Community Accountability Planning
Submission (CAPS) 2014-17
Health Service Providers
Orientation Session
October 1, 2013
1
Agenda
1. Introduction
1. M-SAA Overview
2. Community Accountability Planning Submissions (CAPS)
Overview
3. Completing the CAPS
4. Next Steps
2
Helpful Documents

Local Health System Integration Act 2006 (LHSIA)

CAPS Reference Overview 2014-17

CAPS User Guide 2014-17
3
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.

The current 2013-14 Multi-sector Service Accountability
Agreements or M-SAAs for the Community Health Centre
(CHC), Community Care Access Centre (CCAC), Community
Mental Health and Addiction (MH & A) and Community Support
Service (CSS) sectors expire on March 31, 2014 and thus must
be replaced with new agreements that will take effect on April 1,
2014.
4
2014-2017
MULTI-SECTOR SERVICE
ACOUNTABILITY AGREEMENT
(M-SAA)
Overview
5
2014-17 M-SAA Overview

Multi-sector Accountability Agreements (M-SAA) for a three year
period effective April 1, 2014 to March 31, 2017

The M-SAA focuses on accountability as an integral part of the
ongoing effort to improve health sector performance and
provide high quality, client centered care.
6
The CAPS-M-SAA Process

Both the CAPS and the M-SAA promote enhanced
accountability through multi-year planning and funding
projections.
7
CAPS/M-SAA Timelines
Activity
Timeframe
LHIN and HSP Feedback
January 2013-April 2013
CAPS Tool Re-development
April 24-26, 2013
CAPS-SRI Migration process
June 1 to August 29, 2013
CAPS Tool SRI Testing
August 30- September 9, 2013
CAPS 60 Day Issuance Notice to HSP’s
September 15, 2013
Pan LHIN Community Lead Education
September 23, 2013
CAPS Launch onto SRI for HSPs
October 1, 2013
HSP Training Materials Available
October 1, 2013
LHINs Complete Local HSP Q&A Session
October 4, 2013
Schedules and Indicators Finalized
October 23, 2013
Approval of 2014-17 M-SAA Agreement
Template
Fall/Winter 2013
CAPS Submit to LHIN
November 15, 2013
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2014-2017
COMMUNITY ACCOUNTABILITY
PLANNING SUBMISSION
(CAPS)
Overview
9
CAPS Overview

In order to facilitate the negotiation of the M-SAAs with HSPs
each HSP will be required to submit a planning document
known as the Community Accountability Planning Submission
(CAPS).

The CAPS and the new M-SAA will each cover a three year
period from 2014-15, 2015-16 and 2016-17.
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The Parts of the CAPS
The CAPS has 2 Parts and 4 components. Both parts and all
components must be completed by the HSP and submit to the LHIN
by November 15, 2013.
Part A: file will be available on LHIN website effective October 1, 2013
A1. Service Plan
This worksheet tab allows you to tell the LHIN about the services you
Narrative
provide with LHIN Funding and some additional detail related to those
services. This narrative will not be included in the final M-SAA
agreement.
Not in Final
MSAA
A2. Description of
Services
This is the same form from the last CAPS where the HSP will provide
information about where they provide services. (Intra and Inter
LHIN). This information will be used to populate Schedule A1 in the MSAA agreement.
In Final
MSAA
A3. Population and
Geography Narrative
This is the existing form from the last CAPS where the HSP’s provided
Population and Geography Narratives. This information will be used to
populate Schedule A2 in the
M-SAA Agreement
In Final
MSAA
Part B: file must be downloaded by HSP from SRI effective October 1, 2013
B1. CAPs File from SRI
Downloaded from SRI and submitted to SRI by the 15th of
November. This file contains the HSP’s Financial and Activity plans for
2014-2017.
CAPS file
from SRI
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Improving the CAPS
HSP and LHIN feedback identified the following high level themes

Simplify forms

Reduce errors through early testing

Eliminate duplicate manual entry of information included in other reports
submitted to the LHIN

Improve timelines for release and review of CAPS

Timely training and education

Version control
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Key Enhancements between the 2011-14
and 2014-17 CAPS
Valuable feedback was provided following the 2011-14 CAPS and
M-SAA process and the LHIN SRI Reporting Working Group was
able to implement the following enhancements:

2013-14 CAPS budget information is pre-populated into the
forms. No need to load additional files.

Functional Centres for Community Health Centre’s have been
added

Reports created and submitted via SRI system to mange versions
and store files for future access
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Key Enhancements. continued

New lines have been added to the Identification page to allow for
communication of contact changes for several positions in the
organization.

Additional lines have been added to the finance screens to provide
new calculations and a further breakdown of
information (Physicians, Physician Assistants, Nurse Practitioners,
and Other Medical Staff) where applicable.

Functionality to adjust what statistics are reported per functional
centre has been added to the Activity Summary page
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Key Enhancements. continued

Administration FTE on the LHIN Service Summary screen is
updated automatically from the Total FTE on the LHIN Financial
Summary.

Worked Hours and Benefit Hours have been combined on one
line in CAPS to make the process easier for the
providers. Benefit contributions remains a separate line entry.

