Mississauga Halton LHIN - Health Leaders Quarterly Forum Mississauga Halton LHIN Regional Learning Centre
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Mississauga Halton LHIN Health Leaders Quarterly Forum Mississauga Halton LHIN Regional Learning Centre Oakville, Ontario December 13, 2018
Agenda
• Welcome and Opening Remarks
Carleen Carroll
• Coffee Table Chat
Bill MacLeod, Sharon Lee Smith & Carleen Carroll
• Quality & People News
Jutta Schafler Argao
• Health System Performance, Funding and Contract Management Update
Laura Salisbury
• Research in the Mississauga Halton LHIN
Dr. Mira Backo-Shannon & Bonnie Scott
• Closing Remarks
Sharon Lee Smith
Coffee Table Chat
Quality & People News Health Leaders Quarterly Forum Jutta Schafler Argao, Vice President, Quality & People December 13, 2018
Today, we will cover
• Mississauga Halton LHIN Quality & Risk Framework
• 2019/20 Quality Improvement Plan(ning)
• Regional Quality Table
• Mississauga Halton LHIN 2019 Conference
• People Advisory Council Terms of Reference and Call for
Members
Quality & Risk Framework
Quality & Risk Framework - Purpose
• Provides a common vision and approach of what
healthcare providers, managers and executives need to do
to continuously improve quality at the organizational level
and system level.
• Describes the components of quality and the conceptual
elements required to effectively manage healthcare quality
as well as a foundational set of critical success factors
(enablers) to facilitate success.
8
Quotes from engagements
• “Appears patient focused”
• “I like the … steps especially the way that they build
toward the shared vision”
• “You could have the quadruple aim at the centre and
then everything else surrounding it as the core”
• “Liked the house format – innovative piece good to
highlight. Amazing!”
• “Content is excellent; summarizes greatly.”
9
Current Version: Quality & Risk Framework
102019/20 Quality Improvement Plan(ning)
Signals from Health Quality Ontario
• Guidance projected to be available by the end of
December
• The list of indicators for the 2019/20 QIPs will be tightly
focused on key themes likely related to core system
priorities such as access and transitions, patient
experience, and safety and effectiveness
• There will be fewer indicators overall. The six domains of
quality will be a consistent anchor for the QIP prioritiesCollaboration for Quality Improvement Plans
• TOGETHER, we can move the needle
• Reflect on collaborations already underway and build
them into the QIP; consider the Integrated Regional
Quality Improvement Plan priorities of seamless
transitions (hospital to home) and building quality
improvement capacity
• QIP Guidance for HSPs with MSAAs has been updated
on the LHIN website (under Policies, Directives and
Resources/Community/Quality Improvement Plans)Regional Quality Table
Aligning the Quality Agenda • Change Day 2018 • QIP Workshop for MSAA HSPs • Quality Standards
Thursday February 28, 2019
People Strategy 2025 Advisory Council
Top Ideas for Collaboration from Summer
Address Establish an Address Use technology
competitive innovation compensation to support
factors across infrastructure; inequities across seamless
sectors, create train on sectors; transitions and
HR networks for innovation skills; collaborate with navigation;
sharing of best develop leaders educational educate staff on
practices and across sectors; institutions; integrated care
resources and nurture collaborate on across the system
learning from hard to fill
failures positions
18Moving Forward
• At the last Health Leaders Forum, you endorsed the idea
of assembling a People Strategy 2025 Advisory Council
• Terms of reference have been drafted, and we are ready to
look for members
• Let’s take a look…Terms of Reference
Purpose Objectives
• Identify and pursue priorities • Develop the LHIN’s inaugural,
that support a skilled, three-year People Plan
sustainable and adaptive team • Formulate the metrics for
of health care professionals, measuring the health,
workers, and volunteers to effectiveness and sustainability
meet existing and future needs of health care professionals,
workers and volunteer
caregivers
• Serve as the Steering
Committee for the collaborative
priorities articulated in the
People Plan, monitoring and
supporting progressMembership: 14 – 16 Representatives
• Are representative of all • Think strategically,
sectors creatively and holistically
