Child and Youth Mental Health Program &
Adult Inpatient Mental Health Renovations
Coalition Council Meeting May 2015
Tracey Keighley-Clarke, Operations Director, Regional Cancer Program and Mental
Health and Addictions Program
History
Date
Event
2007
 RVH Clinical Priorities approved by RVH Board
• Child and Youth Mental Health (MH) Program
2008
 RVH Board approves Child and Youth Proposal
 Presentation to NSM LHIN
2010
 Care Connections established
2011
 NSM Leadership Council recommends proceeding with Child and Youth MH
program at RVH
2012
 RVH responds to RFP from Care Connections Mental Health and Addictions
Coordinating Council for Child & Youth Services
 RVH Successful
2013
 RVH cohorts 4 beds to cluster Child and Youth MH admissions
2014
 RVH Board approved Child & Youth MH Program as part of the Clinical Services
Plan
 RVH initiated functional planning and structural design
March 2015
 Pre Capital Submission Form Submission to NSM LHIN
Rationale
•
Only LHIN in province that does not have Child and
Youth Inpatient beds
•
NSM LHIN families must travel outside of the LHIN
boundaries to receive treatment.
•
Access to existing Child and Youth Mental Health &
Addictions programs challenging
Engagement
Child & Youth Mental Health Program presentations
given to NSM LHIN & Community Partners
Child and Youth Crisis
Response Committee
Child &Youth Family
Services Coalition of
Simcoe County
Crisis Management and
Community Resources
Steering
Mental Health &
Addictions Child and
Adolescent Steering
Committee
Care Connections
Mental Health &
Addictions
Coordinating Council
Child and Youth MH Program
Child and Youth Program at RVH
Status
Recruit child psychiatrist (in-hospital, outpatient, community
and on-call practice)
Interim Urgent Care Clinic – Child and Youth
Develop NSM LHIN Child and Youth Services at RVH with
Stakeholders
Program and Service Development
Capital Plans and Equipment
Status
Progress to Date
Date
Event
October 2014
Functional program completed
February 2015
March 2015
Sketch Plan signed off
•
•
Interim Program Strategy Development
Comprehensive Program Development Initiated
Pre Capital Submission Form (PCSF) completed
•
•
RVH’s Performance & Audit Committee approval
RVH’s Board of Directors approval
Submit PCSF and Stage 1 Proposal to NSM LHIN Board
April 2015
•
•
•
•
NSM LHIN’s Health System Improvement Committee approval
NSM LHIN’s Board of Directors approval
Endorsement of PCSF by NSM LHIN sent to MoHLTC
MoHLTC review and approval
May 2015
Submit Functional Program (Stage 2) after
NSH LHIN endorse PCSF and Stage 1
MOHLTC / NSM LHIN Framework for Early Capital
Planning Stages
Stages
Date
Pre-Capital Submission (PCSF)
April 2015
Stage 1
Service Delivery Model
April 2015
Stage 2*
Functional Program
May 2015
Stage 3*
Preliminary Design Development
May 2015
•
3.1/3.2 - Block Schematic &
Sketch Plan Report
June 2015
Stage 4*
Working Drawings
October 2015
Stage 5*
Implementation
Nov 2015 – Dec 2016
* MoHLTC must approve each stage before proceeding to the next stage.
Approval Process
PCSF
STAGE 1A
STAGE 1B
STAGE 2
STAGE 3.1/3.2
STAGE 4
RVH
NSM LHIN
MoHLTC
X
X
March 2015
April 2015
X
X
March 2015
April 2015
X
X
March 2015
April 2015
X
X
X
May 2015
(FYI)
May 2015
X
X
July 2015
July 2015
X
X
September 2015
September 2015
Capital Highlights
•
•
Complete Project (12,640 Sq.ft. Component GSF)
•
Child & Youth Mental Health and Addictions Program
•
Psychiatrist offices + Adult MHAP Inpatient Unit Renovation
Child & Youth Mental Health & Addictions Program
7,850 Sq.ft.
•
•
Situated on Level 3 (3NA Psychiatrist offices)
•
8 bed inpatient unit
•
Day hospital program adjacent to inpatient unit
Inpatient (Adult) Mental Health & Addictions Program
Alterations 4,790 Sq.ft.
