & A

Common Methodology to address Client Satisfaction:

Develop Common Assessment Tool, including service specific questions1. Common process to gather feedback2. Generate reports

Reduce ED Readmission of MH&A patients

Developed an ED tracking tool, analyzing wait times for community services, and reviewing role of ACT teams.Reviewing the current state from ED to Community services for gaps of service and areas for improvement.

ED Mental Health & Addiction Readmission within 30 daysHospital Name and Fiscal year

2006/07 & 2007/08 respectively

New

Visits

Repeat

Visits

Grand Total Repeat Visit Rate

CREDIT VALLEY HOSPITAL (THE) 1583 158 1741 9.1%

TRILLIUM HEALTH CENTRE-MISSISSAUGA 2129 221 2350 9.4%

TRILLIUM HEALTH CENTRE-WEST TORONTO 157 10 167 6.0%

THC Total 2286 231 2517 9.2%

HALTON HEALTHCARE SERVICES CORP-OAKVILLE 1295 118 1413 8.4%

HALTON HEALTHCARE SERVICES CORP-MILTON 237 21 258 8.1%

HALTON HEALTHCARE SERVICES CORP-GEORGETOWN 229 24 253 9.5%

HHS Total 1761 163 1924 8.5%

2006/07 MH LHIN 5630 552 6182 8.9%

CREDIT VALLEY HOSPITAL (THE) 1597 201 1798 11.2%

TRILLIUM HEALTH CENTRE-MISSISSAUGA 2156 277 2433 11.4%

TRILLIUM HEALTH CENTRE-WEST TORONTO 204 15 219 6.8%

THC Total 2360 292 2652 11.0%

HALTON HEALTHCARE SERVICES CORP-OAKVILLE 1381 153 1534 10.0%

HALTON HEALTHCARE SERVICES CORP-MILTON 234 27 261 10.3%

HALTON HEALTHCARE SERVICES CORP-GEORGETOWN 188 18 206 8.7%

HHS Total 1803 198 2001 9.9%

2007/08 MH LHIN 5760 691 6451 10.7%

Source: Ontario MOHLTC, 2009

Co-Location Task TeamVision: Creating Multi-Services Hubs across MH LHIN

Mississauga

Collaboration with the Human Services Centres in Peel Region, 3 MH & A involved

Halton

RFP for Project Management Services

Shared Spaces workshop postponed to September 24th

Oakville area- 7 HSPs are interested

Milton – 5 HSPs interested; leases up Spring 2010

MH&AMH&A

MH&A

MH&A

SocServ

Soc Serv

Primary care Close to public transportation

Physically accessible

OfficesWith ‘drop down’

OfficesWith ‘drop down’

Centralized Information /Referral & Intake

Comfortable,waiting space w/private areas

Childcare / Children’s services

Meetingspace

Meetingspace

‘Green space’-Community Garden

Retail/Cafe

Education and Training Task TeamVision: Equal Access to high quality MH & A Services

available LHIN wide

3 educational programs:

Recovery Workshop: HSPs, families, and consumers

Integration Workshop for HSP Leadership

Suicide Assessment and Prevention for front line workers

o Learning Needs Assessment Completed

MH&A Resource Guide

Task Team’s Next Steps: Build sustainable education program

Integration Task Team

Partnership Evaluation-completed and results being provided to partnerships to focus on opportunities for improvement.

Moving forward with integration opportunities that were identified in the Integration Workshop:

Develop opportunity to cross train between MH & A staffsCreate an Integration roadmapPotential to Pilot initiatives in Co-location sites.

20

Category Scores:1.0-2.9 Danger Zone: this area needs a lot of improvement3.0-3.9 Work Zone: more effort is needed in this area to maximize the partnership’s collaborative potential4.0-4.5 Headway Zone: the partnership is doing pretty well in this area but has potential to progress even further4.6-5.0 Target Zone: the partnership currently excels in this area and needs to focus attention on maintaining its high score

RESULTS

Overview of Critical Success Factors for Ten Partnerships

21

Transitional Aged Task Team

Develop a Transitional Aged Task Team to implement a seamless transition of youth into the adult programs

Why:

Promote early assessment and intervention – relapse prevention

Better Clinical Outcomes for the Youth

Provincial priority in the 10 year Strategy

Addition of two Transitional Aged HSPs to the SIGMHA table

Next Round of Investments:

• 8 addiction supportive housing units for 2009/10 in the MH LHIN.

