COMMUNITY ACCOUNTABILITY PLANNING SUBMISSION - Central West LHIN
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2014-2017
COMMUNITY ACCOUNTABILITY PLANNING SUBMISSION
(CAPS) GUIDELINES 2019-2020
Version: September 1, 2018
Note: CAPS Guidelines are subject to change. The Multi-Sector Service Accountability Agreement (MSAA) takes
precedence where there is conflict between these Guidelines and the MSAA.CAPS GUIDELINES 2018-2019
Table of Contents
1. Introduction ................................................................................................................................................... 2
1.1 LHSIA, 2006 ........................................................................................................................................... 2
1.2 Overview of the CAPS/MSAA Process ...................................................................................................... 3
1.2.1 Local Variation Across LHINs ............................................................................................................... 3
2. Key Planning Considerations for the CAPS and MSAA ........................................................................... 4
2.1 Principles Guiding the Process ................................................................................................................. 4
2.2 Planning Assumptions.............................................................................................................................. 5
2.3 The 2011 – 2014 Monitoring Process ........................................................................................................ 5
2.4 Data Quality ............................................................................................................................................ 5
2.5 Board Approval & Failure to Comply .......................................................................................................... 5
2.7 Financial Penalty ..................................................................................................................................... 6
3. MSAA Components ..................................................................................................................................... 7
3.1 CAPS Components.................................................................................................................................. 7
3.2 Reports .................................................................................................................................................. 7
3.3 Directives, Guidelines and Policies ............................................................................................................ 7
3.4 Performance ........................................................................................................................................... 7
3.5 Project Template for Project Funding ......................................................................................................... 7
3.6 Other Services ........................................................................................................................................ 8
4. Changes Needing LHIN Approval .............................................................................................................. 8
4.1 Proposing Operational Changes ............................................................................................................... 8
4.2 Adding New Services, Service Enhancement ............................................................................................. 8
4.3 Service Reduction, Transfer or Elimination Proposal (Service Integration)..................................................... 8
5. Guidelines for Balanced Operating Plans ................................................................................................. 9
5.1 Basic Requirement: A Balanced Operating Position .................................................................................... 9
5.2 Budget Balancing Alternatives .................................................................................................................. 9
6. CAPS Links to MSAA Performance ......................................................................................................... 10
6.1 The Indicator Development Process ........................................................................................................ 10
7. Appendix A: Glossary............................................................................................................................... 13
8. Appendix B: CAPS Key Contacts ............................................................................................................ 15
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1. Introduction
It is a requirement of the Local Health System Integration Act, 2006 (“LHSIA”) that Local Health Integration Networks
(“LHINs”) have a service accountability agreement (SAA) in place with each health service provider (HSP) that it funds.
In order to facilitate the negotiation of the MSAAs with HSPs in the Community Health Centre (CHC),
Community Mental Health and Addictions (CMH&A) and Community Support Services (CSS) sectors,
each HSP will be required to submit a planning document known as the Community Accountability Planning
Submission (CAPS). The purpose of the Guidelines is to provide additional information to assist HSPs in
the community sector to complete their 2019-2020 CAPS submission.
1.1 LHSIA, 2006
The LHSIA provides the underpinnings for the accountability relationship between LHINs and the community
health service sector. The purpose of the LHSIA is to provide for an integrated health system that will
improve the health of Ontarians through:
• Better access to high quality health services;
• Coordinated health care in local health systems and across the province; and
• Effective and efficient management of the health system at the local level.
LHIN Funding and the Accountability Agreement with the Ministry of Health and Long-Term Care
(MOHLTC):
The LHINs’ relationship to the province is set out in LHSIA and in a Memorandum of Understanding
between each LHIN and the Minister of Health and Long-Term Care. Funding for the LHINs is provided by
the MOHLTC on terms set out in an accountability agreement between the Minister and each LHIN (the
“Accountability Agreement”).
The Accountability Agreement sets out, among other items:
• Performance goals and objectives for the LHIN and the local health system;
• Performance standards, targets and measures for the LHIN and the local health system;
• Requirements for the LHIN to report on its performance and that of the local health system;
• A requirement that the LHIN provide a plan for spending the funding that the LHIN receives from
the MOHLTC (the Annual Service Plan); and
• A progressive performance management process.
