425 Bloor Street Eastl Suite 201
Toronto l ON M4W 3R4
Tel: 416921-7453. Fax: 416921-0117
Toll Free: 1 866 383-5446
www.torontocentrallhin.on.ca
March 23, 2015
Ms. Anne Babcock
President & Chief Executive Officer
WoodGreen Community SeNices
815 Danforth Ave.
Suite 100
Toronto, ON M4J 1 L2
Dear Ms. Babcock,
Re:
2014-17 Multi-Sector Service Accountability Agreement
When Toronto Central Local Health Integration Network (the "LHIN") and WoodGreen Community SeNices
(the "HSP") entered into a seNice accountability agreement for a three-year term effective April 1, 2014
(the "MSAA"), the budgeted financial data, seNice activities and performance indicators for the second and
third year of the agreement (fiscal years 2015/16 and 2016/17) were indicated as "To Be Determined
(TBD)". The LHIN would now like to update the MSAA to include the required financial, seNice activity and
performance expectations for 2015/16 fiscal year to the applicable Schedules listed in Appendix 1.
Subject to HSP's agreement, the MSAA will be amended with effect April 1, 2015, by adding the amended
Schedules that are included in Appendix 1 to this letter.
To the ex.tent that there are any conflicts between the current MSAA and this amendment, the amendment
will govern in respect of the Schedules. All other terms and conditions in the MSAA will remain the same.
Please indicate the HSP's acceptance of, and agreement to this amendment, by signing below and
returning one copy of this letter to Kelly Cronin-Cowan, Administrative Assistant Performance Management
within one week of receipt of this letter. If you have any questions or concerns please contact Gillian
Bone, Senior Consultant Performance Management at 416-969-3322, or gillian.bone@lhins.on.ca.
.
Toronto Central LH IN appreciates your team's collaboration anc! hard work during this 2015/16 MSAA
refresh process. We look forward to our continued work together.
Sincerely,
Camille Orridge
Chief Executive Officer
c:
Jasmine Tehara, Chair, WoodGreen Community SeNices
Angela Ferrante, Board Chair, Toronto Central LHIN
Bill Manson, Senior Director, Performance Management, Toronto Central LHIN
Gillian Bone, Senior Consultant, Performance Management, Toronto Central LHIN
encl.: Appendix 1
re: Amendment of 2014-17 MSAA for 2015/16
AGREED TO AND ACCEPTED BY:
WoodGreen Community Services
By:
Anne Babcock, PresIdent & ChIef ExecutIve OffIcer
I have the authority to bind WoodGreen Community Services
And By:
J~--
~
Date
Slams
I have the authority to bind WoodGreen Community Services
Page 2 of 2
re: Amendment of 2014-17 MSAA for 2015/16
APPENDIX 1
Schedule B1
Total LHIN Funding
Schedule B2
Clinical Activity - Summary
Schedule C
Reports
Schedule D
Directives, Guidelines and Policies
Schedule E1
Core Indicators
Schedule E2a
Clinical Activity - Detail
Schedule E3a
LHIN Local Indicators and Obligations
Schedule 81: Total LHIN Funding
2014-2017
Health Service Provider: Woodgreen Community Services
Schedule 82: Clinical Activity-Summary
2014-2017
Health Service Provider: Woodgreen Community Services
Case Management
172 5 09*
13.00
10,000
4051
Crisis Intervention
172 5 15*
7.00
3,281
785
172 5 30 40*
2.00
4,300
133
Residential Services
172 54076*
4.00
CSS In-Home and Community
Services (CSS IH COM)
172 5 82*
In-Home Health Professional
Services (HPS) Home Care
I
I
I
I
200.001
165,5101
I
45,8621
3,285
117,3181
91
9,4701
Case Management
72 5 09*
11.00
10,000
4051
Crisis Intervention
72 5 15*
7.00
10,300
785
In-Home Health Professional
Services (HPS) Home Care
72 5 30 40*
2.00
Residential Services
72 5 40 76*
72582*
Case Management
72 5 09*
Crisis Intervention
72 5 15*
In-Home
Services
72 5 30 40*
Residential Services
72 5 40 76*
72 582*
4,3001
1
180
I
1
26,0001
1
40,000
180
700
40,000
SCHEDULE C - REPORTS
COMMUNITY SUPPORT SERVICES
A list of reporting requirements and related submission dates is set out below. Unless
otherwise indicated, the HSP is only required to provide information that is related to the
funding that is provided under this Agreement. Reports that require full entity reporting
are followed by an asterisk "*".