• Another 8 addiction housing units for 2010/11.

Mental Health and Wellness Summit –July 2009

Ten year MOH Strategy on MH&A for release- Spring 2010

Source: Ontario MOHLTC- 2009

Questions

ASSIST Model Update Priti Patel

“ASSIST”: Service Delivery Model for Seniors in Mississauga Halton LHIN

• All-inclusive

• Seamless

• Services for

• Independence of

• Seniors for

• Today and Tomorrow

Core Components of the ASSIST Model• Common Intake and Referral

• Common Assessment

• Access to services through any provider or a Central Call-in number

• Seniors’ Health and Wellness Centres based in Primary Health Care, Prevention and Health Promotion

• Care Coordinators that follow client throughout the continuum of care

Value Stream Analysis• Held a four-day implementation planning session (February

17 – 20th) using the lean methodology for quality improvement to design the Access, Information, Referral and Intake process(es) for the ASSIST model

• Lean thinking is based on two key themes:

Elimination of waste or non-value added activitiesRespect for all people

• Session included 30+ participants from across the health system

Outcomes from the Value Stream Analysis• Understanding of the customer and what’s of value to them

• Wastes associated with the current process

• New process including high-level overview of tools, roles and enabling technologies required

• Action plans to achieve the new process

Current State Maps

Client at home, forgetful, 

needing specialized services

Client in hospital needing 

nursing and MOW services

Accessing services from the 

acute care setting

Accessing 

specialized 

services from 

“home”

setting

Current State Maps

Client in hospital needing 

nursing and MOW services

Client with current services, needs 

service from a different agency

Linking services 

together

See the Waste – Current State

59 communication 

exchanges

45 communication 

exchanges

Linking services 

togetherAccessing 

specialized 

services from 

“home”

settingAccessing services from 

the acute care setting

52 communication 

exchanges

Summary of Current State

MeasureAccess From

Acute Care

Access from Home setting

Linking services

Number of Steps 30 65 44

Value Added Steps 9 14 8

Non- Value Added Steps 21 51 36

Lead- Time 90 hrs 2425 hrs 4126 hrs

Manual Touch Time 7.5 hrs 39 hrs 38 hrs

Value Creation Time 6 hrs 14.8 hrs 30.25 hrs

Process .000696 .00008 .0000295

Hand offs 52 59 45Items waiting to be worked on 105 _ 94

Future State

Key Deliverables – June to September 2009• Common intake / referral form

• Common risk screening tool

• Common user friendly service definitions

• Referral, transfer and navigation protocols Confirmation of ASSIST Coordinator role

• Performance measurement plan

Task Team 1Task Team 2Task Team 3

Steering Committee• Purpose – oversee development and implementation of the

Access, Information, Referral and Intake component & promote and support inter-organizational collaboration (champions)

• Composition – 8 to12 members; cross-section from the various sectors & LHIN

• Accountable – MH LHIN

• Task Teams – develop and recommend tools, processes, and technologies to improve access, navigation and coordination of services for seniors and caregivers

Timelines

Jun 1, 2009 Mar 31, 2010

Jul 1, 2009 Oct 1, 2009 Jan 1, 2010

Jun 1, 2009 - Sep 30, 2009

DesignOct 1, 2009 - Dec 31, 2009

Automation and TestingJan 1, 2010 - Mar 31, 2010

Implementation

Upcoming Session – Update and Project Launch

Date: Tuesday, June 23rd, 2009

Location: Trinity Hall of the Canadian Coptic Centre,1245 Eglinton Avenue West, Mississauga, ON L5V 2M4

Time: 7:30 - 8:45 am – Update and Directions for 2009/10

9:15 am – 12:00 pm – Working Session

Questions

eHealth Update Karen McClure

• Objective: a secure, web-accessible workspace that makes it easier to

• Share information across provider agencies• Collaborate in the provision of healthcare services

• Project started in April 2009

• Resources secured• Business requirements completed• Technical design completed• Development is well underway• Business processes and guidelines have started

• Active User Group:

• 10 organizations have been represented to-date• 4 workshops to-date + 5th next week

• Metamorphosis Network leadership team is developing a governance model

• Hiring an Informatics Business Liaison position• Funding model• Policies• Ongoing evolution

