MSAA and CAPS Process

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M-SAA and CAPS Process

• North West LHIN
• 2009 2011
• Healthier people, a strong health systemour
  future.

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Presentation Topics

• Context for the day
• North West LHIN community programs overview
• Multi-Sectoral Service Accountability Agreement
• (M-SAA) overview
• Roles and responsibilities
• Community Annual Planning Submission (CAPS)
  overview
• CAPS technical review timelines
• Next steps
• QA

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Context for the Day related to the
Multi-Sectoral Accountability Agreement (M-SAA)
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Context for New M-SAA

• Local Health System Integration Act 2006 (LHSIA)
• Established LHINs as system managers and funders
  of local health system.
• LHINs HSPs are responsible for
• - Health system planning
• - Community engagement and
• - Identifying integration opportunities.
• Requires accountability agreements with all HSPs,
  specifically with CSS, CHCs, MHA CCACs by
  April 1, 2009.

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Context for New M-SAA (contd)

• NW LHIN Integrated Health Service Plan (IHSP)
• Identifies local health care priorities.
• The M-SAA CAPS should advance the priorities
  contained in the IHSP.
• All must align with the M-LAA.

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Overview of Community Sector Programs in the
North West LHIN that will be involved in the
M-SAA process
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North West LHIN Overview of Community Sector
Programs
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Multi-Sectoral Service Accountability Agreement
(M-SAA) overview
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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• What is M-SAA?
• Key differences between M-SAA and old MOHLTC/HSP
  Agreement
• Approach
• Principles

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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• What is M-SAA?
• The M-SAA is a service accountability agreement
  between the LHIN and a Health Service Provider
  (HSP).
• It is more than an agreement to purchase a basket
  of health services for an amount of funding.
• It clarifies that the HSP is responsible for
  delivery of services, performance, planning and
  integration of services across the health system.

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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• Requirement under LHSIA, 2006 and MLAA.
• Tool to support the health care transformation
  agenda.
• Supports alignment with provincial strategic
  directions.
• Supports MLAA direction to strengthen
  accountability for results.
• Vehicle to delineate accountabilities and
  performance expectations.
• Clearly articulates expectations of both parties.
• Builds on existing agreements where possible.
• Consistent template agreement for all sectors
  supported by schedules.

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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• Negotiation process - specifically quantifying
  the performance indicators in the schedules by
  the individual LHIN and HSP.
• Ensures consistency to streamline processes,
  minimize burden and provide clarity and equity
  for both HSPs and LHINs.

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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• Its a new, new world

This is a fundamental change focus on
accountability this is a new type of
relationship with the funder
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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• Its a new world - Key Differences

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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• Its a new world - Key Differences

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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• Its a new world - Key Differences

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Multi-Sectoral Service Accountability Agreement
(M-SAA)

• Its a new world - Key Differences

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M-SAA Approach

• Development of templates/schedules based on
  consultation with the various sectors.
• LHIN Board to approve template in late 2008.
• LHIN to circulate draft M-SAA to HSP boards in
  January 2009 (populated with CAPS information as
  submitted by HSP) for review and approval.
• HSPs to have only 1 M-SAA even if more than one
  program/sector exists (may have different
  schedules to the agreement though).

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Guiding Principles

• Trust and transparency in relationship.
• Respect and understanding of each others roles.
• Development of a systems culture.
• Accountability.
• Balanced operating position.
• Integration and service coordination.
• Community engagement.

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Roles and Responsibilities
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Roles and Responsibilities

• HSP Board Responsibilities
• General
• Community Engagement
• Integration
• LHIN Board Responsibilities

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HSP Board Responsibilities

• General
• Oversight of HSP operations, including governance
  and administrative policy/evaluation strategic
  planning health service planning, including
  evaluation of quality/outcomes overall human
  resource planning and financial results.
• Knowledge of M-SAA content and CAPS requirements.
• Ensuring the accurate and timely fulfillment of
  those requirements.
• Review and approve CAPS by Nov 14, 2008.

