Hospital Accountability Planning
Submission (HAPS) Process
Fiscal 2016/17
Presented in Fall 2015
Agenda
1.
2.
3.
4.
Context
HSAA Organizational Structure
Guiding Principles
Differences between 2015-16 and 2016-17
•
HAPS Submission Timelines
•
HAPS Guidelines
•
Additional Updates
5. Projected Timelines for 2016-17
6. Planning for Key Variables
7. Planning Environment Considerations
8. Assumptions
9. Appendix A: HSAA Planning & Schedules WG Membership
10. Appendix B: SRI Reports WG Membership
11. Questions
Context
Planning for 2016/2017
•
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.
•
Information collected through the Hospital Accountability Planning
Submission (HAPS) and the Additional Input forms will be used to
populate the HSAA Schedules. Both the HAPS forms and the guidelines
have been refreshed.
•
The HAPS and related draft Schedules will cover one fiscal year (FY
2016/17).
3
Context
Planning for 2016/2017
•
The government continues to implement Health System Funding
Reform (HSFR), which supports system capacity planning and quality
improvement through directly linking funding to patient outcomes.
LHINs and the hospitals recognize that HSFR will impact the HSAA
process.
•
Hospital funding has become unique to each individual hospital with
the roll out of the Health Based Allocation Model and Quality-Based
Procedure Funding (QBP) and so “across the board” planning targets
are no longer relevant or possible.
4
Context
Planning for 2016/2017
•
Hospitals are currently engaged in developing budgets to guide
operations for fiscal 2016/17 as part of their organization’s fiduciary
duty, and hospital services will continue to be provided to patients
according to the hospital’s internal plan and based on the hospital’s
best assumptions.
•
There is great benefit for hospitals and LHINs to agree on
performance expectations within a set of parameters that begins on
day one of the fiscal year. The vehicle for this agreement is the HSAA.
5
HSAA Organizational Structure
Creating an ownership framework
Hospitals
LHINs
(OHA)
HSAA Steering Committee
HSAA Planning &
Schedules
HSAA Indicator
Work Group
Work Group
SRI Reports Work
Group
6
HSAA Organizational Structure
Creating an ownership framework
•
The HSAA Planning & Schedules Work Group is co-led by Sherry
Kennedy, Chief Operating Officer of the South East LHIN, and May
Chang, Executive Vice President, Strategy & Patient Experience,
Markham Stouffville Hospital. The SRI Reports Work Group is led by
Pete Crvenkovski, Director of Performance Quality & Knowledge
Management at Erie St. Clair LHIN.
•
Based on the HSAA Steering Committee’s planning assumptions, the
core deliverables of the HSAA Planning & Schedules Work Group
were to prepare draft schedules and planning submission documents
and produce related education materials.
7
Guiding Principles
Developing the HAPS materials
The deliverables of the Planning & Schedules Work Group were set with the
following guiding principles in mind:
1. Practicality - Develop products that reflect our current reality and
are easy to use/understand.
2. Emphasis on local within the provincial context - For planning
targets, performance indicator targets and other health system
changes.
8
Guiding Principles
Developing the HAPS materials
3.
Partnership Approach - Hospitals and LHINs should liaise early
and often in order to develop a mutually acceptable HSAA
within the requisite timeline.
4.
Ensure alignment. All core HAPS/HSAA materials (Guidelines,
Forms and Schedules), should align with one another. The
Work Group will also strive for enhanced functionality whereby
one form/schedule may be pre-populated by another where
appropriate.
9
Differences between 2015-16 and 2016-17
HAPS Submission Timelines
•
Over the past few years the HAPS document has had a due date in
January.
• This often resulted in an abbreviated review of the submissions
by the LHIN resulting in multiple production runs of the
schedules due to changes.
• The additional time afforded to the Hospitals did not make a
significant difference in the value of the HAPS plan in the overall
HSAA agreement.
•
Most Hospitals begin their planning process in September to allow
time to implement changes in cost structures.
10
Differences between 2015-16 and 2016-17
HAPS Submission Timelines
•
A standardized Work plan has been endorsed by the LHIN CEOs and
will be implemented in 2016-17 to provide predictable dates for key
deliverables for all future years.
•
For 2016-17, the HAPS submission is due on Monday November 23rd,
2015 .
•
The LHINs do not consider the submission on the 23rd to be final as
changes usually occur post submission up to January through the
LHIN review process.
•
The final HAPS is approved by Hospital Boards in January 2016.
11
Differences between 2015-16 and 2016-17
HAPS Guidelines
•
Updates to the HAPS Guidelines include:
• New content regarding Provincial Interest Programs
• Sexual Assault Clinics
• Embedded a hospital listing in the Narrative to guide
hospitals through the completion of Section 2a and 2b
• Standardized the submission process through SRI for the HAPS
Narrative and the Additional Input file
• Embedded within these documents are instructions on how
to enable SRI submission.