• Have the expertise and • Be knowledgeable about
experience to frame our operational care and
collective people service delivery as well
priorities as talent management
• Are passionate about • Maintain a two-way flow
supporting health care of communication and
professionals, workers engagement with their
and volunteers to thrive own agencies and the
collective of providersAccountability & Governance
• Initial term of 12 months, then evaluate
• Co-chair model (VP, Quality & People plus provider or
volunteer member)
• Consensus model
• Advice to LHIN Executive TeamNext Step
• Look for a call for nominees coming to you within the
next week
• Nominate someone who reflects the criteriaFor More Information and/or Questions: Jutta Schafler Argao, Vice President Quality & People Mississauga Halton Local Health Integration Network Tel: 416-780-7878 Email: jutta.schaflerargao@lhins.on.ca
Health System Performance, Funding and Contract Management Update Health Leaders Quarterly Forum Laura Salisbury, Director, Health System Performance, Funding and Contract Management December 13, 2018
Presentation Objectives 1. Service Accountability Agreement (SAA) Updates 2. 2018/19 Q2 and 2019/20 CAPS Review Process 3. 2018/19 Q3 Reporting Timelines 4. 2017/18 Year-End Compliance Reports 5. Health Service Provider Portal Demonstration
Service Accountability Agreement Updates
2019-2022 Multi-Sector Service Accountability Agreement (MSAA):
• New 3-year MSAA, effective April 1, 2019 to March 31, 2022
• Board approved CAPS due January 31, 2019
2019-2022 Long-Term Care Home Service Accountability
Agreement (LSAA):
• New 3-year LSAA, effective April 1, 2019 to March 31, 2022
• Board approved LAPS due December 12, 2018
Hospital Integrated Service Accountability Agreement
(HISAA): Total of 6 SAAs consolidated into 2 new HISAAs
• Single agreement for hospitals that provide community and/or long-
term care services currently through an LSAA or MSAA
• Effective April 1, 2019
• Board approved HAPS due January 31, 2019 or other negotiated
date with the LHIN
27Service Accountability Agreement Updates -
cont’d
FY 2018/2019 Effective April 1, 2019
MSAA MSAA
40 38
SAAs SAAs
62 58
LSAA HSAA LSAA HISAA
20* 2 18* 2
*represents 28 HomesSAA Resource Information
Service Accountability Agreement information and resources
are posted on the Mississauga Halton LHIN website.
MSAA: http://www.mhlhin.on.ca/forhsps/capsmsaa.aspx
For general inquiries: Jeanny.Lau@lhins.on.ca
LSAA: http://mhlhin.on.ca/forhsps/lapslsaa.aspx
For general inquiries: Carrie.Parkinson@lhins.on.ca
HSAA/HISAA: http://mhlhin.on.ca/forhsps/hapshsaa.aspx
For general inquiries: Andrew.Wahab@lhins.on.ca
LHIN will send out online survey link to validate key
information for SAAs, such as signing authority / ability to bind
the organization and confirm the HSP’s legal name
292017/18 Year-End Compliance Reports
• As part of the LHIN’s year-end performance process, a detailed review has
been conducted on each HSP’s compliance to their Service Accountability
Agreement (MSAA; LSAA; HSAA) and 2017/18 Schedules.
• The LHIN continues to enhance its processes related to year-end reporting
with the implementation of the following in 2017/18:
On-line survey tool for reporting compliance to 2017/18 LHIN-specific
performance obligations
On-line reporting of French Language Services via OZi Portal
HSP attestation on achieving performance deliverables for any LHIN
funding (one-time or base) received in 2017/18
Detailed report of HSP compliance to core indicators (auto-generated)
302018/19 Q2 and 2019/20 CAPS Review Process
The LHIN continues to make quality improvements to the quarterly
review process for MSAA providers with the goal of streamlining
and standardizing the summary review and evaluation of the
quarterly SRI submissions.
Beginning with the 2018/19 Q2 reviews, emails will be sent to HSPs
with an attached excel file named “2018/19 Q2 Health Service
Provider Performance Monitoring Summary Report”, indicating
specific areas where a possible performance factor has been
identified for HSP follow up.
Note: The LHIN reviews the 2018/19 Q2 CAT SRI report and the
2019/20 CAPS at the same time to facilitate and inform any
proposed budget changes.
312018/19 Q2 and 2019/20 CAPS Review Process
What the HSP can expect …
The LHIN will send an email to the HSP with the outcome of the Q2 and CAPS review
December 21, 2018 or sooner.