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HSP Board Responsibilities (contd)

• General (contd)
• Negotiate and sign M-SAA before Mar 31, 2009.
• (Note that the LHIN does not have the authority
  to fund an HSP after March 31, 2009 without a
  signed M-SAA.)
• Ensure appropriate engagement with peers and
  clients/patients/families when considering
  significant adjustment to the service offerings.
• Identify and evaluate integration opportunities
  to improve health service delivery (i.e.
  improving access, providing new services where
  warranted, or making efficiency improvements).

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HSP Board Responsibilities (contd)

• Community Engagement
• Provide stakeholders with balanced and objective
  information.
• Obtain feedback and recommendations on
  opportunities for coordination and integration.
• Ensure concerns are consistently understood and
  considered.
• Build relationships.

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HSP Board Responsibilities (contd)

• Integration
• The terms integrate and integration, as they
  are used in the Local Health System Integration
  Act, are very broad concepts, capturing a wide
  range of activities.

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HSP Board Responsibilities (contd)

• Integration (contd)
• Integration definition, as adopted by the North
  West LHIN Board, February 2007
• Coordinated health services that both improve
  accessibility and allow people to move more
  easily through the care and treatment continuum
  of the health system and provide appropriate,
  effective and efficient health services.

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HSP Board Responsibilities (contd)
Integration (contd)

• Why focus on integration?
• - Healthcare is fragmented
• - Need to address seams in the system between
  programs and sectorsensure continuity of care
• - Opportunities to improve efficiencies and
  effectiveness of service provision
• - Need to optimize outcomes for consumers, given
  the resources

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HSP Board Responsibilities (contd)
Integration (contd)

• - Autonomy is the practice norm where major
  variations exist in practice
• - Remove silos
• - Improve system performance and
• - Reduce duplication.

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HSP Board Responsibilities (contd)
Integration (contd)

• Types of Integration Activities
• - Coordination of services and interactions
• - Partnering with others in providing services or
  in operating services
• - Transferring, merging, or amalgamating
  services, operations, or entities
• - Starting or ceasing to provide services and,
• - Ceasing to operate.

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LHIN Board Responsibilities

• Engagement with HSP Boards to ensure
  understanding of changing responsibility from
  provision of a service for funds to
  accountability to the LHIN and the public for
  the best use of those funds within the larger
  health system.
• Ensure awareness of new policy requirements and
  expectations that HSPs will adopt best business
  practices in all matters.

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LHIN Board Responsibilities (contd)

• System manager vs. operational oversight new
  M-SAA, CAPS and community financial policy make
  great strides in this direction.
• Setting multi-year funding targets to enable
  better planning.
• Approval of M-SAA template agreement.
• Monitoring of progress of CAPS and negotiations
  of M-SAAs through regular reports to the Board.
• Approval of negotiated and staff recommended
  M-SAAs with HSPs by March 31, 2009.

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Community Annual Planning Submission (CAPS)
overview
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Community Annual Planning Submission

• What are CAPS?
• Timelines
• Principles
• Context
• New combined community-wide financial policy
• - Overview
• - Re-allocations
• M-SAA/CAPS Content

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Community Annual Planning Submission (CAPS)

• What are CAPS?
• CAPS is the two-year operating plan for the
  organization.
• It includes
• A narrative
• Financial information and
• Statistical information for the two budget years
  under negotiation (2009/10 and 2010/11), current
  year (2008/09) approved budget figures and prior
  year (2007/08) actual figures.

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CAPS (contd)

• CAPS Timelines
• October 8 CAPS launched to the field through
  WERS.
• October 8-November 14 HSPs complete and submit 2
  year Board approved CAPS.
• November 15-December 15 LHIN consultants review
  CAPS and request adjustments as necessary.

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CAPS (contd)

• CAPS Principles
• Full entity reporting (HSPs use Fund Type 3).
• MIS reporting (in advance of compliance in some
  cases).
• Maximize standardization and structure.
• Promotes LHINs role as system manager.
• Performance indicators and clear policy direction
  used as primary tools for demonstrating and
  monitoring accountability.

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CAPS (contd)

• CAPS Context
• Includes financial templates.
• Includes narrative service plan.
• HSPs submit their CAPS on the ministrys Web
  Enabled Reporting System (WERS).
• Provides a list of performance indicators.
• Balanced budget requirement.
• Links with M-SAA.
• Submission of only one CAPS even if more than one
  program exists and HSP operates in more than one
  sector.
• Has a new consistent financial policy for all
  sectors.

