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Hospital Service Accountability Agreements: Schedules & Indicators

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Presentation on theme: "Hospital Service Accountability Agreements: Schedules & Indicators"— Presentation transcript:

1 Hospital Service Accountability Agreements: Schedules & Indicators
Fiscal 2017/18 Presented in Fall 2016

2 Agenda Context HSAA Organizational Structure
Changes to HSAA Schedules for HSAA Indicator Work Group Provincial HSAA Indicator Slate Next Steps Questions Appendix A: HSAA Indicator Work Group Membership Appendix B: HSAA Planning & Schedules Work Group Membership

3 Context HSAA Schedules and Indicators
The HSAA Template Agreement is envisioned to be a multi-year agreement established through consultative stakeholder meetings between the LHINs, hospitals, the OHA and MOHLTC. The Schedules content will be negotiated annually. It is intended that the current HSAA will be extended an additional year, with an expiration date of March 31, 2018. This presentation will focus on the status of the schedules and provincial indicators for 2017/18.

4 HSAA Organizational Structure Creating an ownership framework
Hospitals (OHA) HSAA Steering Committee HSAA Planning & Schedules Work Group SRI Reports Work Group HSAA Indicator LHINs

5 Creating an ownership framework
The HSAA Indicators Work Group is co-led by Eric Partington, Senior Director, Champlain LHIN, and Imtiaz Daniel, Director, Financial Analytics and System Performance, Ontario Hospital Association. The HSAA Planning & Schedules Work Group is co-led by Jeff Kwan, Director, Financial Health & Accountability, North Simcoe Muskoka LHIN, and May Chang, Executive Vice President and Chief Administrative Officer, Markham Stouffville Hospital.

6 Changes to HSAA Schedules for 2017-18
Schedule A (Funding) Under Wait Time Strategy Service (Section 3), incremental funding has been removed to reflect the current approach, which reflects allocation through base funding only. Under Quality Based Procedures (Section 2), the list of QBPs has been updated to reflect the refined list of QBPs noted in the HAPS Guidelines.

7 HSAA Indicator Work Group
The HSAA Indicators Work Group (IWG) is comprised of representation from involved hospital, LHIN and MOHLTC leaders with backgrounds in program delivery, performance improvement and finance (see Appendix A for membership list). The core deliverables of the HSAA Indicators Work Group were to: Review current indicators to ensure continued alignment with pan-LHIN system imperatives Update technical specifications and target setting guidelines as required Develop other communication and education materials as needed

8 Provincial HSAA Indicator Slate
With the tabled proposed legislation (the Patients First Act) in the Legislative Assembly as of the fall, the LHINs have agreed to maintain the 2016/17 SAA provincial indicator slates for 2017/18. However, LHINs will reserve the right to amend LHIN-specific (i.e., local) indicators / obligations and/or to make any changes as required by law, policy, statute or Ministry direction. As such, no changes will be introduced to the provincial HSAA indicator slate for 2017/18.

9 Performance Indicators
Performance indicators will remain as: 90th Percentile Emergency Department (ED) Length of Stay for Complex Patients 90th Percentile ED Length of Stay for Minor/Uncomplicated Patients Percent of Priority 2, 3 and 4 Cases Completed within Access Targets for Hip Replacements Percent of Priority 2, 3 and 4 Cases Completed within Access Targets for Knee Replacements Percent of Priority 2, 3 and 4 Cases Completed within Access Targets for MRI Percent of Priority 2, 3 and 4 Cases Completed within Access Targets for CT scans Rate of Hospital Acquired Cases of Clostridium Difficile Infections Readmissions to Own Facility Within 30 Days for Selected HBAM Inpatient Grouper (HIG) Conditions Current Ratio Total Margin (all sector) ALC Rate

