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Mississauga Halton LHINCSS and MH&A Sector Meeting
June 18, 2009
AgendaIHSP Refresh Roberta Lee 10 min
Mental Health and Addictions:•Provincial MH&A Strategy•SIGMHA
Roberta Lee 30 min
Update on ASSIST Model Priti Patel 20 min
E-Health Update•Community Provider Portal •Blackberry Project
Karen McClure 20 min
Break 10 min
MH LHIN Priorities:•ALC/ER Update •Aging at Home Update
oPerformance Deliverables, Requirements and ReportingoYear 1 ResultsoYear 3 Planning
Monita O’ConnorJudy Bowyer
40 min
Joint Purchasing Shared Services West Sue Biggs 15 min
Accreditation Update Ray Applebaum/Angela Brewer
15 min
Human Services Centre – Update Ray Applebaum 5 min
Performance Requirements and Reporting Judy Bowyer 10 min
Finance Update Paulette Zulianello 5 min
Questions
Integrated Health Service Plan RefreshRoberta Lee
IHSP Refresh Timelines
Phase 1Launch Project
Phase 2Assessment of Current State
Phase 4Draft IHSP & Validate
Phase 5Finalize IHSP & DevelopAnnual Business Plan
JAN FEB MAR APR MAY JUNE JUL AUG SEPT OCT NOV DEC
2009
Project Plan, Commun. & CE Plans
Environmental Scan & Progress Report
Draft IHSP
Final IHSP Draft ASPBoard Workshop April 2, 2009
Phase 3Develop / Test Strategic Priorities - Community Engagement
Community Engagement Report
Final IHSP dueNov 30/09
Board Workshop Aug 6, 2009
We are here!
Community Engagement Phase • We have engaged ~767 individuals!
• We have met with individuals during committee meetings, focused sessions, CME, Citizen’s Reference Panel and via online web survey
• Consultation reports are all posted on our website www.mississaugahaltonlhin.on.ca
• Strong support for all of our proposed strategic and integration priorities
Groups Engaged• Health Professionals Advisory Committee
• Primary Health Care DPA Team
• Diverse Communities Session
• Health Service Provider Session
• SIGMHA Meeting
• Aboriginal Leaders Meeting
• Francophone Session
• Seniors’ Health and Wellness Advisory Group Meeting
• LTC Administrator’s Group
• Integration Advisory Group
• MPP Breakfast Meeting
• Physician CME
• Online Web Survey – 436 responses
• CDPM DPA Team
• Citizen’s Reference Panel
Next Steps
• Final CE consultation report to be completed by end of June
• Final consultation report will summarize feedback from all sessions and will outline consistencies to proposed strategic and integration priorities and other opportunities for consideration
• Special IHSP Board meeting on Aug 6 to review consultation report and revisions to proposed strategic and integration priorities
• First draft IHSP to be completed by end of Aug
Mental Health and Addiction UpdateRoberta Lee
MOHLTC – 10 Year Strategy for MH&AFocus is on 5 themes:
System Design
Healthy Communities
Consumer Partnership
Early Identification and Intervention
Increasing Capacity and Competencies
Minister’s Advisory Group on Mental Health, Addictions and Problem GamblingLHIN consultation for the System Design focused on:
Current system design priorities for MH&A services.
What design element tools are needed to provide a wide array of MH&A services.
What are the necessary elements for a system design change.
MH LHIN Responses Consultation with Heath Service Providers
Surveyed SIGMHA groupFeedback from 2 workshopsData was rolled up into a 10 page document
SIGMHA was able to provide Ministry Advisory Group direct feedback via email
Teleconference with Consultant
MH LHIN Planning and Performance• Review and utilize the 10 year Strategy feedback from local HSPs and
consumers.
• Analyze Community wait times and function of ED and Community MH&A services for gaps and areas of improvement. Implement a strategy.
• Reduce MH&A repeat admissions to ED by 10%.
• Access- Review the feasibility for Central Intake and Referral.
• Navigation- Educate Family Physicians and HSPs on available MH&A services. Provide MH LHIN Resource guide to utilize for referrals.
• Integration- develop Transitional Aged Team to assist with integrating child/youth into the Adult sector.
• Continue integration of MH&A services- cross training of frontline staff.
• HSPs to have Accreditation by 2010-11.
