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

EngagementEngagement

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