SCHEDULE C - REPORTS
COMMUNITY SUPPORT SERVICES
French language service report
through SRI
2014-15
2015-16
2016-17
-
April 30, 2015
April 30, 2016
April 30, 2017
SCHEDULE C - REPORTS
COMMUNITY MENTAL HEALTH AND ADDICTIONS SERVICES
A list of reporting requirements and related submission dates is set out below. Unless
otherwise indicated, the HSP is only required to provide information that is related to the
funding that is provided under this Agreement. Reports that require full entity reporting
are followed by an asterisk "*".
SCHEDULE C - REPORTS
COMMUNITY MENTAL HEALTH AND ADDICTIONS SERVICES
Common Data Set for Community
Mental Health Services
Last day of one month following the close of trial
for 02 and 04
balance
2014-1502
November 28,2014
2014-1504
June
2015
2015-1602
November 30,2015
2015-1604
June
2016
2016-1702
November 30,2016
2016-17 04
June 30 2017
DATIS (Drug & Alcohol Treatment
Information System)
Fifteen (15) business days after end of 01, 02
and 03 - Twenty (20) business days after YearEnd
July 22,2014
2014-1501
2014-1502
October 22, 2014
2014-1503
January 22,2015
2014-1504
30 2015
July 22, 2015
2015-1601
2015-1602
October 22,2015
January 22,2016
2015-1603
2016
2015-1604
SCHEDULE C - REPORTS
COMMUNITY MENTAL HEALTH AND ADDICTIONS SERVICES
ConnexOntario Health Services
Information
Drug and Alcohol Helpline
Ontario Problem Gambling
Helpline (OPGH)
Mental Health Helpline
French language service report
through SRI
All HSPs that received funding to provide mental
health and/or addictions services must sign an
Organization Reporting Agreement with
ConnexOntario Health Services Information,
which sets out the reporting requirements.
2014-15
2015-16
-
April 30, 2015
April 30, 2016
2016-17
-
April 30, 2017
SCHEDULE D - DIRECTIVES, GUIDELINES AND POLICIES
COMMUNITY SUPPORT SERVICES
·
·
Personal Support Services Wage Enhancement Directive, 2014
Community Financial Policy, 2015
·
Policy Guideline for CCAC and CSS Collaborative Home and CommunityBased Care Coordination, 2014
·
Policy Guideline Relating to the Delivery of Personal Support Services by
CCACs and CSS Agencies, 2014
·
·
·
Assisted Living Services for High Risk Seniors Policy, 2011 (ALS-HRS)
•
Attendant Outreach Service Policy Guidelines and Operational Standards
(1996)
·
·
Screening of Personal Support Workers (2003)
·
Guideline for Community Health Service Providers Audits and Reviews,
August 2012
Community Support Services Complaints Policy (2004)
Assisted Living Services in Supportive Housing Policy and Implementation
Guidelines (1994)
Ontario Healthcare Reporting Standards - OHRS/MIS - most current version
available to applicable year
SCHEDULE D - DIRECTIVES, GUIDELINES AND POLICIES
COMMUNITY MENTAL HEALTH AND ADDICTIONS SERVICES
•
Community: Financial Policy, 2015
·
Operating Manual for
Community Mental Health
and Addiction Services
(2003)
Chapter 1. Organizational Components
1.2
1.3
1.5
Organizational Structure, Roles and Relationships
Developing and Maintaining the HSP Organization / Structure
Dispute Resolution
Chapter 2. Program & Administrative Components
2.3
2.4
2.5
2.6
2.8
2.9
2.10