Service Integration Group for Mental Health and Addictions - SIGMHATask Teams:
Quality
Co-Location
Education and Training
Integration
Transitional Aged Youth
Quality, Measurement & Evaluation Task TeamSecured consensus on Quality Framework for MH & A
Common Methodology to address Client Satisfaction:
Develop Common Assessment Tool, including service specific questions1. Common process to gather feedback2. Generate reports
Reduce ED Readmission of MH&A patients
Developed an ED tracking tool, analyzing wait times for community services, and reviewing role of ACT teams.Reviewing the current state from ED to Community services for gaps of service and areas for improvement.
ED Mental Health & Addiction Readmission within 30 daysHospital Name and Fiscal year
2006/07 & 2007/08 respectively
New
Visits
Repeat
Visits
Grand Total Repeat Visit Rate
CREDIT VALLEY HOSPITAL (THE) 1583 158 1741 9.1%
TRILLIUM HEALTH CENTRE-MISSISSAUGA 2129 221 2350 9.4%
TRILLIUM HEALTH CENTRE-WEST TORONTO 157 10 167 6.0%
THC Total 2286 231 2517 9.2%
HALTON HEALTHCARE SERVICES CORP-OAKVILLE 1295 118 1413 8.4%
HALTON HEALTHCARE SERVICES CORP-MILTON 237 21 258 8.1%
HALTON HEALTHCARE SERVICES CORP-GEORGETOWN 229 24 253 9.5%
HHS Total 1761 163 1924 8.5%
2006/07 MH LHIN 5630 552 6182 8.9%
CREDIT VALLEY HOSPITAL (THE) 1597 201 1798 11.2%
TRILLIUM HEALTH CENTRE-MISSISSAUGA 2156 277 2433 11.4%
TRILLIUM HEALTH CENTRE-WEST TORONTO 204 15 219 6.8%
THC Total 2360 292 2652 11.0%
HALTON HEALTHCARE SERVICES CORP-OAKVILLE 1381 153 1534 10.0%
HALTON HEALTHCARE SERVICES CORP-MILTON 234 27 261 10.3%
HALTON HEALTHCARE SERVICES CORP-GEORGETOWN 188 18 206 8.7%
HHS Total 1803 198 2001 9.9%
2007/08 MH LHIN 5760 691 6451 10.7%
Source: Ontario MOHLTC, 2009
Co-Location Task TeamVision: Creating Multi-Services Hubs across MH LHIN
Mississauga
Collaboration with the Human Services Centres in Peel Region, 3 MH & A involved
Halton
RFP for Project Management Services
Shared Spaces workshop postponed to September 24th
Oakville area- 7 HSPs are interested
Milton – 5 HSPs interested; leases up Spring 2010
MH&AMH&A
MH&A
MH&A
SocServ
Soc Serv
Primary care Close to public transportation
Physically accessible
OfficesWith ‘drop down’
OfficesWith ‘drop down’
Centralized Information /Referral & Intake
Comfortable,waiting space w/private areas
Childcare / Children’s services
Meetingspace
Meetingspace
‘Green space’-Community Garden
Retail/Cafe
Education and Training Task TeamVision: Equal Access to high quality MH & A Services
available LHIN wide
3 educational programs:
Recovery Workshop: HSPs, families, and consumers
Integration Workshop for HSP Leadership
Suicide Assessment and Prevention for front line workers
o Learning Needs Assessment Completed
MH&A Resource Guide
Task Team’s Next Steps: Build sustainable education program
Integration Task Team
Partnership Evaluation-completed and results being provided to partnerships to focus on opportunities for improvement.
Moving forward with integration opportunities that were identified in the Integration Workshop:
Develop opportunity to cross train between MH & A staffsCreate an Integration roadmapPotential to Pilot initiatives in Co-location sites.
20
Category Scores:1.0-2.9 Danger Zone: this area needs a lot of improvement3.0-3.9 Work Zone: more effort is needed in this area to maximize the partnership’s collaborative potential4.0-4.5 Headway Zone: the partnership is doing pretty well in this area but has potential to progress even further4.6-5.0 Target Zone: the partnership currently excels in this area and needs to focus attention on maintaining its high score
RESULTS
Overview of Critical Success Factors for Ten Partnerships
21
Transitional Aged Task Team
Develop a Transitional Aged Task Team to implement a seamless transition of youth into the adult programs
Why:
Promote early assessment and intervention – relapse prevention
Better Clinical Outcomes for the Youth
Provincial priority in the 10 year Strategy
Addition of two Transitional Aged HSPs to the SIGMHA table
Next Round of Investments:
• 8 addiction supportive housing units for 2009/10 in the MH LHIN.