Q2 Review and Evaluation:
1. The email from the LHIN will include the 2018/19 Q2 Health Service
Provider Performance Monitoring Summary Report, (as an attachment)
requesting written responses from the HSP, where identified by the LHIN for
follow up, due to the LHIN January 9, 2019 or sooner
CAPS Review and Evaluation (3 Scenarios):
1. LHIN-approved. Requires HSP Board approval by January 31, 2019
2. Clarification required on CAPS –Email response required from HSP - due to
the LHIN January 9, 2019 or sooner
3. Issues for discussion identified by the LHIN
a. Written responses in preparation due to the LHIN January 9, 2019 or sooner
b. Teleconference meeting between the LHIN/HSP to be scheduled the week of
January 14-18, 2019
322018/19 Q3 Reporting Timelines
As per MSAA / LSAA / HSAA:
• OHRS/MIS Trial Balance Submission
Jan • (Q3 reporting optional for LSAA providers)
Due Date: January 31, 2019
31 (no extensions are allowed by the LHIN, nor Ministry)
• Q3 CAT SRI Reporting (MSAA and HSAA only)
Feb Due Date: February 7, 2019
Submission to the LHIN via SRI
7Health Service Provider Portal Demonstration Oliver Blunn Senior Lead, Health System Performance, Funding and Contract Management December 13, 2018
Research in the Mississauga Halton LHIN Health Leaders Quarterly Forum Dr. Mira Backo-Shannon, VP Clinical Bonnie Scott, Research and Innovation Officer December 13, 2018
The importance of research in community care
There seems to be a What practices have been What and how do we
problem here. Have reported to be effective? Do measure in our project
others reported the we need to research what to show that our
same problem? solutions might work? solution works?
“Many initiatives, while demonstrating considerable promise
and innovation at the local level, have yet to undergo the
rigor of evaluation that would grant them access to peer-
reviewed publication.” (Williams et al. 2009)
36We need research
to provide the evidence
needed to improve practices
in community care!
37How does research fit in?
PROGRAM EVALUATION QUALITY IMPROVEMENT
Understand status of current practice Improve existing process
(a systematic assessment) (a process change)
RESEARCH INNOVATION
Generate new and generalizable knowledge Create new practice / process
(understanding change) 38
(something new, of greater value, and sustainable)Research questions can arise
from many areas, including needs
assessments and evaluations
Research can rigorously test
hypotheses arising from QI to
discover new knowledge
Process
Service
Program
QI can make an existing Program evaluation can
process better using rapid, understand whether the
iterative cycles of change change is achieving its goal
Innovation uses research to inform and
test thinking but not to drive innovation –
need to take risks and try something new!Evolution of research at the Mississauga Halton LHIN
Mississauga
Halton LHIN
June Mississauga
Halton LHIN
2017
CCAC
Academic Community LHIN
Researchers Health Employees,
Research partnerships
System Patients
and agreements to
conduct research with
Academic CCAC patient population EXTERNAL EXTERNAL INTERNAL
Researchers e.g., universities,
hospitals, research
e.g., physician practices
(primary and specialty
e.g., program
directors/managers, care
institutes, and care) and community coordinators, patients (e.g.,
government agencies health providers Research Champions!)
40Our “why”
For the Mississauga Halton LHIN to be the leader in
health system and population health research across
Ontario through evidence-based decision-making.
So that we can become the Why here, why now
healthiest community in Canada! • Small geography, diverse
and rapidly growing
population (ideal test site)
• Well-established
partnerships in the
healthcare system
• New government may
create new opportunities to
lead research activities
41Mississauga Halton LHIN will focus on Health
System and Population Health Research
Biomedical Clinical Population Health Services /
Research Research Health Research System Research
To improve To improve the To improve the To improve the
understanding of diagnosis and health of the efficiency and
normal and treatment of population through effectiveness of the
abnormal human disease and injury, understanding the health care system,
functioning (e.g., and improve overall factors that through changes to
stem cell research) health (e.g., clinical determine health practice and policy
trial research) status (e.g., smoking (e.g., Health Links
cessation research) program research)
Canadian Institutes of Health Research (CIHR) 42Many internal collaborations will be needed
Mississauga
Halton LHIN
Quality
and Risk
Patient and
Family
Advisors
Decision
Support
Research and
Innovation
Privacy and
Clinical Ethics
Engagement
Strategy
Integrated
Care
43But also external partnerships!
44Why would community health organizations want to partner with
Mississauga Halton LHIN on research?
• Community partners can participate,
Community collaborate, or lead research
Health
System
• Research grants can fund activities
EXTERNAL
that provide additional offerings to
e.g., physician practices (primary
and specialty care) and community
patients and families
health providers
• Research can help better understand
the patients and families we serve
• Research can lead to better quality
care and standardization through
implementing research findings 45How can the
Mississauga Halton LHIN
support research
activities?