Community

Community

Community

Community

Community

Community

Community

• Next Steps for User Group:

Privacy Impact Assessment / Security ReviewContent gatheringPolicies and proceduresTestingTraining programLaunch: Fall 2009

Blackberry Services Update• Taking longer than desired …

• Complexities

• Moving people away from eHealth Ontario OneMail Direct server to a local server solution

• Local hospitals have capacity/space constraints• Cost is a lot higher than originally anticipated

• Now facilitating collaboration between multiple vendors

• RIM, Microsoft• Rogers: special pricing for devices, data/voice plans, training and

user support

• Phased roll-out in Fall 2009

Blackberry Services Update• Facilitating collaboration with several vendors

• RIM, Microsoft• Rogers: special pricing for devices, data/voice plans,

training and user support

• Phased roll-out in Fall 2009

Break! 10 Minutes

ALC/ER Update – Improving Health System Effectiveness

Monita O’Connor, Director Performance & Integration

Improving Health System  Effectiveness

ER WAIT TIMES IMPROVE FLOW

LTC WAIT TIMES DEFER NEED FOR PLACEMENTALC PATIENT DAYS IMPROVE COMMUNITY ACCESS

Investments for EffectivenessMonita O’Connor

Key Priority Investments

Investments to  Enable/Prevent/Avoid

Investments to  Enable/Prevent/Avoid

LTC Placement Process (Sept 07)Vacancy Matching (Jan 08)

+20+25

+86+3 +3

+90

Building CapacityBuilding CapacityTransitional Beds

HHSTHC

RestoreMLC

CCAC Enhanced Services

Supports for Daily Living

Adult Day Services

Spec. Ger. Services

+26

+20

ALC Flow / Process ALC Flow / Process ImprovementImprovement

Hospital Discharge to LTC

Hospital Discharge to Community

Wait at HomeStay at Home

Hard to Serve

+470+237

HHS CVH THC

Home FirstHHS

CVHTHC

Home First

Home First: Home with CCAC service to assess if ongoing needs (including SDL, LTC placement etc.)Hard to Serve: High/special needs ALC patients waiting for LTC placement.Discharge Planning Team consisting of collaboration amongst: Hospitals, LTC, CCAC, Nurse practitioners, Geriatric MH Outreach, or ABI outreach services as appropriate

Medworxx UM Tool

+426

48.9 45.2 39.5 41.3 38.151.8 48.9 54.0 50.3

69.458.7

8.00.0

10.020.030.040.050.060.070.080.0

Apr 08 May 08 Jun 08 Jul 08 Aug 08 Sep 08 Oct 08 Nov 08 Dec 08 Jan-09 Feb-09 Mar-09 Apr-09

Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09 Q1 09/10

90th Perce

ntile

(Hou

rs)

ED LOS Target

10.33 9.93

7.72

11.1212.94

12.21

6.0

8.0

10.0

12.0

14.0

Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09

Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09 Q1 09/10

Perc

entage

(%)

% ALC MLAA Target

43

198143 126

70.56556

050

100150200250

Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09

Med

ian TT

P (d

ays)

Hospital Community MLAA Target

84

70.5

82 9888 85 85

91

6070

8090

100

Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09

Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09 Q1 09/10

Med

ian TT

P (day

s)

Mississauga Halton - All MLAA Target

+160

Aging at Home Year II:Funding Allocations

Judy Bowyer, Senior Lead, Performance & Integration

Aging at Home Year II: Adult Day

Aging at Home Year II: Adult Day

Aging at Home Year II: Supports for  Daily Living

Aging at Home Year II: Supports for  Daily Living

Aging at Home Year II: Supports for  Daily Living

Aging at Home Year II: Supports for  Daily Living

Aging at Home Year II: Homemaking/Home Help &  Home Maintenance & Repair (Brokerage Model)

Aging at Home Year II: Abuse &  Telephone Re‐Assurance 

Aging at Home Year II: Geriatric

Summary for Largest Investment Areas – Aging Years I & II

69.5

25.2

Supportive Housing In Ontario

www.interrai.org

John P. Hirdes, Ph.D.

Rate of Nursing Home Admissions Within 90 Days of Assessment by 

MAPLe Level, Ontario, Derivation Sample

www.interrai.org

John P. Hirdes, Ph.D.