Budget Allocations/ Problem Gambling Budget Allocations
Service Provision Requirements
Client Records, Confidentiality and Disclosure
Service Reporting Requirements
Issues Management
Service Evaluation/Quality Assurance
Administrative Expectations
Chapter 3. Financial Record Keeping and Reporting Requirements
3.2
3.6
3.7
·
·
·
·
Personal Needs Allowance for Clients in Some Residential
Addictions Programs
Internal Financial Controls (except "Inventory of Assets')
Human Resource Control
Early Psychosis Intervention Standards (Nov 2010)
Ontario Program Standards for ACT Teams (2005)
Intensive Case Management Service Standards for Mental Health Services and Supports (2005)
Crisis Response Service Standards for Mental Health Services and Supports (2005)
Psychiatric Sessional Funding Guidelines (2004)
•
Joint Policy Guideline for the Provision of Community Mental Health and Developmental Services
for Adults with Dual Diagnosis (2008)
•
Addictions & Mental Health Ontario - Ontario Provincial Withdrawal Management Standards
(2014)
·
Ontario Admission Discharge Criteria for Addiction Agencies (2000)
•
Admission,'Discharge and Assessment Tools for Ontario Addiction Agencies (2000)
·
South Oaks Gambling Screen (SOGS)
SCHEDULE D - DIRECTIVES, GUIDELINES AND POLICIES
COMMUNITY MENTAL HEALTH AND ADDICTIONS SERVICES
Ontario Healthcare Reporting Standards - OHRS/MIS - most current version available to
applicable year
Guideline for Community Health Service Providers Audits and Reviews, August 2012
Schedule E1: Core Indicators
2014-2017
Health Service Provider: Woodgreen Community Services
I
8.6%
8.6% - 10.3%
8.6%
8.6% - 10.3%
0.00%
>=0%
0.00%
>=0%
riance Forecast to Actual Expenditures
$0
<5%
$0
<5%
Variance Forecast to Actual Units of Service
0
<5%
0
<5%
Refer to
Schedule E2a
-
Refer to
Schedule E2a
Refer to
Schedule E2a
-
Refer to
Schedule E2a
Proportion of Budget Spent on Administration
Service Activity by Functional Centre
Number of Individuals Served
Cost per Unit Service (by Functional Centre)
Cost per Individual Served (by Program/Service/Functional Centre)
Percentage of Acute Alternate Level of Care (ALC) days (Closed Cases)
Client Experience
Budget Spent on Administration - AS General Administration 72 110
Budget Spent on Adr.linistration - AS Information System Support 72 1 25
Budget Spent on Administration - AS Volunteer Services 72 1 40
Budget Spent on Administration - AS Plant Operation 72 1 55
I
Schedule E2a: Clinical Activity-Detail
2014-2017
Health Service Provider: Woodgreen Community Services
lFull-time equivalents (FTE)
72 5 09 76
13.00
n/a
11.00
n/a
Visits
72 5 09 76
10,000
9,500 - 10,500
10,000
9,500 - 10,500
Individuals Served by Functional Centre
72 5 09 76
405
324 - 486
405
324 - 486
Group Sessions
72 5 09 76
180
144 - 216
180
144 - 216
lTotal Cost for Functional Centre
72 5 09 76
$1,263,470
n/a
$1,285,361
n/a
lFull-time equivalents (FTE)
72 51576
7.00
n/a
7.00
n/a
Visits
72 5 15 76
3,281
2,953 - 3,609
10,300
9,785 - 10,815
Individuals Served by Functional Centre
72 5 15 76
785
667 - 903
785
667 - 903
lTotal Cost for Functional Centre
72 51576
$642,891
n/a
$664,502
n/a
lFull-time equivalents (FTE)