Health Service Provider (HSP) Funding and SAAs:
LHSIA also permits a LHIN to provide funding to an HSP for services that the HSP provides in, or for,
the geographic area of the LHIN, however if a LHIN wishes to provide funding to an HSP it must first enter
into a SAA with the HSP. LHSIA requires that the SAAs terms must be terms that
1. The LHIN considers appropriate; and
2. Are in accordance with:
a) The funding that the LHIN receives from the MOHLTC.
b) The Accountability Agreement with the MOHLTC.
c) Any other requirements that may be set out in regulations under the LHSIA.
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1.2 Overview of the CAPS/MSAA Process
Community Quarterly
Reports Remediation,
Accountability Multi-sector Service
(OHRS-MIS) Negotiation,
Planning Accountability
And Implementation
Submission Agreement
SRI of
(CAPS) (MSAA)
Consequences
Planning Commitment Measurement Adjustment
Negotiations / Consultations Negotiations
Both the CAPS and the MSAA promote enhanced accountability through annual funding projections.
Funding is reviewed on an annual basis and updated through the CAPS document.
The CAPS focuses on service planning and the measurement and evaluation of HSP services and
organizational performance. Data submitted by HSPs is used to calculate targets, corridors and
performance standards related to the HSP’s:
• Person experience
• Organizational health
• System perspective
The MSAA focuses on accountability as an integral part of the ongoing effort to improve health sector
performance and provide high-quality, client-centered care. LHINs are committed to achieving a balanced,
innovative and realistic MSAA; one that relies on negotiation and collaboration to the greatest extent
possible, while meeting the requirements of the LHSIA and the Commitment to the Future of Medicare
Act, 2004. Once negotiated, the LHINs and HSPs each have a role in ensuring that the terms of the
signed MSAA are fulfilled.
1.2.1 Local Variation Across LHINs
It is recognized that all HSPs need to submit an updated CAPS form for the 2019-2020 MSAA
Agreement as this form serves as the source document for the quarterly reports in SRI. The providers
will be completing the 2019-20 funding only which will be carried forward to the remaining years of the
agreement. In each year of the 3-year agreement the funding amounts may be updated at the
discretion of the individual LHINs.
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2. Key Planning Considerations for the CAPS and MSAA
2.1 Principles Guiding the Process
HSPs should consider the following principles when preparing their submission and engaging their local
and regional partners.
a) Accountability
• The CAPS is owned and managed by the HSP.
• The CAPS will inform the negotiation of the MSAA between the LHIN and the HSP.
• The HSP’s LHINs will provide guidance, approve and monitor the performance obligations of
the MSAA.
• The HSP will be accountable to the LHIN for the achievement of the HSP’s performance
obligations in the MSAA.
b) Funding and Allocation
• An HSP must plan to achieve a balanced operating position for the total entity for each year of
the MSAA that is consistent with relevant ministry policy and legislation/regulation.
• An HSP’s funding can only be used in accordance with the terms of the MSAA.
• An HSP’s LHIN will also regularly monitor in-year forecasts of the financial position of LHIN-
funded services. Confirmed forecasts of un-spent LHIN funding may be recovered within the
fiscal year and reallocated to address financial pressures in the LHIN’s other HSPs.
c) Integration and Service Coordination
• HSP planning must reflect the HSP’s ongoing responsibility to find efficiencies in administrative
and direct service areas including review and/or consultation with other HSPs.
d) Local Health System Planning
• HSP planning must be in alignment with the LHIN Integrated Health Service Plan (IHSP), the
government’s health care priorities, and reflect best practices, evidence-informed decisions,
and the pursuit of efficiency opportunities within the HSP and in collaboration with hospitals,
community partners and other HSPs.