• Another 8 addiction housing units for 2010/11.
Mental Health and Wellness Summit –July 2009
Ten year MOH Strategy on MH&A for release- Spring 2010
Source: Ontario MOHLTC- 2009
Questions
ASSIST Model Update Priti Patel
“ASSIST”: Service Delivery Model for Seniors in Mississauga Halton LHIN
• All-inclusive
• Seamless
• Services for
• Independence of
• Seniors for
• Today and Tomorrow
Core Components of the ASSIST Model• Common Intake and Referral
• Common Assessment
• Access to services through any provider or a Central Call-in number
• Seniors’ Health and Wellness Centres based in Primary Health Care, Prevention and Health Promotion
• Care Coordinators that follow client throughout the continuum of care
Value Stream Analysis• Held a four-day implementation planning session (February
17 – 20th) using the lean methodology for quality improvement to design the Access, Information, Referral and Intake process(es) for the ASSIST model
• Lean thinking is based on two key themes:
Elimination of waste or non-value added activitiesRespect for all people
• Session included 30+ participants from across the health system
Outcomes from the Value Stream Analysis• Understanding of the customer and what’s of value to them
• Wastes associated with the current process
• New process including high-level overview of tools, roles and enabling technologies required
• Action plans to achieve the new process
Current State Maps
Client at home, forgetful,
needing specialized services
Client in hospital needing
nursing and MOW services
Accessing services from the
acute care setting
Accessing
specialized
services from
“home”
setting
Current State Maps
Client in hospital needing
nursing and MOW services
Client with current services, needs
service from a different agency
Linking services
together
See the Waste – Current State
59 communication
exchanges
45 communication
exchanges
Linking services
togetherAccessing
specialized
services from
“home”
settingAccessing services from
the acute care setting
52 communication
exchanges
Summary of Current State
MeasureAccess From
Acute Care
Access from Home setting
Linking services
Number of Steps 30 65 44
Value Added Steps 9 14 8
Non- Value Added Steps 21 51 36
Lead- Time 90 hrs 2425 hrs 4126 hrs
Manual Touch Time 7.5 hrs 39 hrs 38 hrs
Value Creation Time 6 hrs 14.8 hrs 30.25 hrs
Process .000696 .00008 .0000295
Hand offs 52 59 45Items waiting to be worked on 105 _ 94
Future State
Key Deliverables – June to September 2009• Common intake / referral form
• Common risk screening tool
• Common user friendly service definitions
• Referral, transfer and navigation protocols Confirmation of ASSIST Coordinator role
• Performance measurement plan
Task Team 1Task Team 2Task Team 3
Steering Committee• Purpose – oversee development and implementation of the
Access, Information, Referral and Intake component & promote and support inter-organizational collaboration (champions)
• Composition – 8 to12 members; cross-section from the various sectors & LHIN
• Accountable – MH LHIN
• Task Teams – develop and recommend tools, processes, and technologies to improve access, navigation and coordination of services for seniors and caregivers
Timelines
Jun 1, 2009 Mar 31, 2010
Jul 1, 2009 Oct 1, 2009 Jan 1, 2010
Jun 1, 2009 - Sep 30, 2009
DesignOct 1, 2009 - Dec 31, 2009
Automation and TestingJan 1, 2010 - Mar 31, 2010
Implementation
Upcoming Session – Update and Project Launch
Date: Tuesday, June 23rd, 2009
Location: Trinity Hall of the Canadian Coptic Centre,1245 Eglinton Avenue West, Mississauga, ON L5V 2M4
Time: 7:30 - 8:45 am – Update and Directions for 2009/10
9:15 am – 12:00 pm – Working Session
Questions
eHealth Update Karen McClure
• Objective: a secure, web-accessible workspace that makes it easier to
• Share information across provider agencies• Collaborate in the provision of healthcare services
• Project started in April 2009
• Resources secured• Business requirements completed• Technical design completed• Development is well underway• Business processes and guidelines have started
• Active User Group:
• 10 organizations have been represented to-date• 4 workshops to-date + 5th next week
• Metamorphosis Network leadership team is developing a governance model
• Hiring an Informatics Business Liaison position• Funding model• Policies• Ongoing evolution
Community
Community
Community
Community
Community
Community
Community
• Next Steps for User Group:
Privacy Impact Assessment / Security ReviewContent gatheringPolicies and proceduresTestingTraining programLaunch: Fall 2009
Blackberry Services Update• Taking longer than desired …
• Complexities
• Moving people away from eHealth Ontario OneMail Direct server to a local server solution
• Local hospitals have capacity/space constraints• Cost is a lot higher than originally anticipated
• Now facilitating collaboration between multiple vendors
• RIM, Microsoft• Rogers: special pricing for devices, data/voice plans, training and
user support
• Phased roll-out in Fall 2009
Blackberry Services Update• Facilitating collaboration with several vendors
• RIM, Microsoft• Rogers: special pricing for devices, data/voice plans,
training and user support
• Phased roll-out in Fall 2009
Break! 10 Minutes
ALC/ER Update – Improving Health System Effectiveness
Monita O’Connor, Director Performance & Integration
Improving Health System Effectiveness
ER WAIT TIMES IMPROVE FLOW
LTC WAIT TIMES DEFER NEED FOR PLACEMENTALC PATIENT DAYS IMPROVE COMMUNITY ACCESS
Investments for EffectivenessMonita O’Connor
Key Priority Investments
Investments to Enable/Prevent/Avoid
Investments to Enable/Prevent/Avoid
LTC Placement Process (Sept 07)Vacancy Matching (Jan 08)
+20+25
+86+3 +3
+90
Building CapacityBuilding CapacityTransitional Beds
HHSTHC
RestoreMLC
CCAC Enhanced Services
Supports for Daily Living
Adult Day Services
Spec. Ger. Services
+26
+20
ALC Flow / Process ALC Flow / Process ImprovementImprovement
Hospital Discharge to LTC
Hospital Discharge to Community
Wait at HomeStay at Home
Hard to Serve
+470+237
HHS CVH THC
Home FirstHHS
CVHTHC
Home First
Home First: Home with CCAC service to assess if ongoing needs (including SDL, LTC placement etc.)Hard to Serve: High/special needs ALC patients waiting for LTC placement.Discharge Planning Team consisting of collaboration amongst: Hospitals, LTC, CCAC, Nurse practitioners, Geriatric MH Outreach, or ABI outreach services as appropriate
Medworxx UM Tool
+426
48.9 45.2 39.5 41.3 38.151.8 48.9 54.0 50.3
69.458.7
8.00.0
10.020.030.040.050.060.070.080.0
Apr 08 May 08 Jun 08 Jul 08 Aug 08 Sep 08 Oct 08 Nov 08 Dec 08 Jan-09 Feb-09 Mar-09 Apr-09
Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09 Q1 09/10
90th Perce
ntile
(Hou
rs)
ED LOS Target
10.33 9.93
7.72
11.1212.94
12.21
6.0
8.0
10.0
12.0
14.0
Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09
Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09 Q1 09/10
Perc
entage
(%)
% ALC MLAA Target
43
198143 126
70.56556
050
100150200250
Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09
Med
ian TT
P (d
ays)
Hospital Community MLAA Target
84
70.5
82 9888 85 85
91
6070
8090
100
Apr-08 May-08 Jun-08 Jul-08 Aug-08 Sep-08 Oct-08 Nov-08 Dec-08 Jan-09 Feb-09 Mar-09 Apr-09
Q1 08/09 Q2 08/09 Q3 08/09 Q4 08/09 Q1 09/10
Med
ian TT
P (day
s)
Mississauga Halton - All MLAA Target
+160
Aging at Home Year II:Funding Allocations
Judy Bowyer, Senior Lead, Performance & Integration
Aging at Home Year II: Adult Day
Aging at Home Year II: Adult Day
Aging at Home Year II: Supports for Daily Living
Aging at Home Year II: Supports for Daily Living
Aging at Home Year II: Supports for Daily Living
Aging at Home Year II: Supports for Daily Living
Aging at Home Year II: Homemaking/Home Help & Home Maintenance & Repair (Brokerage Model)
Aging at Home Year II: Abuse & Telephone Re‐Assurance
Aging at Home Year II: Geriatric
Summary for Largest Investment Areas – Aging Years I & II
69.5
25.2
Supportive Housing In Ontario
www.interrai.org
John P. Hirdes, Ph.D.
Rate of Nursing Home Admissions Within 90 Days of Assessment by
MAPLe Level, Ontario, Derivation Sample
www.interrai.org
John P. Hirdes, Ph.D.