72 5 304070
2.00
n/a
2.00
n/a
Visits
72 5 304070
4,300
3,870 - 4,730
4,300
3,870 - 4,730
Individuals Served by Functional Centre
72 5 304070
133
106 - 160
700
595 - 805
lTotal Cost for Functional Centre
72 5 30 40 70
$127,477
n/a
$130,535
n/a
lFull-time equivalents (FTE)
72 5 40 76 30
4.00
n/a
4.00
n/a
Inpatient/ReSident Days
72 5407630
3,285
2,957 - 3,614
3,285
2,957 - 3,614
Individuals Served by Functional Centre
72 5407630
9
7 - 11
9
7 - 11
lFuli-time equivalents (FTE)
72 5 82 05
8.00
n/a
9.00
n/a
Visits
72 5 82 05
13,000
12,350 - 13,650
13,000
12,350 - 13,650
Individuals Served by Functional Centre
72 5 82 05
275
220 - 330
275
220 - 330
lTotal Cost for Functional Centre
72 5 82 05
$1,000,451
n/a
$932,537
n/a
lFuli-time equivalents (FTE)
72 5 82 09
4.00
n/a
4.00
n/a
Visits
72 5 82 09
6,200
5,890 - 6,510
6,200
5,890 - 6,510
Individuals Served by Functional Centre
72 5 82 09
lTotal Cost for Functional Centre
72 5 82 09
••"_"_r
580
493 - 667
580
493 - 667
$156,701
n/a
$199,469
n/a
~~._~i~.)_L
;;
w~
".
m
j,.£
lFull-time equivalents (FTE)
72 5 82 10
5.00
l
t'
~~'"~
$",
n/a
5.00
n/a
Individuals Served by Functional Centre
72 5 82 10
400
320 - 480
400
320 - 480
Meal Delivered-Combined
72 5 8210
40,000
38,800 - 41,200
40,000
38,800 - 41,200
lTotal Cost for Functional Centre
72 5 8210
$466,022
n/a
$471,726
n/a
lFuli-time equivalents (FTE)
72 5 82 12
4.00
n/a
3.00
n/a
Individuals Served by Functional Centre
72 5 8212
1,130
1,017 - 1,243
1,760
1,584 - 1,936
Attendance Days Face-to-Face
72 58212
15,000
14,250 - 15,750
33,000
31,680 - 34,320
lTotal Cost for Functional Centre
72 5 82 12
$289,568
n/a
$280,928
n/a
~"lj. . . .~m_~
JtG&2'f.kl<f
,~'"
~~
~
~'"
"*,'"
~;;
lli"\'1l"
~
~
lFuli-time equivalents (FTE)
72 5 82 14
17.00
n/a
15.00
n/a
Visits
72 5 8214
10,000
9,500 - 10,500
10,000
9,500 - 10,500
Individuals Served by Functional Centre
72 5 8214
510
434 - 587
510
434 - 587
lFuli-time equivalents (FTE)
72 5 8215
6.00
n/a
5.00
n/a
Visits
72 5 8215
6,010
5,710 - 6,311
6,010
5,710 - 6,311
Individuals Served by Functional Centre
72 5 82 15
1,900
1,710 - 2,090
1,900
1,710 - 2,090
lTotal Cost for Functional Centre
72 5 82 15
$344,518
n/a
$303,063
n/a
lFuli-time equivalents (FTE)
72 5 82 20
19.00
n/a
24.00
n/a
Individuals Served by Functional Centre
72 5 82 20
283
226 - 340
347
278 - 416
Attendance Days Face-to-Face
72 5 82 20
11,000
10,450 - 11,550
13,886
13,192 - 14,580
lTotal Cost for Functional Centre
72 5 82 20
$1,688,490
n/a
$1,678,853
n/a
lFuli-time equivalents (FTE)
72 5 82 31
82.00
n/a
111.00
n/a
Hours of Care
72 5 82 31
38,636
37,091 - 40,181
38,636
37,091 - 40,181
Individuals Served by Functional Centre
72 5 82 31
650
553 - 748
650
553 - 748
lTotal Cost for Functional Centre
72 5 82 31
$1,004,599
n/a
$1,036,299
n/a
lFuli-time equivalents (FTE)
72 5 82 34
2.00
n/a
2.00
n/a
Hours of Care
72 5 82 34
7,226
6,865 - 7,587
7,226
6,865 - 7,587
Individuals Served by Functional Centre
72 58234
110
88 - 132
110
88 - 132
72 5 82 34
$200,096
n/a
$244,447
n/a
,
lTotal Cost for Functional Centre
•
~" '"
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q~1*l~.~_-'''_l_'lI~~