• HSP planning must integrate the HSPs obligation under s. 16(6) and s. 24 of the LHSIA.
o s. 16(6) Engagement by Health Service Providers each HSP shall engage the
community of diverse persons and entities in the area where it provides health
services when developing plans and setting priorities for the delivery of health
services.
o s. 24 Identifying integration opportunities Each LHIN and each HSP shall
separately and in conjunction with each other identify opportunities to integrate the
services of the local health system to provide appropriate, coordinated, effective and
efficient services.
e) Local Community Engagement
• HSP planning must clearly include ongoing consultation and engagement by the HSP with
local health service providers and other stakeholders with a view towards closer
cooperation and partnership between providers and between sectors.
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2.2 Planning Assumptions
In the absence of definitive ministry funding targets in 2018, HSPs will complete the 2019-2020 CAPS
based on a planning assumption of a 0% base adjustment. At the time of preparation of these guidelines,
the LHIN has not determined the targeted allocations or incremental funding allocation adjustments for
2019-2020. As such, HSPs are required to plan and submit a budget based on a 0% funding adjustment. An
HSP must consider this planning assumption when developing its forecasts on service volume and indicator
performance.
If the HSP is considering a service target reduction to meet the 0% guideline, they must initiate a discussion
with their LHIN representative.
2.3 The 2018-2019 Monitoring Process
The LHINs will review the HSP performance results against the targets outlined in the 2019–2023
MSAA on a quarterly basis.
HSPs will be required to monitor their performance against variances. HSPs may be required to meet with
their LHIN to review any variances, and at the discretion of the LHIN, will be required to propose an
Performance Improvement Plan.
2.4 Data Quality
The reporting of valid and reliable health care clinical and financial/statistical data is essential. The ability
of HSPs to negotiate and meet their performance targets is highly dependent on how well the historical data
reflects actual HSP performance. Improvements in the quality of health care data reported from HSPs will
improve the ability of HSPs, LHINs and the province to set and meet performance targets.
2.5 Board Approval & Failure to Comply
Each HSP Board must approve the 2019-2020 CAPS prior to *January 31, 2019 (* Board approval of CAPS
is not required at the time of submission but must be obtained prior to January 31, 2019) as this serves as
the basis for the preparation of the MSAA. HSPs should review the Timelines outlined below so that they
can work within those timelines for a successful submission. Failure to meet the timelines outlined is a
contravention of the MSAA and the LHIN will take necessary performance improvement steps to rectify the
non-compliance, as stipulated in the MSAA.
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2.6 Timelines
Activity Target Dates
CAPS 60-Day Issuance Notice to HSP’s September 18 - 21, 2018
Pan-LHIN Community Lead Education (CAPS) September 17 - September 21, 2018
CAPS Launch in SRI for HSPs September 28, 2018
HSP Training Materials Available September 1, 2018
LHINs Complete Local HSP CAPS Education September 24-28 2018
Completed CAPS refresh submitted through SRI to LHINs September 28 – November 16, 2018
(7 Weeks)
Pan-LHIN Community Lead Education (Provincial Indicators) October 1-10, 2018
HSP Community Education (Provincial Indicators) Oct 10 – 17, 2018
- Local Indicators must be finalized by November 30, 2017
LHIN review of CAPS refresh, consultations on MSAA refresh November 16, 2018 – January 15, 2019
indicators, population of Schedules, and final MSAA Schedule (60 Days incl Holidays)
amendments
Send MSAA LHSIA Notices to HSPs TBD- Placeholder for update
LHIN Boards to endorse MSAA agreement (2/3 majority)* December 1 – 31, 2018
HSP Board approves CAPS January 1 – 31, 2019
Pan-LHIN Community Lead Education (eForms) January 7-11, 2019
LHIN Analysis, Final Negotiations of Indicator Targets and January 15 – 31, 2019
Population of Schedules
Final MSAA extension and Schedules sent to Community HSPs February 1-28, 2019
for Board approval (Target)
HSP-signed MSAAs returned to the LHIN March 15, 2019
Year 5 of the current 2014-2019 MSAA comes into effect April 1, 2019
2.7 Financial Penalty
An HSP may be subject to a financial penalty if:
• Its CAPS is received by the LHIN after November 16, 2018 or
• The CAPS is incomplete or inaccurate
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3. MSAA Components
3.1 CAPS Components
The CAPS has up to two elements to submit through SRI by November 16, 2018.