Relationship between MAPLe and signs of caregiver stress in selected 

Canadian Provinces

As We Move Forward:Performance Deliverables, Requirements & Reporting

Judy Bowyer

Moving Forward: Performance  Deliverables

Moving Forward: Performance  Requirements

Moving Forward: Performance  Reporting

Monthly & Quarterly

Database Form Coming

Aging at Home Year I:Performance Results for SDL

Judy Bowyer

What Are We Seeing ‐

Results

What Are We Seeing ‐

Results

Aging at Home Year III:Beginning Your Planning

Judy Bowyer

What Are We looking For?

What Are We Looking For?

What Are We Looking For?

Tentative Timelines: Year III

Procurement Feasibility Study Susan Biggs

Shared Services West

MH LHIN Procurement Feasibility Study Update

• Preliminary Analysis of select agencies is nearing completion

• Steering Committee has worked to develop a survey to assess procurement needs and strategic opportunities

• Survey will be available online (using surveymonkey.com) for completion by all remaining agencies

• Upon survey completion, data will be analyzed and Study's Next Steps will be shared

A comprehensive review by SSW of group purchasing and other supply chain opportunities, at funded agencies, to facilitate optimal resource utilization for client care initiatives.

Accreditation Update Metamorphosis Group

Metamorphosis in partnership with

OCSA/SHRTNAccreditation Update – Quarterly Meeting with the

MH LHINJune 18, 2009

Accreditation

• MH LHIN introduces Accreditation as a performance obligation in 2009-2011 MSAA for Community Support/MH&A HSPs

• 2 year horizon set initially, has since demonstrated flexibility with a 3 year timeline and a willingness to collaborate with the community sector to determine how best to achieve a positive outcome

Metamorphosis Accreditation Session

• June 5th 103 participants and 50 HSPs in attendance (event planning included MH LHIN representative, Angela Jacobs)

• Video-taped, to be posted on OCSA and Metamorphosis websites

• Guest Speakers: John Magill, MH LHIN & Dr. Ben Chan, Ontario Health Quality Council

• Four Accreditation bodies presented:

COHI

CARF

Accreditation Canada

ISO

• Panel of 4 local HSPs who have selected/and or achieved accreditation with each of the 4 bodies

Preliminary Survey Results

• 77% - met expectations and 15% exceeded

• 73.8% - satisfied with session and 23% very satisfied

Detailed information being tabulated:

• Identifying training, tools and resources to assist providers with understanding accreditation process and selection of accreditation body, and supports during the accreditation process

Key Challenges Identified

• Direct costs associated with accreditation process, i.e. start up and annual fees

• In-direct costs associated with the ongoing process in terms of engaging organizational staff, particularly front line workers and volunteers

• Change management capacity with Boards, volunteers, and staff

• Need for enabling tools and resources to support the overall process

Next Steps

• Metamorphosis Leadership Team appointed 4 reps (Angela Brewer, Lenora Smith, Theresa Greer, and Ray Applebaum) to meet with OCSA (Dr. Catherine Brookman, Sue Davidson, Susan Thorning; and SHRTN (Dr. Larry Chambers and Deirdre Luesby) July 6th

• On-line survey monkey to collect data on Accreditation session participants and other MH LHIN community service providers

Continued…..

• Metamorphosis, OCSA, and SHRTN team to meet with MH LHIN Board and Senior Staff as a follow-up to John Magill’s presentation remarks to discuss options and solutions to address challenges identified by providers and support the achievement of the performance obligation for all HSPs

Thank You!• For questions and clarification contact members of the

Metamorphosis Accreditation team and watch for the session video release:

Theresa Greer

Angela Brewer

Lorena Smith

Ray Applebaum

Human Services Centre Ray Applebaum

The

Human Service Centres Project for Peel Region

Agenda

• What are Human Service Centres?

• What is our project?

• Who can Join?

• Who has committed so far?

• How are we organized?

• How can you join us? Human Services Project for Peel

What are Human Service Centres?

• Human Service Centres will become the destinations for citizens across the Region of Peel to receive assistance from a wide variety of service organizations.

• HSC’s will be distributed to create an efficient and cost effective use of space for agencies servicing the three municipalities, ensuring that the Stakeholders involved in the project enjoy the improvements provided by a collaborative service environment with the added benefit of safe and easily accessible facilities.

Human Services Project for Peel

What is our project?

• We want to:

• Plan for and deliver centralized locations for service provision, that are visible and easily accessible to the community, clients, volunteers and employees.