10 Explanatory Indicators
Explanatory indicators will remain as: Percent of Stroke/TIA Patients Admitted to a Stroke Unit During Their Inpatient Stay Hospital Standardized Mortality Ratio Rate of Ventilator-Associated Pneumonia Rate of Central Line Infection Rate of Hospital Acquired Cases of Methicillin Resistant Staphylococcus Aureus Percent of Priority 2, 3 and 4 Cases Completed within Access Targets for Cancer Surgery Percent of Priority 2, 3 and 4 Cases Completed within Access Targets for Cardiac By-Pass Surgery Percent of Priority 2, 3 and 4 Cases Completed within Access Targets for Cataract Surgery Total Margin (Hospital Sector Only) Adjusted Working Funds / Total Revenue %

11 Explanatory Indicators (cont’d)
Percentage of ALC Days Repeat Unscheduled Emergency Visits within 30 days for Mental Health Conditions Repeat Unscheduled Emergency Visits within 30 days for Substance Abuse Conditions

12 Next Steps The HSAA IWG will:
Liaise with external stakeholder groups as necessary to enhance understanding of, and continually improve upon, proposed and existing indicators for next cycle Assess indicator set to ensure ideal alignment of hospital performance and accountabilities to system outcomes, as well as to other key work streams like Quality Improvement Plans The HSAA P&S WG will: Discuss members’ feedback about the HAPS and schedules materials and processes, and discuss any improvements for the following year

13 Please contact your local LHIN.
Questions? Please contact your local LHIN.

14 Appendix A: Indicator Work Group Membership
Sector Organization Individual, Title LHIN Champlain LHIN Eric Partington, Senior Director (Co-Chair) OHA Ontario Hospital Association Imtiaz Daniel, Director (Co-Chair) Hospital Grey Bruce Health Services Martin Mazza, CFO Joseph Brant Hospital Cheryl Williams, VP Patient Care Services and Chief Nurse Executive Markham Stouffville Hospital May Chang, Executive Vice President and Chief Administrative Officer Sunnybrook Health Sciences Centre Darren Gerson, Senior Director, Decision Support St. Joseph’s Healthcare Hamilton Jane Loncke, Director MOHLTC Ministry of Health and Long-Term Care Nam Bains, Manager Lauren Churcher, Senior Health Analyst Thomas Custers, Manager Domenic Della Ventura, Team Lead

15 Indicator Work Group Membership (cont’d)
Sector Organization Individual, Title HQO Health Quality Ontario Gail Dobell, Director LHIN Central East LHIN Marilee Suter, Lead, Decision Support Champlain LHIN Paul Caines, Senior Accountability Specialist Hamilton Niagara Haldimand Brant LHIN Iwona Bielska, Advisor Toronto Central LHIN Erin Scholl, Senior Consultant Ranjeeta Wadhwani, Analyst

16 Appendix B: HSAA Planning & Schedules Work Group Membership
Sector Organization Individual, Title LHIN North Simcoe Muskoka LHIN Jeff Kwan, Director, Financial Health & Accountability (Co-Chair) Hospital Markham Stouffville Hospital May Chang, Executive Vice President and Chief Administrative Officer (Co-Chair) Collingwood General & Marine Hospital Michael Lacroix, Vice President, Corporate Services & CFO North York General Hospital Deepak Sharma, Director, Decision Support St Michael’s Hospital Tomi Nieminen, Director, Decision Support Services Trillium Health Partners Carol Vinette-Hancharyk, Director, Financial Strategy & Deputy Chief Financial Officer MOHLTC Ministry of Health and Long-Term Care Maria van Dyk, Team Lead OHA Ontario Hospital Association Imtiaz Daniel, Director, Financial Analytics and System Performance

17 Planning & Schedules Work Group Membership (cont’d)
Sector Organization Individual, Title LHIN Central LHIN Jennifer Chiarcossi, Senior Business Analyst Kelvin Luk, Business Analyst South West LHIN Scott Chambers, Team Lead Mississauga Halton LHIN Carrie Parkinson, Senior Lead Andrew Wahab, Senior Lead of Funding and Allocation North East LHIN Marc Demers, Controller / Corporate Services Manager North West LHIN Kevin Holder, Senior Consultant Toronto Central LHIN Erin Scholl, Senior Consultant


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