•
Move Psychiatrist offices and support to (3SC)Mental Health offices
and adult day hospital
•
Alterations inside Adult inpatient unit to accommodate
allied health staff relocations from Mental health offices
Site Analysis- Level 3 Original Bldg.
Child and Youth
Mental Health
Mental Health
Offices
Adult Mental
Health
Staff Entrance
Food Court
Child and Youth Inpatient Unit
Child and Youth
Mental Health
Inpatient
Child and Youth
Day Hospital
Capital Highlights
Next Steps:
•
User review of room detail and requirements
•
Furniture, Fixtures & Equipment coordination
•
Coordination of mechanical/electrical systems
•
Preparation of construction documents
Funding - Operational
Total Operating Costs
Cost
Year 1
$3.080M
• Staffing rates based on 2015/2016 Fiscal year.
• Includes benefits and support services costs
(EVS, Food/Nutrition, Security, etc.)
Funding – Proposed Budget
Program Staffing
Lead Psychiatrist*
Psychiatrist
RN
RPN
Child and Youth Worker
Social Worker
Occupational Therapist
Recreation Therapist
Psychologist
EVS
Food Services
Security Officer
Patient Service Clerk
Manager*
Total
Program Supply Cost
Support Service Cost
Environmental Services
Food Services
Health Records
Security Supplies
Lab & Imaging
Utilities
IT (license cost)
Human Resources (TSSI & EAP)
Total Support Service costs
Total Program Cost
Hrly Rate
$
$ $ $ 44.00
$ 28.86
$ 30.00
$ 47.03
$ 47.00
$ 30.00
$ 61.54
$ 21.00
$ 21.00
$ 21.00
$ 28.14
$ 59.26
Inpatient
FTE
$
1.0 $
1.0 $
8.7 $ 936,807
3.6 $ 254,259
2.8 $ 205,569
1.0 $ 115,094
0.6 $
69,012
$
0.5 $
75,300
1.2 $
61,671
1.0 $
51,392
0.5 $
25,696
4.3 $ 296,122
1.0 $ 145,024
27.2 $ 2,235,948
$
56,000
Day Hospital &
Outpatient
FTE
$
$
$
1.6 $ 172,286
$
2.0 $ 146,835
1.6 $ 184,151
0.4 $
46,008
0.4 $
29,367
0.5 $
75,300
$
$
$
$
$
6.5 $ 653,947
$
14,000
Total
FTE
1.0
1.0
10.3
3.6
4.8
2.6
1.0
0.4
1.0
1.2
1.0
0.5
4.3
0.5
35.2
-
$
$
$
$ 1,109,094
$ 254,259
$ 352,404
$ 299,245
$ 115,021
$
29,367
$ 150,600
$
61,671
$
51,392
$
25,696
$ 297,499
$
72,512
$ 2,818,760
$
70,000
$
18,329
$
98,608
$
5,000
nil
$
5,000
$
35,000
$
10,000
$
20,000
$ 191,937
$ 3,080,697
Capital
PRELIMINARY CAPITAL COSTING*
Construction, planning and ancillary costs
Child and Youth Program <$310,000>
Adult Outpatient Mental Health <$90,000>
Adult Inpatient Mental Health <$100,000>
Construction Buffer
SUBTOTAL
Furniture and equipment
TOTAL (rounded up by $4,500)
Funders:
•
RVH Foundation ($3.0M – Hearts & Minds Campaign)
•
RVH Capital Priority
•
MoHLTC – Capital Project
•
MCYS
* Hanscombs Limited March 05, 2015
COST
$3,453,010
$184,690
$357,800
$500,000
$4,495,000
$ 500,000
$5,000,000
Next Steps
• Fundraising – Hearts & Minds Campaign
• Approval Process
• Performance & Audit Committee – March 24, 2015
• Care Connections Child and Adolescent Steering CommitteeMarch 27th, 2015
• RVH Board of Directors Meeting – March 31, 2015
• NSM LHIN Health System Improvement Committee – April 10,
2015
• NSM LHIN Board of Directors Meeting – April 27, 2015
• RVH Corporate Quality and Operations Cmte. - May 21, 2015
• Coalition Council - May 28th, 2015