LSAA AMENDING AGREEMENT. CENTRAL WEST LOCAL HEALTH INTEGRATION NElWORK (the "lhin")

Transcription

1 LSAA AMENDING AGREEMENT THIS AMENDING AGREEMENT (the MAgreemenr) is made as of the 1 st day of April BE TW E E N: CENTRAL WEST LOCAL HEALTH INTEGRATION NElWORK (the "lhin") AND THE REGIONAL MUNICIPALITY OF PEEL (the "HSP") IN RESPECT OF SERVICES PROVIDED AT: Malton Village located at 7075 Rexwood Road, Mississauga, ON L4T 4M1 and Peel Manor located at 525 Main Street North, Brarnpton, ON L6X 1N9 and Tall Pine. located at 1001 Peter Robertson Blvd., Brampton, ON L6R 2Y3 WHEREAS the lhin and the HSP (together the Parties-) entered Into a long-term care home service accountability agreement that took effect April (the LSAA-); NOW THEREFORE in consideration of mutual promises and agreements contained in this Agreement and other good and valuable consideration. the parties agree as follows: 1.0 Definitions. Except as otherwise defined in this Agreement. all terms shall have the meaning ascribed to them in the LSAA. References in this Agreement to the lsaa mean the LSAA as amended and extended. 2.0 Amendments. 2.1 Agreed Amendments. The lsaa is amended as set out in this Article 2. LSAA Amending Agreement - New Schedules and Amending Section 6.2(c) Page 1

2 2.2 Amended Definitions. The following tenns have the following meanings. For the Funding Year beginning April 1, 2017, Schedule- means anyone, and "Schedules" means any two or more as the context requires, of the Schedules appended to this Agreement, including: Schedule A. Schedule B. Schedule C. Schedule D. Schedule E. Description of Homes and Beds; Additional Tenns and Conditions Applicable to the Funding Model; Reporting Requirements; Perfonnance; and Fonn of Compliance Declaration. For clarity, the Schedules appended to this Agreement, and in effect for the Funding Year beginning April 1, 2017, are the Schedules in effect for the Funding Year that began APril 1, 2016 ( "), except that: Schedule A may have been amended; the footnote in Schedule C has been amended; and, Schedule 0 has been amended to reflect only the Funding Year beginning Aprtl1, Reporting. The LSAA is hereby amended by deleting Section 6.2(c) and replacing it with the following: Reporting. The HSP will report on its community engagement and integration activities as requested from time to time by the LHIN. 3.0 Effective Date. The amendment set out in Article 2 shall take effect on April 1, All other tenns of the LSAA shall remain in full force and effect. 4.0 Governing Law. This Agreement and the rights, obligations and relations of the Parties will be governed by and construed in accordance with the laws of the Province of Ontario and the federal laws of Canada applicable therein. 5.0 Counterparts. This Agreement may be executed in any number of counterparts, each of which will be deemed an original, but all of which together will constitute one and the same instrument. 6.0 Entire Agreement. This Agreement constitutes the entire agreement between the Parties with respect to the subject matter contained in this Agreement and supersedes all prior oral or written representations and agreements. IN WITNESS WHEREOF the Parties have executed this Agreement on the dates set out below. LSAA Amending Agreement - New Schedules and Amending Section 6.2(c) Page 2

3 CENTRAL WEST LOCAL HEALTH INTEGRATION NETWORK Date And by: ~rud, Date THE REGIONAL MUNICIPALITY OF PEEL By: \ \ L- \._// Kathryn tockyer, Regional Clerk Date MAP. ; J 2017 And by. cathy Gra Date Document Execution No. l-o C ~\ ; L I/We have Authortty to BInd the Regional Corporation lsaa Amending Agreement - New Schedules and Amending Section 6.2(c) Page 3

4 Malton Village Schedule C - Reporting Requirements 1. In-Year Revenue/Occupancy Report Reporting Period Estimated Due Dates Jan to Seot By October Jan to Sept By October Jan to Sept By October 15, Long Term Care Home Annual Report Reporting Period Estimated Due Dates Jan to Dec By September 30, Jan to Dec By September Jan to Dec By September French Language Services Report Fiscal Year Due Dates Apr to March April 28, Apr to March Aoril Aor to March April OHRS/MIS Trial Balance Submission, DueD8i8s (Must pass 3c Edits) Q2 - Apr to Sept (Fiscal Year) October Jan to Jun (Calendar Year) 03 -Apr to Dec (Fiscal Year) January 31, Optional Submission 03 - Jan to Sept (Calendar Year) 04 - Apr to March (Fiscal Year) May31, Jan to Dec (Calendar Year) Due Dates (Must pass 3«:Edits) 02 - Apr to Sept (Fiscal Year) October Q2 - Jan to June (Calendar Year) 03 - Apr to Dec (Fiscal Year) January Optional Submission 03 - Jan to Seot 3O-1i(Calendar Year) 04 - Apr to March (Fiscal Year) May Q4 - Jan to Dec (Calendar Year) Due Dates (Must pass 3«:Edits) Q2 - Apr to Sept (Fiscal Year) October 31,2018 Q2 - Jan to June (Calendar Year) 03 - Apr to Dec (Fiscal Year) January Optional Submission 03 - Jan to Sep (Calendar Year) Q4 - Apr to March (Fiscal Year) May31,2019 Q4 - Jan to Dec (Calendar Year) 5. Compliance Declaration Funding Year Due Date. January December March 1,2017 January December March 1,2018 January 1, December March 1, 2019 I These are estimated dates provided by the MOHL TC and are subject to change. If the due date falls on a weekend, reporting win be due the following business day. 1