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CAPS (contd)

• New Combined Community Financial Policy
• Sets out financial requirements that HSPs must
  adhere to as a condition of receiving funding.
• Identifies sector specific requirements.
• Provides consistency across all community
  sectors.
• Supports the M-SAA.

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CAPS (contd)

• New Combined Community Financial Policy (contd)
• The Policy consolidates and replaces the
  financial policies in the following policies or
  manuals
• MOHLTC CCAC Funding Policy
• Planning, Funding Accountability Policy
  Procedures Manual for LTC Community Services,
  December 2000
• Operating Manual for Mental Health Services and
  Addiction Treatment Services, December 2003
• Community Health Centre Policies Procedures
  Manual, December 2001

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CAPS (contd)

• New Combined Community Financial Policy (contd)
• The Policy does not replace the governance,
  administrative or program requirements outlined
  in the MHA and CHC Manuals.
• These additional requirements are identified in
  Schedule D.

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CAPS (contd)

• New Combined Community Financial Policy (contd)
• The Policy is divided into 5 sections
• - Expenses - Funded and Non-Funded
• - Revenue - Exclusions and Inclusions From the
  Subsidy Calculation
• - Re-allocation
• - Assets and
• - Other Financial Requirements.

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CAPS (contd)

• New Combined Community Financial Policy (contd)
• Highlights
• Assets
• Exceeding 5,000, must be included on the
  inventory.
• Disposal of assets with an original cost
  exceeding 25,000.
• Interest - income earned on LHIN funds can be
  used to support LHIN.
• GST - refunds or recoveries of previous
  expenditures are treated as a reduction of the
  related expense.
• Technical instructions for year-end settlement
  TBD.

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CAPS (contd)

• New Combined Community Financial Policy (contd)
• Reallocation Policy
• Supports the new relationship between HSPs and
  LHINs
• Moves away from operational oversight and
  organizational activity.
• Focuses on accountability, performance and
  outcome measures.
• Provides HSPs with more control over allocating
  resources to respond to identified client need.

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CAPS (contd)

• New Combined Community Financial Policy (contd)
• In-Year Reallocation Policy
• - HSPs may reallocate funds to
• Meet approved service targets or
• Respond to service demands by
• approving additional services above the service
  targets, or
• substituting one type of approved service for
  another.

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CAPS (contd)

• New Combined Community Financial Policy (contd)
• LHIN approval is required to reallocate funds
• - To provide a service not in the approved
  budget
• - Between Transfer Payment Business Entities or
• - From a dedicated funding envelope such as
• Sessional fee funding
• Non-insured client funding and
• Physician salary funding.
• LHIN approval is required to use in-year
  unspent/surplus funds.

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CAPS (contd)

• New Combined Community Financial Policy (contd)
• Permanent Budget Reallocation
• The CAPS process should be used to transfer funds
  on a permanent basis.
• A Health System Improvement Pre-Proposal should
  be submitted for any proposed reduction,
  transfer, new service or elimination of service.
• See Section 4 of the CAPS Guidelines for further
  information.

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CAPS (contd)

• Multi-Sectoral Accountability Agreement
• Main body of agreement boiler plate (same for
  all sectors)
• Schedules to the Agreement (may be different
  depending on Sector)
• Schedule A Detailed Description of Services
• Schedule B Service Plan (Narrative)
• Schedule C Reports
• Schedule D Directives, Guidelines, Policies
  Standards
• Schedule E Performance
• Schedule F Template for Project Funding

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CAPS (contd)

• Schedule A Detailed Description of Services
• Schedule A of the M-SAA includes the following
  required components
• Services provided
• Client Population and
• Geography served.
• LHINs may request specific information about
  services within the region.
• Template uploaded to WERS with CAPS.
• Template available on NW LHIN website.
• See Section 3 of CAPS Guidelines for instructions
  on completion.