1. The CAPS SRI file that details your budgets for funding and Service Activity for 2019-2022.
2. The CAPS Narrative to be submitted along with the CAPS using the Additional Document feature in
SRI. The submission guide for the Narrative is provided in the CAPS narrative User Guide
3.2 Reports
A reporting schedule will be set out in the MSAA which will apply to financial, performance and other
reporting requirements during the term of the MSAA beginning April 1, 2019.
3.3 Directives, Guidelines and Policies
A schedule will be set out in the MSAA which will list all the mandatory directives, guidelines and policies
applicable to HSPs during the term of the MSAA beginning April 1, 2019.
3.4 Performance
To assist the HSP to achieve ongoing performance improvement, a performance indicator framework
together with a series of performance indicators has been developed for inclusion in Schedule E to the
MSAA. Section 6 of this document describes the framework and the process to select performance
indicators in more detail.
A detailed guide to calculating the performance indicators and corridors of performance is available in a
Technical Specifications document. This document, developed in consultation with sector representatives,
will be made available to HSPs by the LHIN in October 2018 and posted on each LHIN’s website.
3.5 Project Template for Project Funding
Schedule F, "Project Template" allows the LHIN to fund an HSP to undertake projects for the LHIN during
the term of the SAA, without the need to negotiate a separate project funding agreement. The Project
Template builds on the existing terms of the SAA between the LHIN and the HSP, and allows a quick
start to projects.
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3.6 Other Services
a) Preschool Speech and Language Services
These services are funded by the Ministry of Health and Long-Term Care and managed by the
Ministry of Children and Youth Services. Any changes or reductions in these services must be
negotiated and approved under the terms of the HSP’s agreement with the Ministry of Children and
Youth Services.
4. Changes Needing LHIN Approval
4.1 Proposing Operational Changes
Certain types of operational changes will require pre-approval from the LHIN before the proposed change
can be incorporated into the HSP’s CAPS. These would include any changes affecting funding or service
levels, the reduction, elimination or transfer of a service and other integration activities.
4.2 Adding New Services, Service Enhancement
Guidelines and templates for the development of a pre-proposal, detailed proposal and business case to
support a new or enhanced service will be provided by the individual LHIN. It is recommended that the
LHIN be contacted prior to beginning work on a pre-proposal to determine any local variations or specific
issues the LHIN wishes to see addressed.
The CAPS should be prepared to maintain service levels within the planning assumptions
provided by the LHIN. Service enhancements that can be accommodated within the planning
assumptions can be included in the CAPS. New service proposals (supported by business case
submissions) that are approved by the LHIN will be incorporated into the MSAA.
HSPs that wish to reduce or eliminate services or transfer them to another HSP must follow the steps set
out in Section 4.3 of these guidelines.
4.3 Service Reduction, Transfer or Elimination Proposal (Service Integration)
Access to community health services is an important priority for the government, LHINs and HSPs. As a
result, any proposed reduction, transfer or elimination of a service should be consistent with the overall
goal of an integrated health system that provides access to high quality health services and
coordinated health care in an effective and efficient manner. The LHIN must be provided with lead
time (at least 60 days) to ensure that essential levels of service (both quality and quantity) are
maintained.
A service reduction, transfer or elimination proposal should include:
• Rationale for the service change and alternative measures considered during the decision making
process;
• Anticipated funding adjustments, i.e. expected decrease or increase in funding associated with
8|PageCAPS GUIDELINES 2018-2019
the service change;
• Impact on performance obligations;
• Human resource impact, e.g. staff reduction or re-assignment;
• Strategy for mitigating any anticipated client impacts of the service change;
• Consultation process and outcomes with health care partners and the community; and
• Communications plan to communicate to both internal and external audiences.
Please note that section 27 of LHSIA requires an HSP to notify the LHIN of any integration with another
person or entity that relates to services that are funded in whole or in part by the LHIN.
The templates and process for proposing a service reduction, elimination, or transfer are posted to each
LHIN’s web site.
