Sector Engagement - Multi Sector: Community Support Services/Community Health Centres/Community MHA Agencies - updated June 27, 2017

LHINs bring together health care partners from the following sectors – hospitals, community care, community support services, community mental health and addictions, community health centres and long-term care – to develop innovative, collaborative solutions leading to more timely access to high quality services for the residents of Ontario and the Central East LHIN.  By supporting these important partnerships, LHINs are ensuring that Ontarians have access to an effective and efficient health care system that delivers improved health care results and a better patient experience. 

Multi-Sectoral Accountability Agreements (M-SAAs)

The Central East LHIN has negotiated Multi-Sector Service Accountability Agreements (MSAAs) for 2014-17 with its multi-sector organizations.  To review the resources that supported the development of the MSAAs, please click HERE.  To view copies of the 2014-17 MSAAs, please click HERE.

The MSAAs are refreshed quarterly to reflect new funding received during the term of the agreements.

New Funding - Central East LHIN 2016/17 Community Investments

The primary objective for the 2016/17 Community Investments has been set through the Government’s 2016 Budget Commitment and the Minister’s Action Plan for Health: Patients First (2015). In the context of “putting people and patients first by improving their health care experience and their health outcomes,” Patients First aims to fulfil four objectives: improving access, connecting services, supporting people and patients, and protecting our universal public health care system.

Background

Between January and June 2016, Central East LHIN staff developed a 2016/17 Community Investments Allocation Strategy within the broader context set by the province and the Minister of Health and Long-Term Care, and to support the overarching goal documented in the LHIN’s 2016-19 Integrated Health Service Plan (IHSP) to advance integrated systems of care to help Central East LHIN residents live healthier at home.

The Strategy included the recommendations that investment opportunities be prioritized to improve the Central East LHIN’s performance in relation to its obligations to the Ministry of Health and Long-Term Care, and that 2016/17 Community Investments will only be made in initiatives, interventions, or projects that will have a positive impact on one or more of the key performance indicators comprising part of the 2015-18 Ministry–LHIN Accountability Agreement (MLAA).

Engaging with Stakeholders

To support the approval of this Strategy by the Central East LHIN Board, and in anticipation of receiving a funding commitment from the Ministry of Health and Long-Term Care for 2016/17 Community Investments (received on June 29, 2016), Central East LHIN staff actively engaged with its multi-sector organizations:

  • On May 31, 2016, Central East LHIN staff sent an email to the leadership of its 55 community health service providers (HSP) advising them of the importance of meeting their Multi-Sector Service Accountability Agreement (MSAA) 4th Quarter 2015/16 reporting obligations. The email reiterated the importance of the LHIN receiving timely, complete, and accurate reports, as well as explanatory comments for each and every financial or performance activity which was 5% over or under target.
  • On June 14, 2016, Central East LHIN staff held a teleconference with its 55 community HSPs to reinforce the importance to the Central East LHIN of HSPs’ 4th Quarter reports. Building on the May 31st email, Central East LHIN staff again communicated that the 4th Quarter reports support the LHIN to understand performance and performance trends, to understand and try to mitigate risks, to inform itself of how and where to invest, and to ensure accountability.
  • Between June 14 and 17, 2016, LHIN staff issued letters to Board Chairs of affected community HSPs requesting follow up on specific reporting and performance challenges.
  • On June 22, 2016, the Central East LHIN Board of Directors approved the Central East LHIN 2016/17 Community Investments Allocation Strategy.

What is the Central East LHIN 2016/17 Community Investments Allocation Strategy?

The Strategy defines three funding tiers:

Tier 1 Investments:

  • Intended to address pervasive and increasingly acute pressures, risks, and safety concerns in a wide range of community HSPs’ operations and services. A 1% increase in LHIN base funding to HSPs is conditional on their meeting a minimum level of past performance as reflected in the current MSAA.
  • Several HSPs received the 1% increase as one-time funding in 2016/17. To receive the funding on an ongoing basis, HSPs had to demonstrate improved performance relative to service delivery targets. Of these HSPs, two qualified for ongoing base funding. Letters were sent on June 20, 2017.

Tier 2 Investments:
  • Intended to further address pervasive and increasingly acute pressures, risks, and safety concerns in a wide range of community HSPs’ operations and services. A 1% increase in LHIN base funding to HSPs to meet increased performance targets to support advancing integrated systems of care within LHIN sub-regions is conditional on their meeting a minimum level of past performance as reflected in the current MSAA.
  • Intended to directly affect the Alternate Level of Care rate through targeted investments in Adult Day Programs, Assisted Living Services for High-Risk Seniors, and Telehomecare.
Tier 3 Investments:
  • Highly desirable, initiative-specific direct service investments to address patient needs.

Next Steps

  • Central East LHIN staff have continued to engage with any community HSPs based on the LHIN’s receipt of Multi-Sector Service Accountability Agreement (MSAA) 4th Quarter 2015/16 reports.
  • This engagement continued throughout August 2016.
  • Based on the approval provided by the Central East LHIN Board on June 22, 2016, LHIN staff have now begun to operationalize the allocation of Tier 1 investments.
  • Between July 25 and August 2016, funding letters regarding Tier 1 investments will be issued to community HSPs.
  • This will include the release of any 4th Quarter 2015/16 reports to affected HSPs for necessary revision.
  • Between August and September 2016 funding letters regarding Tier 2 and Tier 3 investments will be issued to identified community HSPs.

For further information, please contact Michelle Nurse, Director, Contract Management, Performance and Accountability at Michelle.Nurse@LHINs.on.ca or 905-430-3308 x 5247