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CAPS (contd)

• Schedule B Service Plan (Narrative)
• Schedule B, Part A Service Plan Narrative of the
  M-SAA includes the following required components
• Overview
• Advancement of the IHSP (which include Community
  Engagement activities and Integration
  opportunities)
• Situation analysis
• Evaluation of prior year performance and
• Changes to Operations Summary (optional).
• LHINs may request specific information relating
  to services within their region.
• Template uploaded to WERS with CAPS.
• Template available on NW LHIN website.
• See Section 3 of CAPS Guidelines for instruction
  on completion.

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CAPS (Contd)

• Schedule C - Reports
• Schedule C of the M-SAA outlines
• - Financial and performance reporting required
  during the term of the M-SAA beginning April 1,
  2009 and
• - Multi-sector as well as sector specific
  reporting requirements.
• Final schedule will be available upon final
  approval of M-SAA by LHIN Boards.
• Nothing for HSP to complete.

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CAPS (Contd)

• Schedule D Directives, Guidelines, Policies
  Standards
• Schedule D of the M-SAA outlines
• - Policies, guidelines, directives and standards
  applicable to the HSP and services provided by
  sector.
• Refer to Appendix D of the CAPS Guidelines for a
  detailed listing.
• Nothing for the HSP to complete.

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CAPS (Contd)

• Schedule E - Performance
• Performance Indicator Schedule of the M-SAA.
• Indicators were developed in consultation with
  the specific sectors.
• Indicators include
• - Core indicators and
• Sector specific indicators.
• Indicators are identified as either
• - Performance indicators or
• Development Indicators.
• LHIN-specific indicators may be developed to
  support local health service delivery plans (eg.
  client satisfaction, client safety).

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CAPS (Contd)

• Schedule E - Performance

Ministry of Health and Long-Term Care
System Steward
Ministry-LHIN Accountability Agreement (Contains
Performance Indicators)
North West LHIN
System Manager
Multi-Sectoral Accountability Agreement (Will
also contains Performance Indicators)
Health Service Providers (eg. CSS, MHA)
Providers of Services to the Health System
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CAPS (Contd)

• Schedule E - Performance
• Performance Framework

Financial Fiscal Health
Organizational Capacity
System Perspective
High Quality Health Services
Patient/Client Perspective
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CAPS (Contd)

• Schedule E - Performance
• Performance Core Indicators

Organizational Capacity Quarterly variance
budget and forecast Quarterly variance
budget and forecast units of service
budget spent on direct Care Vacancy
rate Turnover rate
Financial / Fiscal Health Balanced Budget (Total
margin) Cost per unit service Cost per
individual served
System Perspective the HSP will contribute
to LHIN system outcomes for ALC / ED visits /
LTC waits as specified in the LHIN MLAA NOT a
specific numerical target for HSPs (all sectors
recommended developing sector-relevant measures
of their contribution to LHIN systems outcomes)
High Quality Health Services Provider specific /
relevant service volumes by defined unit of
service Wait times Referral to
Assessment Assessment to Service Initiation
Patient/Client Perspective Client satisfaction /
Experience (to be developed)
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CAPS (Contd)

• Schedule E Performance
• Performance/Developmental Indicators All sectors

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CAPS (Contd)

• Schedule E Performance
• Performance/Developmental Indicators All sectors

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CAPS (Contd)

• Schedule E Performance
• Performance/Developmental Indicators Sector
  specific

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CAPS (Contd)

• Schedule E Performance
• Performance/Developmental Indicators Sector
  specific

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CAPS (Contd)

• Schedule F - Template for Project Funding
• Project Funding
• Allows the LHIN to fund an HSP to undertake a
  project without the need to negotiate a separate
  project funding agreement.
• The template includes a sign-back with the
  following components

• Description of Project
• Description of Deliverables
• Out of Scope
• Due Dates

• Performance Standards
• Reporting
• Project Assumptions
• Rates

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CAPS Technical Review and Timelines
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CAPS Technical Discussion

• CAPS Forms what are they why?
• Who completes CAPS?
• How to access CAPS Template on WERS
• Forms worksheet LHIN Ministry managed in
  detail
• CAPS link to M-SAA
• CAPS outstanding issues