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n/a
1m%]]IiI
lFull-time equivalents (FTE)
72 5 8245
46.00
n/a
51.00
Inpatient/Resident Days
72 5 8245
117,318
113,798 120,838
122,118
118,454 125,782
Individuals Served by Functional Centre
72 5 8245
430
344 - 516
488
390 - 586
lTotal Cost for Functional Centre
72 5 8245
$4,783,592
n/a
$5,356,465
n/a
10,300
9,785 - 10,815
lFuli-time equivalents (FTE)
Visits
)i\",*,,!%
y
*"
w
ii
"
172 58250
72 5 82 50
"I
10,300
lFull-time equivalents (FTE)
172 5 82 60
I
2.00
n/a
2.00
n/a
120,000
902
116,400 123,600
767 - 1,037
$119,381
n/a
Visits
72 5 82 60
I
120,000
Individuals Served by Functional Centre
72 5 82 60
I
902
116,400 123,600
767 - 1,037
lTotal Cost for Functional Centre
72 5 82 60
$117,395
n/a
lTotal Cost for Functional Centre
721*
$1,242,221
n/a
Full-Time Equivalents for All FIC
I Cost for All FIC
I
237.84
272.84
$14,512,256
$15,275,017
Schedule E3a LHIN Local Indicators and Obligations
2015-2016
Health Service Provider: Woodgreen Community Services
Participate in applicable initiatives endorsed by the Sector Table and approved by TC LHIN.
•
Adopt eHealth and Information Management initiatives that encompass both provincial and
local level priorities as identified by TC LHIN.
TC LHIN Priorities include: Continued implementation of the Standardized Discharge
Summary, submission of data to Integrated Decision Support tool (IDS), and
participation in Community Business Intelligence, and all Resource Matching and
Referral initiatives.
•
Provincial Priority Projects: Implementation of Provincial Referral Standards, Emergency
Management Communications Tool.
Participate in the TC LHIN Quality Table initiatives, including compliance with reporting
requirements and participating in sector specific quality improvement efforts. In support of the
TC LHIN quality indicator of measuring patient experience, all HSPs shall:
Measure patient, client, resident, and family experience at a minimum annually .
.•
•
Measure patient experience in a comparable manner to peers, as applicable.
Where possible and applicable, measure patient experience along the nine domains
articulated in the TC LHIN Patient Experience Measurement Report.
Report on patient experience results to clients and/or to the public.
•
Participate in TC LHIN initiatives related to the development and implementation of both local
and regional Health Link initiatives.
Continue to actively support the TC LHIN Health Equity Priorities by:
•
•
Supporting the implementation of the Health Equity Impact Assessment tool.
Participating in cultural competency initiatives such as Aboriginal Cultural Competency
Initiative and the cultural competency eLearning modules developed through Children
and Youth Advisory Table.
•
Collect Health Card information on clients receiving LHIN funded services. Record the number
ofdients receiving LHIN funded services that do not have a Health Card.
•
Participate in initiatives to increase emergency preparedness and response levels at your
organization, within your sector and the system overall, including those guided by the TC LH!!\J
Emergency Management Implementation Committee.