2015-16 HAPS Narrative Hospital Name: Click here to enter Hospital Name Facility Number: Click here to enter the Facility Number. SECTION 1- General Narrative Planning Assumptions: The hospitals HAPS forms include the assumptions used to construct the budget for fiscal 2015. There is no need to duplicate those planning assumptions unless the assumptions are material and you wish to highlight them to the LHIN. All other major planning assumptions not built into the HAPS forms should be highlighted here Click here to enter text. The hospitals HAPS forms include the assumptions used to construct the budget for fiscal 2015. All other planning assumptions built into the HAPS are included on the HAPS submission form. Click here to enter text. Health System: The hospital’s role in the health system: o Who is served and why o How provincial and local priorities are met o The determination of current and future services Click here to enter text. Who is served and why Click here to enter text. How provincial and local priorities are met Click here to enter text. The determination of current and future services Click here to enter text. Hospital Performance: Efficiency and Effectiveness: Areas the hospital has identified that require the most improvement with regard to efficiency, effectiveness, and performance Strategies planned and/or adopted to manage such desired improvements Where savings will be reinvested, if applicable Click here to enter text. Page 1 of 5 V2014-2 2015-16 HAPS Narrative Service Delivery Service changes proposed to improve the local health system and/or achieve a balanced budget (with supporting justification) and the expected impact on patients/clients and costs Describe how health partner engagement will be/has been utilized in determining proposed changes to ensure a sustainable system for the region Critical risks to success and mitigation/management plans to proposed changes Choices made to achieve a balanced budget Click here to enter text. Health partner engagement Click here to enter text. Critical risks to success and mitigation/management plans Click here to enter text. Alignment and System Contributions Initiatives in place or to be implemented to contribute to the achievement of provincial and LHIN priorities and contribute to a more integrated health system. Click here to enter text. Provincial and LHIN Priorities Hospital initiatives to contribute towards the achievement of (examples) priorities eHealth initiatives Health Links Development Participation in Health System Funding Reform Quality Improvement Plans Senior Friendly Hospital Strategy / Senior Friendly Improvement Plan French Language Services Act Other LHIN Initiatives 1. Initiative 1 (please describe) 2. Initiative 2 3. Initiative 3 4. Initiative 4 5. Initiative 5 Page 2 of 5 V2014-2 2015-16 HAPS Narrative Risks Key risks and mitigation strategies should include: o Strategic o Clinical o Financial (including working capital) Click here to enter text. Strategic Risks Click here to enter text. Clinical Risks Click here to enter text. Financial Risks Click here to enter text. Quality Identify whether the submission reflects the quality improvement initiative and targets included in the hospital’s annual QIPs Note specifically how the hospital will be achieving the best practice guidelines for the QBPs Click here to enter text. Page 3 of 5 V2014-2 2015-16 HAPS Narrative SECTION 2- Provincial Interest Program description *HIV outpatient clinic/Infectious Disease Clinic Program Plan (Applicable only to Hospitals who have dedicated funding for this service) The purpose of this form is to provide an overview of the services you provide to people with HIV and any changes that are occurring or you anticipate will occur in the clinic that may impact patient care. These can be changes you anticipate will strengthen patient care or changes you anticipate may create added challenges to providing patient care. *Applicable only to Hospitals that administer this program. Clinic name: Click here to enter Clinic Name. Contact: Click here to enter Contact. Email: Click to enter email. Tel: What percentage of your clinic time is devoted to providing services to people with HIV? (###) ###-#### Enter % Here 1. Briefly describe the services you provide to people with HIV in your clinic: a. Intake and assessment Click here to enter text. b. HIV treatment and care Click here to enter text. c. Allied health care: Click here to enter text. Social Worker Click here to enter text. Dietician Click here to enter text. Pharmacist Click here to enter text. Psychiatrist/Psychologist Click here to enter text. d. Sexual and reproductive health care Click here to enter text. e. Other Click here to enter text. 2. a. Outline any significant changes to how these services will be delivered in the upcoming year (if any). Click here to enter text. b. What do you anticipate will be the impact of these changes? Click here to enter text. c. What will you do to mitigate any negative impacts on patient care from these changes? Click here to enter text. Page 4 of 5 V2014-2 2015-16 HAPS Narrative 3. Describe any collaborative or shared care you participate in with other providers: a. Other specialty medical care to respond to co-morbidities Click here to enter text. b. Primary care physicians managing HIV patients Click here to enter text. c. Community-based health and social services Click here to enter text. Page 5 of 5 V2014-2