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CAPS Technical Discussion

• CAPS Forms
• The CAPS budget template is a set of budget and
  service activity data Forms/Worksheets that HSPs
  complete using the Web Enabled Reporting System
  (WERS).
• Developed to allow for multi-sector reporting in
  a single template
• Move away from multiple sector specific budget
  packages
• Reduced number of forms to complete
• Standardized package easier for programmers to
  update and
• More timely package release.
• Will require coordinated budgeting between
  organizational departments/programs remember
  there is only one budget submission for the
  entire organization

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CAPS technical discussion CAPS forms
Move from multiple budget packages
To a single budget package
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CAPS technical discussion CAPS forms

• Forms are structured for full entity reporting
• - High level reporting for fund type 1 3
  revenue expense (2 lines).
• example
• The CAPS promote compliance with OHRS/MIS
  financial and statistical reporting
• - Standardized accounts improves reliability of
  input and
• - Improves comparability between organizations.

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CAPS technical discussion CAPS forms

• Full Entity Reporting
• Fund Type 1 used for hospital reporting
• Fund Type 2 used for LHIN and Ministry of
  Health funding
• Fund Type 3 used for reporting funding from
  other sources (federal, other provincial
  ministries)
• Both FT 1 FT 3 are 2 lines each in the CAPS
  forms

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CAPS technical discussion CAPS forms

• CAPS Template Structure

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CAPS Who has to complete it?
To WERS
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How to Access the CAPS templates

• CCACs
• Access and complete the CAPS forms under their
  existing CCAC log on information through WERS.
• Any CSS funding received by CCACs will be
  reported in the CAPS using the appropriate TPBE
  worksheet.

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How to Access the CAPS templates

• CMHA
• Access and complete the CAPS forms under their
  existing CMHA log on through WERS.
• Any CSS funding received by CMHA providers will
  be reported in the CAPS using the appropriate
  TPBE worksheet.
• CMHAs will still be able to access the
  historical CSS submissions under the CSS Logon.

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How to Access the CAPS templates

• CSS
• Access and complete the CAPS forms under their
  existing CSS log on through WERS.
• HSPs having multiple Service Agreements in
  2008-09 will be required to complete only one
  CAPS.

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How to Access the CAPS templates

• CHCs
• Access and complete the CAPS forms under their
  new CHC log on information through WERS.

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How to Access the CAPS templates

• Future
• The future plan is to have a single login to WERS
  for all community HSP organizations.

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How to Access the CAPS templates
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How to Access the CAPS templates
Select your LHIN, Organization, then enter your
Username and Password
CAPS User Guide
CAPS Guidelines
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How to Access the CAPS templates
This is the CAPS Forms Page. From this page HSPs
can download, upload, edit online forms and
change the report package status.
You can move between reports from the drop menu
at the top of the page.
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How to Access the CAPS templates
The various CAPS forms can be completed online
by clicking on the link of the various
pages Or Download the forms in excel, complete
them on your desktop and upload them back to this
website once you are complete
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How to Access the CAPS templates
Read Me file
The CAPS Narrative Documents will have to
uploaded to this site using the upload narrative
document feature in the offline editing centre
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CAPS forms

• Read Me at the beginning of the excel forms and
  on-line version
• Please read this as it does provide valuable
  information

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CAPS forms
For full entity reporting the CAPS template
includes forms and worksheets for both LHIN and
Ministry Managed Programs
LHIN
MINISTRY
Form2a Summary of Revenue and Expenses
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CAPS forms Form 1
Contact information will be populated based on
previous submissions and will flow through the
identification page and all form and worksheet
headings. HSPs can edit Organization information
under the homepage or through Account
Administration.
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CAPS forms Form 1 contd
The identification section also includes a
listing of the transfer payment business entities
(TPBEs) and the associated CAPS budget
worksheets.
The program number is only applicable to CMHA
organizations. The program number associated with
each TPBE and will be automatically populated
based on the organizations most current profile.
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CAPS forms Form 1 contd
Once the form is completed, remember to hit the
edit/update button if you are preparing the forms
on-line
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CAPS forms Form 1 contd

• Form 2a is a roll up of all LHIN managed and
  ministry managed programs (full entity reporting)
  HSPs do not need to enter anything
• Form 2b is a roll up of all LHIN managed programs
  HSPs may have to enter 2007/08 information if
  its not pre-populated
• Form 2c is a roll up of all ministry managed
  programs HSPs may have to enter 2007/08
  information if its not pre-populated