5. Guidelines for Balanced Operating Plans
5.1 Basic Requirement: A Balanced Operating Position
An HSP seeking funding from the LHIN is expected to submit a CAPS that demonstrates the HSP has
achieved a balanced operating position for the total entity and will achieve and maintain a balanced
operating position during each year of the MSAA. A balanced operating position for the total entity is where
the total expenses are less than or equal to all sources of revenue.
5.2 Budget Balancing Alternatives
HSP managers have always strived to maintain or enhance service levels within the confines of the
available budget. The CAPS should be prepared to maintain service levels within the planning
assumptions provided by the LHIN. The LHIN will expect HSPs to first consider all possible cost savings
alternatives in lieu of reducing service levels such as:
• Back office integration (combining with other HSPs to reduce the cost of administration, e.g. shared
accounting service).
• Increase supplementary (non-LHIN/MOHLTC) revenue.
• Program efficiencies, e.g. review of best practices in operations and service delivery.
• Technology and automation, e.g. Use of laptops/Personal Digital Assistants (PDAs) to reduce
time spent on paperwork.
• Enhanced community support e.g. increased use of volunteers and contributions in kind.
• Program consolidation (combining or linking programs internally or reducing the number of sites).
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• Combining with another organization to achieve economies of scale and scope.
• Effectiveness reviews – directing limited resources to the most effective programs and/or most
vulnerable clients.
6. CAPS Links to MSAA Performance
6.1 The Indicator Development Process
a) The LHIN Performance Indicator Framework
The LHIN Performance Indicator Framework was developed as a tool for LHINs to identify indicators
to monitor the performance of HSPs. As a tactical and operational tool, the goal of the framework is
to allow LHINs and HSPs to work together to identify and monitor indicators that support the
achievement of provincial priorities. The framework focuses on the components of and enablers to
the delivery of quality health care services (across the continuum of care) to the people of Ontario.
Designed to support organizational and system performance measurement, the framework
encourages HSPs to work together in support of improved outcomes and experiences.
The framework aligns with the (draft) provincial Health System Scorecard and aims to focus
attention on the key priority areas identified by the LHINs in their Integrated Health Service Plans. It is a
dynamic tool; one that may need to be adjusted in response to the conceptualization of quality and/or
significant changes in the strategic direction of the Ministry of Health and Long-Term Care. For now, the
framework serves as mechanism to help LHINs and HSPs to better coordinate and organize the delivery
of quality health care.
b) Performance Dimensions
The components of and enablers to providing quality care are identified within the framework in three
key areas of focus:
PERSON EXPERIENCE – focusing on the needs of the client, caregiver and family, ensuring
Ontarians not only receive the high quality health care they need, when they need it, but that they
are involved in their health care plans and can make informed decisions about the health services
they receive. Preventative measures/initiatives are also put in place to support keeping people
healthy throughout their life.
Indicator Components/Enablers: ACCESS, EFFECTIVE, SAFE, PERSON-CENTERED
ORGANIZATIONAL HEALTH – focusing on the health of the organization to support a healthy,
sustainable health care system; ensuring the best use of health care resources and value of health
care investment.
Indicator Components/Enablers: EFFICIENT, APPROPRIATELY RESOURCED, EMPLOYEE
EXPERIENCE, GOVERNANCE
SYSTEM PERSPECTIVE – focusing on working with health care partners and communities to help
integrate health services, to support a high quality health care delivery system that is better
10 | P a g eCAPS GUIDELINES 2018-2019
coordinated and more efficient.
Indicator Components/Enablers: INTEGRATION, COMMUNITY ENGAGEMENT, eHEALTH
c) Indicator Classifications
The following indicator classifications have been developed for use in all service accountability
agreements, including the MSAA:
Performance Indicators*
• Are included in service accountability agreements and may trigger consequences under
the agreement
• Will be associated with a target and corridor or at a minimum, have a benchmark (e.g.
current level of service must be maintained/decreased, etc.)