12
Differences between 2015-16 and 2016-17
Additional Updates
•
The Additional Input Form has been reduced in length
•
HAPS narrative updated
• Includes a new Narrative for Hospitals with Sexual Assault Clinics
•
There is a new Supplemental reporting Tab in the HAPS for LHIN use
(hospitals should ignore this when submitting)
Projected Timelines for 2016-17
HAPS and HSAA
Activity
Time Frame
HAPS Completion
• HAPS on SRI
• HAPS Narrative (submit as document through SRI)
• HAPS Additional Input (submit as document through SRI)
Oct 1/15 to Nov 23/15
HSAA Launch (Local)
• Local Education
• Draft Local Indicators & Performance Targets to Hospitals
Nov 10/15 to Nov 16/15
Local Indicators & Performance Targets Negotiated & Finalized
Nov 23/15 to Dec 18/15
LHIN prepares the Hospital Agreements and Schedules & sends for
Hospitals for Feb 1/16
Jan 15/16 to Feb 1/16
Provincial Update
Dec 1/15 to Dec 4/15
Hospital Boards approve HAPS
Jan 1/16 to Jan 31/16
Hospital Boards approve HSAA agreement and returned signed
copies to LHIN
Feb 1/16 to Mar 31/16
Planning for Key Variables
HAPS
•
Key variables to consider when completing the HAPS
include:
• Mitigation
• HBAM
• QBPs
Planning Environment Considerations
HAPS
•
Breaking the cycle of Rework
•
The Mystery of Funding
•
Scenario Planning
•
It’s just a “Plan”
•
Timelines
Assumptions
HAPS
•
Hospitals will individually and locally determine reasonable planning
assumptions for use in the completion of the 2016-17 HAPS.
•
Use information currently available including assumptions for HBAM and
Quality Based Procedures.
•
The LHIN will review assumptions for reasonableness.
•
In some LHINs, the LHIN and hospitals may collectively agree on a common
set of assumptions.
Appendix A: HSAA Planning & Schedules Work Group
Membership
Sector
LHIN
Organization
Individual, Title
SE LHIN
Sherry Kennedy, COO (Co-Chair)
Hospital
Markham Stouffville Hospital
May Chang, Executive VP, Strategy & Patient Experience
(Co-Chair)
Hospital
Collingwood General & Marine Hospital
Michael Lacroix, Vice President, Corporate Services &
CFO
Hospital
North York General Hospital
Deepak Sharma, Director, Decision Support
Hospital
Red Lake Margaret Cochenour
Memorial Hospital
Paul Chatelain, Former President and CEO
Hospital
St Michael’s Hospital
Tomi Nieminen, Director
Hospital
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
Ontario Hospital Association
Imtiaz Daniel, Director, Financial Analytics and System
Performance
OHA
Appendix A: HSAA Planning & Schedules Work Group
Membership (cont’d)
Sector
Organization
Individual, Title
LHIN
CH LHIN
Elizabeth Woodbury, Senior Accountability Specialist
LHIN
MH LHIN
Andrew Wahab, Senior Lead of Funding and Allocation
LHIN
NE LHIN
Marc Demers, Controller / Corporate Services Manager
LHIN
NE LHIN
Joan Tonon, Data Analyst
LHIN
NW LHIN
Kevin Holder, Senior Consultant
LHIN
SE LHIN
Mike McClelland, Senior Financial Analyst
LHIN
SW LHIN
Scott Chambers, Team Lead
LHIN
SW LHIN
Betty Wang, Financial Analyst
LHIN
TC LHIN
Chris Sulway, Senior Consultant
LHIN
MH LHIN
Laura Salisbury, Executive Lead (Observer)
Appendix B: SRI Reports Work Group
Membership
Sector
Organization
Individual, Title
LHIN
ESC LHIN
Pete Crvenkovski, Director, Performance Quality &
Knowledge Management (Executive Lead)
LHIN
ESC LHIN
Jean-Francois Gauthier, Performance & Finance Analyst
LHIN
CW LHIN
Chak Lee, Financial Analyst
LHIN
MH LHIN
Andrew Wahab, Senior Lead, Funding and Allocation
LHIN
NE LHIN
Joan Tonan, Data Analyst
LHIN
NW LHIN
James Anderson, Performance and Contract
Management Consultant
LHIN
TC LHIN
LHIN
TC LHIN
Greg Stevens, Senior Consultant, Performance
Management
Mohamedraza Khaki, Consultant Performance
Measurement & Information
Questions about the HAPS?
Please contact your local LHIN.