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CAPS forms Form 2s contd
Form 2b is a roll up of all LHIN managed programs
(HSPs may have to enter 2007/08 information if
its not pre-populated) Form 2c is a roll up of
all Ministry managed programs (HSPs may have to
enter 2007/08 information if its not
pre-populated)
Please note that at the time of preparation,
there has not been a decision whether ministry
managed programs are to be completed using the
CAPS forms
If you have been approved one-time funding from
the LHIN or other sources, please make sure it is
entered in your CAPS
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CAPS forms Form 2s contd
Form 2b and 2c contain a variance explanation
box. Providers are asked to type a brief
explanation for each line where there is a
significant change from the prior year approved
budget significant is generally defined as 10
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CAPS forms Form 2s contd

• Form 2s contain the following five common
  sections

• Fund Type 2 Revenue and Expenses (Detail by
  OHRS/MIS Secondary Accounts)
• Fund Type 3 Other (Two lines Total Revenue/Total
  Expense)
• Fund Type 1 Hospital (Two lines Total
  Revenue/Total Expense)
• All Fund Types Total of sections 1 -3 above
• Administration costs detail by Functional centre
  included in Fund Type 2 expenses

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CAPS forms Form 2s contd

• To complete the Form 2s use the mapping document
  that details all the various revenues and
  expenses by OHRS.
• This will be particularly helpful for those not
  familiar with OHRS reporting.

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CAPS forms TPBE Worksheets 1a4b
CMHP
ABI
CCAC
Note HSPs that receive funding for more than
one healthcare sector will complete more than one
TPBE worksheet.
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CAPS forms Worksheets 1a 4b

• Allocation of Administration

• Providers are to identify the total
  Administrative costs by MIS/OHRS functional
  centre included in the fund type 2 expense
  section.
• Providers will enter this supplementary detail in
  lines 40 through 43 of the applicable TPBE
  worksheets.
• The values budget values entered into the TPBE
  worksheets will automatically populate the budget
  request and target columns in Form 2b and 2c.

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CAPS forms Worksheets 1a 4b

• Example
• A HSP that receives both CMHA and CSS funding
  from the LHIN will complete worksheets W1a and
  W2a.
• A CCAC who receives CSS funding for ministry
  managed programs will complete worksheets W2b and
  W3b.

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CAPS forms Worksheets 1a 4b

• Example MHA

HSPs will enter revenue and expenses for each
funded TPBE for example for CMHP, SAP PG
program.
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CAPS forms Worksheets 1a 4b
Enter fund type 3 and fund type in lines 31 32,
if applicable. Refer to OHRS and CAPS user guide
for additional detail
Enter Administration expenses included in Fund
Type 2 expenses in lines 40 -43.
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CAPS forms Worksheets 1a 4b
One-time expense description Health Service
Providers that report approved one-time budget
expense are asked to complete the table located
at the bottom of the applicable TPBE worksheet.
Please type a brief description of the item(s).
The amount in this table must equal the total
reported on line 23 of the TPBE worksheet.

• One-Time Expenses

Line 23-F. F 4, 5, 6, Community One-Time
Expenses (For budget purposes only) This line is
to be used by HSPs to report any one-time expense
approved by the LHIN or Ministry for inclusion in
the 2009/10 and 2010/11 budget.
This is at the bottom of each worksheet (1a
through to 4b).
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CAPS forms Worksheets 1a 4b

• Paymaster Reporting

HSPs that are part of a paymaster relationship
are required to complete this section at the
bottom of the applicable worksheets
The HSP receiving the funding from the LHIN is
fully responsible for reporting the financial and
statistical information
This is at the bottom of each worksheet (1a
through to 4b).
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CAPS forms Worksheets 1a 4b

• Form 4a 4b For CHCs.
• CHCs are not yet OHRS compliant.
• There is a mapping document to use to translate
  the existing financial categories to the new OHRS
  standards by line number.
• Refer to these new code as you will be to using
  these shortly.