• May be tied to dedicated funding from the Ministry of Health and Long-Term Care
• Are valid, feasible measures of system performance
• Allow for comparability across like organizations and/or regions
Explanatory Indicators*
• Are complementary indicators to the accountability indicators and will be documented in
the technical specifications of the most appropriate accountability indicator(s)
• Support planning, negotiation or problem-solving at the provincial, LHIN level or agency
level
• Support transparency and enable planning discussions
• Support of improving and sustaining health system quality, effectiveness and efficiency
• Are indicators where data may already be provided through existing reporting systems, and
as such health service providers will not be required to report on these through SAA
reporting requirements
• Will not trigger consequences under the agreement (unless otherwise specified in
Performance Improvement Plan or new funding obligations)
Developmental Indicators
• Existing indicators that require further validation (review/testing) to ensure quality criteria
(e.g. validity, reliability, etc.) are met prior to moving the indicators to accountability or
explanatory status in the next agreement*
• Will be dropped off the developmental list if the indicator is not ready to be made an
accountability or explanatory indicator by the next SAA
• Will not be included in the SAAs
*Technical specifications for all performance and explanatory indicators have been developed in
alignment with the ministry Resource for Indicator Standards (RIS). More information on RIS is
available at: http://www.health.gov.on.ca/en/pro/programs/ris/alpha_indicators.aspx
Within the MSAA, indicators have also been designated as:
Core Indicators: a required indicator relevant to all LHINs and all community sectors;
Sector Specific Indicators: a required indicator relevant to a specific sector;
11 | P a g eCAPS GUIDELINES 2018-2019
LHIN Specific Indicators: an indicator determined locally to be relevant.
d) Target Setting Process
Following the submission of the CAPS, LHINs and HSPs will negotiate the accountability indicator
targets appropriate to the organization and local circumstance. Targets are expected to reflect on
continuous improvement. Where provincial indicator targets or clinical benchmarks exist, the LHIN and
HSPs will take these into consideration.
e) Corridors
All targets established through negotiations between the HSPs and the LHIN will have an associated
performance corridor. A corridor is a range around an indicator target that is established for variance
reporting purposes. The corridor takes into account expected variation such as statistical and seasonal
fluctuations and other factors that affect an accountability indicator. Variances any time during the year
that are outside the performance corridor will require a provider report to the LHIN. The report will
include the amount of variance, the likely cause, identification of any related risks and the strategies
being implemented to address those risks and the overall performance.
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7. Appendix A: Glossary
Terms used throughout these guidelines are defined below. The terms that appear in a single section or
part are defined there for ease of reference.
Accountability Agreement means the accountability agreement that must be signed between the LHINs
and the Minister pursuant to the terms of the LHSIA. Further information can be found at s.18 of the
LHSIA.
Annual Balanced Budget / Balanced Operating Position means that, in a given fiscal year, the total
expenses of an entity are less than or equal the total revenue, from all sources, for the entity.
CAPS means Community Accountability Planning Submission which is a document used to negotiate a
three year service accountability agreement between the LHIN and HSP.
CFMA means the Commitment to the Future of Medicare Act, 2004. The CFMA contains provisions
applicable to SAAs. Further information can be found in Part III of the CFMA. Link to Act: http://www.e-
laws.gov.on.ca/html/statutes/english/elaws_statutes_04c05_e.htm
FLS means French Language Services.
FLSA means French Language Services Act. Link to Act:
http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_90f32_e.htm
HSP means health service provider as that term is defined in the LHSIA.
IHSP means the Integrated Health Service Plan developed and published by each LHIN pursuant to s.15 of
the LHSIA. A copy of a LHIN’s IHSP is available through the LHIN’s office or on its web site.
Integration has the same meaning as is set out in part 1 of the LHSIA, specifically: “integrate” includes (a)
to co-ordinate services and interactions between different persons and entities; (b) to partner with another
person or entity in providing services or in operating; (c) to transfer, merge or amalgamate services,
operations, persons or entities; (d) to start or cease providing services; (e) to cease to operate or to
dissolve or wind up the operations of a person or entity; and “integration” has a similar meaning. Further
information on integration can be found in Part V of the LHSIA.