Relationship between MAPLe and signs of caregiver stress in selected
Canadian Provinces
As We Move Forward:Performance Deliverables, Requirements & Reporting
Judy Bowyer
Moving Forward: Performance Deliverables
Moving Forward: Performance Requirements
Moving Forward: Performance Reporting
Monthly & Quarterly
Database Form Coming
Aging at Home Year I:Performance Results for SDL
Judy Bowyer
What Are We Seeing ‐
Results
What Are We Seeing ‐
Results
Aging at Home Year III:Beginning Your Planning
Judy Bowyer
What Are We looking For?
What Are We Looking For?
What Are We Looking For?
Tentative Timelines: Year III
Procurement Feasibility Study Susan Biggs
Shared Services West
MH LHIN Procurement Feasibility Study Update
• Preliminary Analysis of select agencies is nearing completion
• Steering Committee has worked to develop a survey to assess procurement needs and strategic opportunities
• Survey will be available online (using surveymonkey.com) for completion by all remaining agencies
• Upon survey completion, data will be analyzed and Study's Next Steps will be shared
A comprehensive review by SSW of group purchasing and other supply chain opportunities, at funded agencies, to facilitate optimal resource utilization for client care initiatives.
Accreditation Update Metamorphosis Group
Metamorphosis in partnership with
OCSA/SHRTNAccreditation Update – Quarterly Meeting with the
MH LHINJune 18, 2009
Accreditation
• MH LHIN introduces Accreditation as a performance obligation in 2009-2011 MSAA for Community Support/MH&A HSPs
• 2 year horizon set initially, has since demonstrated flexibility with a 3 year timeline and a willingness to collaborate with the community sector to determine how best to achieve a positive outcome
Metamorphosis Accreditation Session
• June 5th 103 participants and 50 HSPs in attendance (event planning included MH LHIN representative, Angela Jacobs)
• Video-taped, to be posted on OCSA and Metamorphosis websites
• Guest Speakers: John Magill, MH LHIN & Dr. Ben Chan, Ontario Health Quality Council
• Four Accreditation bodies presented:
COHI
CARF
Accreditation Canada
ISO
• Panel of 4 local HSPs who have selected/and or achieved accreditation with each of the 4 bodies
Preliminary Survey Results
• 77% - met expectations and 15% exceeded
• 73.8% - satisfied with session and 23% very satisfied
Detailed information being tabulated:
• Identifying training, tools and resources to assist providers with understanding accreditation process and selection of accreditation body, and supports during the accreditation process
Key Challenges Identified
• Direct costs associated with accreditation process, i.e. start up and annual fees
• In-direct costs associated with the ongoing process in terms of engaging organizational staff, particularly front line workers and volunteers
• Change management capacity with Boards, volunteers, and staff
• Need for enabling tools and resources to support the overall process
Next Steps
• Metamorphosis Leadership Team appointed 4 reps (Angela Brewer, Lenora Smith, Theresa Greer, and Ray Applebaum) to meet with OCSA (Dr. Catherine Brookman, Sue Davidson, Susan Thorning; and SHRTN (Dr. Larry Chambers and Deirdre Luesby) July 6th
• On-line survey monkey to collect data on Accreditation session participants and other MH LHIN community service providers
Continued…..
• Metamorphosis, OCSA, and SHRTN team to meet with MH LHIN Board and Senior Staff as a follow-up to John Magill’s presentation remarks to discuss options and solutions to address challenges identified by providers and support the achievement of the performance obligation for all HSPs
Thank You!• For questions and clarification contact members of the
Metamorphosis Accreditation team and watch for the session video release:
Theresa Greer
Angela Brewer
Lorena Smith
Ray Applebaum
Human Services Centre Ray Applebaum
The
Human Service Centres Project for Peel Region
Agenda
• What are Human Service Centres?
• What is our project?
• Who can Join?
• Who has committed so far?
• How are we organized?
• How can you join us? Human Services Project for Peel
What are Human Service Centres?
• Human Service Centres will become the destinations for citizens across the Region of Peel to receive assistance from a wide variety of service organizations.
• HSC’s will be distributed to create an efficient and cost effective use of space for agencies servicing the three municipalities, ensuring that the Stakeholders involved in the project enjoy the improvements provided by a collaborative service environment with the added benefit of safe and easily accessible facilities.