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CAPS forms Form 3s

• Form 3a is a high level roll up of the service
  activity statistics for all LHIN managed
  programs (all programs TPBEs for example if
  an organization has CMHA and CSS programs they
  all get rolled up to 3a)
• - HSPs do not need to enter anything
• Form 3b is where CSS, CMHA, CCACs enter their
  service data for the budget years for all LHIN
  funded programs
• Form 3c is where CHCs enter their service data
  for the budget years for all LHIN funded programs
• Forms 3d, 3e 3f are the same as above except
  they are for ministry managed programs

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CAPS forms Form 3s

• Form 3b is used to enter service data and cost of
  service delivery for each Functional/Accounting
  Centre

Each functional centre and applicable secondary
account is listed here please review the
definitions in Appendix H on the
www.mohltcfim.com website for more info
Total costs by Functional Centre get entered in
this column
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CAPS forms Form 3s

• Form 3b Functional Centres for CSS agencies
• For CSS agencies that are not OHRS compliant yet
  (still under the PFA rules).
• Use the mapping document to translate the old PFA
  codes to the new OHRS standards and start using
  these now.

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CAPS forms Form 3s

• Refer to the CAPS user guide for technical
  details how to complete the Forms, especially
  Form 3b.
• CAPS user guide is available on the WERS website.

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CAPS forms Form 4

• Only used by CCAC to report detailed information
  on contracted out services for selected
  Functional/ Accounting centres
• Service volume
• Rate
• Total cost of client services purchased from
  third party Providers

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CAPS forms How these relate to the M-SAA
Form 3a becomes M-SAA Schedule B Statistical
Rolled up to Summary
Activity Detail entered into Form 3b through 3c
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CAPS Guidelines

• The CAPS Guidelines document is available at
• - WERS website (at login screen)
• - North West LHIN website
• Consult the guidelines for more details before
  contacting your LHIN consultant for all questions
  related to the CAPS.

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CAPS Outstanding Issues

• Surplus retention.
• CHC - development of MIS Chapter.
• CHC funding target within MLAA.
• Reporting schedule finalization (Nov 2008).
• Performance indicator finalization (Nov 2008).

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Next Steps
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Next Steps

• CAPS to the field October 8, 2008
• Target allocation letters to HSPs by Oct 17th
• HSPs complete and submit Board approved CAPS by
  November 14, 2008
• LHIN reviews CAPS Nov Dec 2008
• LHIN/MOHLTC populates M-SAA with CAPS
  information Dec - Jan 2009
• M-SAA distributed to HSPs Jan 2009

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Next Steps contd

• M-SAA distributed to HSPs Jan 2009
• Teleconference/videoconference for Boards/CEOs to
  review M-SAA highlights and have QA timing TBD
• Negotiations between NW LHIN and community HSPs
  January March 2009
• H-SAA Signed March 2009

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Where to find other documents

• The following documents will be posted on the
  North West LHIN website, through the HSP link
  under the CAPS/M-SAA section www.northwestlhin.o
  n.ca
• CAPS education invitation
• Acronyms Frequently Asked Questions about
  CAPS/M-SAA
• CAPS guidelines
• CAPS education slide deck presented today

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Where to find other documents contd

• The following documents will be posted on the
  North West LHIN website, through the HSP link
  under the CAPS/M-SAA section www.northwestlhin.o
  n.ca
• CSS mapping document for PFA-gtOHRS
• CHC mapping document to OHRS budget categories
• OHRS mapping secondary accounts (revenue
  expenses) to CAPS budget lines

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Where to find other documents contd

• The following documents will be posted on the
  North West LHIN website, through the HSP link
  under the CAPS/M-SAA section www.northwestlhin.o
  n.ca
• CAPS Print utility (allows you to print out the
  excel sheets automatically)
• Schedule A Detailed description of Services
• Schedule B Service Plan Narrative

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• Questions?
• Comments?

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How to Reach Us

• North West Local Health Integration Network
• Suite 201, 975 Alloy Drive
• Thunder Bay, ON P7B 5Z8
• Phone [phone]-LHIN (5446)
• [phone]
• E-mail
• kevin.holder_at_lhins.on.ca
• liisa.simi_at_lhins.on.ca
• byron.ball_at_lhins.on.ca
• Website www.northwestlhin.on.ca

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