46Mississauga Halton LHIN is increasing capacity to become a
leader in research and meet the needs of its stakeholders
Research and Research Research Institute for
Innovation Committee Champions Better Health
Officer Collaboration
47Purpose of Research and Innovation Officer
• Lead the work to develop research framework,
tools, and resources in collaboration with
colleagues across the organization
• Facilitate navigation and answer questions about
our new standardized tools and processes with
internal and external stakeholders
• Co-chair the Research Committee and ensure due
diligence in the review and evaluation of research
requests to the Mississauga Halton LHIN
48Who is the Research and Innovation Officer
Bonnie Scott, PhD
Any and all questions
welcome!
bonnie.scott@lhins.on.ca
49Research and Innovation is organized under
the Clinical Portfolio, led by…
Dr. Mira Backo-Shannon
VP, Clinical
50Purpose of the Research Committee • To promote research partnerships and facilitate learning (e.g., support student research) • To review and evaluate research requests to the Mississauga Halton LHIN using a standardized process and set of criteria that includes: o Scope of Mississauga Halton LHIN involvement o Value to Mississauga Halton LHIN and the Ontario health system o Feasibility o Compliance (e.g., REB, privacy) o Scientific methodology o Financial accountability o Advancing knowledge (informing policy and practices, etc.) o Knowledge translation and engagement 51
Who is the Research Committee
• Vice President, Clinical (Executive Sponsor)
• Chief Scientist (Joint Appointment, Mississauga Halton LHIN
and Institute for Better Health)
• Research and Innovation Officer
• Ombudsperson, Privacy and Ethics
• Director, Decision Support
• Director, Home and Community Care
• Corporate Manager, Research Operations and Project
Management, Institute for Better Health
52Please welcome… the Research Champions!
Systems Thinker,
Sees Big Picture Open, Curious,
Inquisitive
Sees the Need
Every Day
Data-Oriented, Approachable,
Objective, Supportive, The “Go-
Methodical To” Person
53Purpose of the Research Champions
• To be equipped with the knowledge, processes, and
capacity to support the development of our research
framework, tools, and resources
• To be leaders in developing and embedding a research
culture at the Mississauga Halton LHIN and help guide
the spread and scale of research activities
• To participate (ad hoc) in the review and evaluation of
research requests to the Mississauga Halton LHIN
5431 Research Champions from across Mississauga Halton LHIN!
Dr. Mira Backo-Shannon – VP, Clinical (Executive Sponsor) Lydia Oktaba – Integrated Care
Bonnie Scott – Research and Innovation Officer (Project Sponsor) Carrie Parkinson – Health System Performance, Funding,
and Contract Management
Pat Ali – Patient and Family Advisor
Jannine Bolton – Integrated Care Kristen Raiskums – Physician Engagement, Integration, and
Relationship Management
Anna Chen – Privacy, Patient Relations, and Records Shelley Richards – Integrated Care
Jose Cruz – Information Technology and Information Management Fiona Ryan – Professional Practice and Programming
Rochelle Duong – Professional Practice and Programming Tamara Singh – Family Physician (Oakville, Brampton)
Shatha Farah – Strategy, Integration, and Planning; Donald Stokes – Information Technology and Information
Communications and Engagement
Management
Amy Kende – People Development and Engagement Hazel Tanguin-Gana – Finance
Sunita Kheterpal – Communications and Engagement Liz Viveiros – Patient and Family Advisor
Julia Kim – Professional Practice and Programming Sarah Waite – Integrated Care
Roman Lojko – Quality and Risk Samantha Watson – People Development and Engagement
Neena Malhotra – Integrated Care Geoff Wheatley – Nurse Practitioner, Seniors Mental Health
Katherine Manalaysay – Integrated Care Outreach Team, Trillium Health Partners
Rosemary McNeely – Patient and Family Advisor Kim Wilhelm – Regional Programs
Lisa Nagatakiya – Integrated Care James Yuan – Quality and Risk
Mercy Ntwiga – Integrated Care Naheed Zaidi – Integrated Care
Delilah Ofosu-Barko – Corporate Manager, Research
Operations and Project Management (Project Partner at IBH)
55Research Champion Kick-Off Meeting (Nov 2)
A Success!
November 2, 2018
56Research Champions will help co-design
our Research Framework
57Collaboration with Institute for Better Health
To enable the promotion and conduct of patient-centered
research within the region for optimal community impact
• Chief Scientist – Joint Appointment
• Grant application support
• Research project management
support (protocol development,
navigation of REB process)
• Research agreement support
• General research support
58Our 2018-2019 research milestones
We are here!
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
Discuss with Establish Research Champions and Lead research
Leadership co-design research framework & resources culture activities
Receive, review, and evaluate research requests
59We hope this has sparked your
curiosity about research with
the Mississauga Halton LHIN!
60Want to become involved
or have a research idea?
Send an email to learn more about
Mississauga Halton LHIN’s processes and resources!
bonnie.scott@lhins.on.ca
Any and all questions welcome!
61Closing Remarks Health Leaders Quarterly Forum Sharon Lee Smith, Interim CEO December 13, 2018
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