Human Services Project for Peel
What is our project?
• We want to:
• Plan for and deliver centralized locations for service provision, that are visible and easily accessible to the community, clients, volunteers and employees.
• Provide a “synergistic environment” conducive to idea sharing and joint problem solving between providers to enhance client care.
Human Services Project for Peel
Who can Join?
• Any Service Provider in Peel who believes
• that we can operate more efficiently when we share space, and
• We can improve services to our clients when we are working together than we can independently
Human Services Project for Peel
Who has committed so far?
• Boys & Girls Club of Peel
• Canadian Hearing Society
• Canadian Mental Health Association
• Care First Seniors
• Catholic Family Services*
• Family Services of Peel
• United Way of Peel
• Peel Senior Link
• Our Place Peel
• Peel Children’s Centre*
• St John Ambulance*
* In conjunction with their current projects
Supporters
Service CanadaThe Region of PeelSocial Planning CouncilCity of MississaugaMississauga-Halton LHIN
Some other groups considering:
Mississauga Food Bank
Rapport Youth & Family Services
Epilepsy Halton-Peel
Big Brothers/Big Sisters
PAARC
Elizabeth Fry Society
John Howard Society
BNRCHuman Services Project for Peel
How are we organized?
• The initial focus of the organization has been the common requirement for real estate (space).
• DTZ Barnicke has been hired to assist in the real estate analysis, selection and design of the in future real estate management of the project
• The HSC Board will design and establish the governance of the collaborative activities of the new centres
Human Services Project for Peel
How can you join us?
• When you sign on for the provision of real estate services you become a member of the HSC Board
• Ask one of those already committed for assistance in joining, or
• Contact the DTZ Barnicke representatives for assistance
Human Services Project for Peel
Performance Requirements:M-SAA, Aging at Home
Judy Bowyer
Performance Requirements
Performance Requirements –
Schedule E
Quarterly Reporting
Populated from WERS Entries
Must be done on time
Performance Requirements – LHIN Specific
Finance UpdatePaulette Zulianello
BREAKING NEWS
Formal Ministry approval of the 2.25% increase for Fiscal 2009/10
Expect the retro increase August 1st for CSS and July 15 for CMH&A
2008/09 Reporting- Re-capCSS AND CMH&A
Q4 ARR WERS submission
Paper copy submission – signing officers signatures, audited financial statements and signed audit report send to Financial Management Branch and MHLHIN
Both components – WERS submission and hard copies due to FMB and LHIN by June 30
FMB contacts
Vivian Tsang ([email protected] )(CMH&A)
Denise Mendes ([email protected])(CSS)
Best to deal directly with FMB with any specific questions
(please copy LHIN on any correspondence, or disagreements with FMB)
Q4 – ARR – reporting requirements cont’d
Q4 – ARR – reporting requirements cont’d
AGING AT HOME
2008 (Q4) SUPPLEMENTARY REPORTING TEMPLATE FOR INITIATIVES ON WERS due June 30
2009/10 REPORTING REQUIREMENTS (see MSAA Schedule C)
MIS Trial Balance (both CSS & CMH&A)
Q1 not required
Q2 due October 30, 2009
Q3 due January 29, 2010
Q4 due May 31, 2010
2009/10 REPORTING REQUIREMENTS see MSAA – cont’d
Quarterly Reporting through WERS (more to follow about CAT tool)
Q1 not required
Q2 due November 6, 2009
Q3 due February 5, 2010
Q4 due June 7, 2010 (Board Approved Audited Financial Statement June 30 to FMB and LHIN)
2009/10 REPORTING REQUIREMENTS from MSAA – cont’d
Supplementary Quarterly Reporting for Initiatives (AGING at HOME)
Q1 due August 6, 2009 as per my e-mail May 27 (Narrative section of WERS) (not required for new funding)
Q2 due November 6, 2009
Q3 due February 5, 2010
Q4 due June 7, 2010 (Board Approved Audited Financial Statement June 30 to FMB and LHIN)
Q3 Year-end Forecast
CMH&A Sector reported about $850,000 Year Surplus for 2007/08 (CSS $173,000)
These dollars are returned to Provincial Consolidated Revenue
More than $800,000 Q3 re-allocated for 2008/09 due to your co-operation….thank you
Therefore, should see an improvement in the 2008/09 ARR results
• Next Meeting – September 25, 2009
• 9:00 am at the Coptic Centre
QUESTIONS?