• Provide a “synergistic environment” conducive to idea sharing and joint problem solving between providers to enhance client care.

Human Services Project for Peel

Who can Join?

• Any Service Provider in Peel who believes

• that we can operate more efficiently when we share space, and

• We can improve services to our clients when we are working together than we can independently

Human Services Project for Peel

Who has committed so far?

• Boys & Girls Club of Peel

• Canadian Hearing Society

• Canadian Mental Health Association

• Care First Seniors

• Catholic Family Services*

• Family Services of Peel

• United Way of Peel

• Peel Senior Link

• Our Place Peel

• Peel Children’s Centre*

• St John Ambulance*

* In conjunction with their current projects

Supporters

Service CanadaThe Region of PeelSocial Planning CouncilCity of MississaugaMississauga-Halton LHIN

Some other groups considering:

Mississauga Food Bank

Rapport Youth & Family Services

Epilepsy Halton-Peel

Big Brothers/Big Sisters

PAARC

Elizabeth Fry Society

John Howard Society

BNRCHuman Services Project for Peel

How are we organized?

• The initial focus of the organization has been the common requirement for real estate (space).

• DTZ Barnicke has been hired to assist in the real estate analysis, selection and design of the in future real estate management of the project

• The HSC Board will design and establish the governance of the collaborative activities of the new centres

Human Services Project for Peel

How can you join us?

• When you sign on for the provision of real estate services you become a member of the HSC Board

• Ask one of those already committed for assistance in joining, or

• Contact the DTZ Barnicke representatives for assistance

Human Services Project for Peel

Performance Requirements:M-SAA, Aging at Home

Judy Bowyer

Performance Requirements

Performance Requirements –

Schedule E

Quarterly Reporting

Populated from WERS Entries

Must be done on time

Performance Requirements – LHIN  Specific

Finance UpdatePaulette Zulianello

BREAKING NEWS

Formal Ministry approval of the 2.25% increase for Fiscal 2009/10

Expect the retro increase August 1st for CSS and July 15 for CMH&A

2008/09 Reporting- Re-capCSS AND CMH&A

Q4 ARR WERS submission

Paper copy submission – signing officers signatures, audited financial statements and signed audit report send to Financial Management Branch and MHLHIN

Both components – WERS submission and hard copies due to FMB and LHIN by June 30

FMB contacts

Vivian Tsang (vivian.tsang@ontario.ca )(CMH&A)

Denise Mendes (denise.mendes@ontario.ca)(CSS)

Best to deal directly with FMB with any specific questions

(please copy LHIN on any correspondence, or disagreements with FMB)

Q4 – ARR – reporting requirements cont’d

Q4 – ARR – reporting requirements cont’d

AGING AT HOME

2008 (Q4) SUPPLEMENTARY REPORTING TEMPLATE FOR INITIATIVES ON WERS due June 30

2009/10 REPORTING REQUIREMENTS (see MSAA Schedule C)

MIS Trial Balance (both CSS & CMH&A)

Q1 not required

Q2 due October 30, 2009

Q3 due January 29, 2010

Q4 due May 31, 2010

2009/10 REPORTING REQUIREMENTS see MSAA – cont’d

Quarterly Reporting through WERS (more to follow about CAT tool)

Q1 not required

Q2 due November 6, 2009

Q3 due February 5, 2010

Q4 due June 7, 2010 (Board Approved Audited Financial Statement June 30 to FMB and LHIN)

2009/10 REPORTING REQUIREMENTS from MSAA – cont’d

Supplementary Quarterly Reporting for Initiatives (AGING at HOME)

Q1 due August 6, 2009 as per my e-mail May 27 (Narrative section of WERS) (not required for new funding)

Q2 due November 6, 2009

Q3 due February 5, 2010

Q4 due June 7, 2010 (Board Approved Audited Financial Statement June 30 to FMB and LHIN)

Q3 Year-end Forecast

CMH&A Sector reported about $850,000 Year Surplus for 2007/08 (CSS $173,000)

These dollars are returned to Provincial Consolidated Revenue

More than $800,000 Q3 re-allocated for 2008/09 due to your co-operation….thank you

Therefore, should see an improvement in the 2008/09 ARR results

• Next Meeting – September 25, 2009

• 9:00 am at the Coptic Centre

QUESTIONS?