LHIN means Local Health Integration Network. The LHINs are 14 networks established by the LHSIA
across the province. Specific information about geographic parameters and contact information can be
found at www.lhins.on.ca.
LHSIA means the Local Health System Integration Act, 2006. LHSIA is the legislation that established the
LHINS, and sets out the terms by which the LHINs may exercise the powers devolved from the Minister in
respect of planning, funding and integration of their local health system. Link to the Act:
http://www.e-laws.gov.on.ca/html/statutes/english/elaws_statutes_06l04_e.htm
13 | P a g eMSAA means Multi-sector Service Accountability Agreement. The MSAA is the service accountability agreement
that the LHINs are required to enter into with the HSPs pursuant to the terms of LHSIA. More information on the
service accountability agreement can be found in s. 20 of LSHIA and Part III of the CFMA.
Minister means the Minister of Health and Long-Term Care.
MIS means Management Information System. MIS is the term used to identify and report data organized in a
format consistent with Ontario Health Care Reporting Standards.
MOHLTC means the Ministry of Health and Long-Term Care.
Multi-year Funding Targets means an allocation for the first fiscal year of the agreement and funding targets
for up to two additional years, consistent with the term of the agreement. Funding targets are to be used
for planning purposes only and may be revised upward or downward at the discretion of the LHIN.
OHRS means Ontario Healthcare Reporting Standards. The OHRS is a set of reporting standards and chart of
accounts consistent with national health care reporting standards.
SAA means a Service Accountability Agreement as that term is defined in the CFMA. SAAs are executed
between LHINs and HSPs and include Hospitals (H-SAA), Long-Term Care Homes (LSAA) and Multi-Sector
(MSAA).
TPBE means Transfer Payment Business Entity. TPBE is a program within the overall funding envelope, e.g.
Palliative Care, Substance Abuse, etc.
TPBE TPBE Description
ABI Acquired Brain Injury
AO Attendant Outreach
CH Charitable Homes
CHC Community Health Centre
CMH Children’s Mental Health
CMHP Community Mental Health Program
CSS Community Support Services
HOSP Operation of Hospitals
IB Interim Beds
MH Municipal Homes
NH Nursing Homes
PALC Palliative Care
PG Problem Gambling
PHOSP Private Hospitals
POMS Psychiatric Outpatient Medical Salaries
SAP Substance Abuse
SH Supportive Housing
SF Sessional Fees
SPH Specialty Psychiatric Hospital
SRI means Self Reporting Initiative. It can be found at
https://www.sri.moh.gov.on.ca/UserRegistration/faces/login/index.jsp.
14 | P a g e8. Appendix B: CAPS Key Contacts
LHIN Name Email
ESC Jean-Francois Gauthier JeanFrancois.Gauthier@lhins.on.ca
SW1 Josh Clark Josh.Clark@lhins.on.ca
SW2 Amina Sogolj Amina.sogolj@lhins.on.ca
WW Gloria Cardoso Gloria.Cardoso@lhins.on.ca
HNHB Ashley Bolduc Ashley.bolduc@lhins.on.ca
CW Neil McIntosh Neil.McIntosh@lhins.on.ca
MH Jeanny Lau Jeanny.Lau@lhins.on.ca
TC1 Andrea Tsuji Andrea.Tsuji@lhins.on.ca
TC2 Nello Delrizzo Nello.delrizzo@lhins.on.ca
C Edin Wong Edin.Wong@lhins.on.ca
CE1 Michelle Nurse Michelle.Nurse@lhins.on.ca
CE2 Tunde Igli Tunde.Igli@lhins.on.ca
SE Joe Sherman joe.sherman@lhins.on.ca
SE Tao Jiang Tao.jiang@lhins.on.ca
CH Colleen Taylor Colleen.Taylor@LHINS.ON.CA
NSM Diane Hodgins Diane.Hodgins@lhins.on.ca
NE Julie Morin Julie.morin@lhins.on.ca
NE Steffi Wittmaack Steffi,wittmack@lhins.on.ca
NW Byron Ball Byron.ball@lhins.on.ca
Eforms Kelvin Luk Kelvin.Luk@lhins.on.ca
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