The schedules have been removed from the CAPS file.
For further details on more specific enhancements please see CAPS Reference Overview document
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Enhancements for Future Consideration

Many great ideas for improving the CAPS have been received
from Health Service Providers, LHINs, and the Ministry of
Health and Long-Term Care.

The LHIN SRI Reports Working Group has been cautious in
considering major changes to the CAPS given that using SRI is
new territory and already represents a significant improvement
to the process from the previous year

Pre-population of other historical data may be possible in the
future
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Enhancements for Future Consideration
continued

It is intended that the CAPS process is a one-time exercise
covering 3 fiscal years

The file will be redeveloped for 2015-16 and 2016-17 to allow
LHINs and HSPs to refresh planning targets, if the LHIN chooses
to do so or if it is required.

The LHIN SRI Reports Working Group will be soliciting feedback
on further enhancements from Health Service Providers, LHINs,
and the Ministry of Health and Long-Term Care for consideration
well in advance of this next release
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Data Quality

The ongoing quarterly reporting of accurate financial and
statistical data is essential to the management of performance

Accurate historical performance data is crucial to inform target
setting and negotiations following the submission of the CAPS

Quality data informs an effective, efficient, and equitable basis
for directing future investments, it assists Health Service
Providers to improve client outcomes, and supports evidencedbased evaluation
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2014-2017
COMMUNITY ACCOUNTABILITY
PLANNING SUBMISSION
(CAPS)
Part A. Narrative Model
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Introduction

Part A, the Narrative Model is a separate file from CAPS

Part A is available from your LHIN either through email or
posted on their Website. Part A will not be posted on SRI

When complete, submit directly to the LHIN via Email
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Features of Part A





Part A of the CAPS has 5 pages to complete
Each page has links to and from the steps that need to be completed.
All of the detailed instructions are contained in the file to the left with links
from the main menu and from the individual forms
This model will be used to populate the M-SAA schedules in the E-forms.
Print areas are already set up with Print Buttons that will print individual
forms or all of the forms in the package.
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Forms: Main Menu
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Forms: Service Plan Narrative Part A1-1
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Forms: Service Plan Narrative Part A1-2
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Forms: Description of Services A2-1
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Forms: Description of Services A2-2
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Forms: A3: Population & Geography
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Completing Part B of the CAPS
Community Accountability Planning Submission Tool


Go to
https://www.sri.moh.gov.on.ca/UserRegistration/faces/login/index.js
p
If you are already registered, you can follow the red arrow and click
“SRI Submissions”. If not, you can follow the purple arrow and
click “Register Here”
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Checking Out your CAPS


Following the instructions and steps in the CAPS User Guide
will eventually lead you to the opportunity to “Check Out” and
start completing your CAPS
https://www.sri.moh.gov.on.ca/UserRegistration/faces/login/ind
ex.jsp
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Main Page


When the CAPS file is first launched the following Menu Page will
display. This page provides links to each form contained within the
CAPS.
Note: The ID Edit Check will fail if you do not “Select a LHIN” on
this Main Page
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Commenting in your CAPS
Comments: The Comments column should be used to explain
differences between the budgets across the years. The comments
provide clarification and will help the LHIN understand why
reallocations have been made between functional centers and
understand why budget changes are being made by the HSP.
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Verifying the Edit Checks


Green happy faces  indicate successful edit checks. Red sad
faces  indicate failed edit checks, which must be corrected
before submitting the CAPS
If you see a red sad face, a description of the problem to be
resolved will appear in the Message Area of the row.
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Checking In your CAPS


After you have entered all information and passed the edit
checks you are ready to upload your CAPS to SRI again.
Checking In your CAPS into SRI is similar to when you Checked
Out your CAPS from SRI
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Submitting CAPS to SRI

You can now submit the report. To do so, right click and select
“Submission Status” and then “Submit”. If it does not work,
you may need to wait a few minutes so that the upload will take
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Main Contacts

If you have any questions about the CAPS that you have
“Checked Out” from SRI, please call or email your LHIN contact

Main Contacts at each of the LHINs is available within both the
User Guide as well as the Reference Overview document
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Release of Documents from LHIN
Prior to October 1, 2013 or on October 1st, 2013 it is recommended
the LHIN release the following documents to their HSP’s





CAPS Orientation Session (taped) and Slide Deck
CAPS User Guide
CAPS Reference Overview
Part A Narrative Model
Part A Narrative Model Orientation Slides
On October 1, 2013 the CAPS Part B File will be posted on SRI,
making it available to the HSPs’
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Next Steps

Following the November 15th submission due date the LHINs
will begin reviewing the HSP’s CAPS

Engagement with your LHIN is encouraged as you complete the
CAPS and communication is mandatory if the HSP plans to
make any changes in previous year M-SAA targets.

Mutually signed M-SAA in place by April 1, 2014
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Questions and Answers

Between the launch of the CAPS on October 1, 2013, and
October 4, 2013, LHINs will be responsible for holding their own
engagement sessions with their HSPs and seek any questions
about completing the CAPS.

Following the review of this presentation please submit your
questions by the end of the day October 4, 2013 to your LHIN
contact.

Any questions raised during your Local Q&A will be forwarded
through each LHIN contact to the LHIN SRI Working Group by the
end of the day October 4, 2013
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