5 ~--~--~~-~-~ ~ Schedule C - Reporting Requirements Cont'd 6. Continuing Care Reporting System (CCRS)IRAI MDS Reporting Period Estimated Final Due Dates Auaust 31, Q2 November 30, Februarv 28, Q4 Mav31, Auaust 31, November 30, Februarv 28, Q4 Mav31, Auaust 31, November 30, Februarv 28, Mav31, Staffing Report.-. Reporting Period Estimated Due Oate. 1 January December 31,2016 July 7,2017 January 1, December 31,2017 Julv 6, 2018 January 1, December 31,2018 July 5, Quality Improvement Plan (submitted to Health QuaHty Ontario (HQO)) Planning Period Due Dates April 1, March Aoril1,2016 APril March 31, 2018 Aoril ~ri March 31, 2019 April ~.. 2

6 Malton Village Schedule 0 - Performance 1.0 Performance Indlcaton The HSP's delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. n/a means 'not-applicable', that there is no defined Performance Standard for the indicator for the applicable year. tbdmeans a Target, and a Perfonnance Standard, if applicable, will be detennlned during the applicable year._ In the following table: INDICATOR INDICATOR CATEGORY p.p1ffom18nc8 IIdcaW Perform.. ce E~ Indicator Organizational Health and Debt Service Coverage Ratio (P) nla nla Rnanclal'ndlc"tors Total Margin (P) nla nla Coordination and Access Average Long-Stay Occupancy I Average Long-Stay Utilization (E) nla nla Indicators Walt Time from CCAC Determination of EllglbOIty to LTC Home Response (E) ni. nla 'target Standard..._... Long-Term Care Home Refusal Rate (E) nla nla Quality and Resident Percentage of Residents Who Fellin the Last 30 days (E) nla nla Safety Indicators Percentage of Residents Whose Pressure Ulcer Worsened (E) nla nla Percentage of Residents on Antlpsychotics Without a DiagnOSis of Psychosis (E) nla nla Percentage of Residents in Daily Physical Restraints (E) nla nla

7 2.0 LHIN-Specltlc Perfonnance Obllgltlons Lcq Term care ServIce Accountlbility AIr..nent - LHIN SpecIfic PerformInCe ObU... ans!)riyt 0.1I1typOilu. 01. pd lon"1lion IHSP 2011/11 IC8v Priority Aru Expected Outcome Performancl Expectation AoONdbtfon The Central west LHINIs comnitted to ensurire CQnIJ'cIsand acc:ountibrlities Under tns statesic objectlw, Lore- Term Care providers in the Lore-Term Care Homes are r~red to maintain accredftatlon a-e in place to address areas of quality of health c.-e, patient.fety IIIInd Central West LHIN will be accountable for the q\jality of their on an on-goire ~s and provide documentation to the LHIN 'V'tem effectiveness. CoIlabonilfre with providers Bnd public to continue to health services by achievire and maintainire a recosnized when accredlbtion is awarded. erelbe end IUStIIInI culture of quality improvement IIIICTOSS the LHINII an ac:credltbtlon status. _tlal element of the LHIN'I.." OYeI'Iisht role. The Central Welt LHIN wm achieve tns throt4lh: Monitcrire the impiementatfon of the E_cellent care for AU.Actlind its LoclllnGld.. t R.ortrn. LOCIIlnclcMnt "-Portln, implications for the LHIN AdIIancire quality and its continuous improvement acloqs the health care To ensure that the LHINis informed in a timely mamer!!bout The LTCHome will adhere to the "Pt"otocol for Local Incident sectors locallnddents, especillly if these IncldentI coud Iwve an rmpect Reportil'8" rlujd by the Cantril West LHIN. Ensuril'll InInIperent plens, process and resources are dedicated to drive on other health service pl'cllllde,... cross LHINboI.nderfes, or Improvement In the quality of the health care system with particular attention him! a potential nesative pwiic prome, the Cantrlll Wm LHlN to CI"O!&geCtor Improvement I redessn hes dimiiopecl II "Protocol for Local Incident Reportire" by HSPs. Ensuril1! me... es, controls and accountabilities.-e in place and moritored thllt addntss of quality of the 'YStWII- "'... tton

8 Peel Manor Schedule C - Reporting Requirements 1. In-Year Revenue/Occupancy Report ~porting Period Estimated Due Dates Jan to Sept By October 15, Jan to Sept By October 15, Jan to Sept By October Long- Term Care Home Annual Report Reportina Period Estimated Due Dates Jan to Dec By September 30, Jan to Dec By September Jan to Dec By September 30, French Language Services Report Fiscal Year Due Dates Aor to March April Aor to March April30, Aor to March Aoril30, OHRS/MIS Trial Balance Submission Due Dat.s(Must pesble Edits) 02 - Apr to Sept (Fiscal Year) October 31,2016 Q2 - Jan to Jun (Calendar Year) 03 - Apr to Dec (Fiscal Year) January 31, Optional Submission 03 - Jan to Seot (Calendar Year) 04 - Apr to March (Fiscal Year) May 31, Jan to Dec (Calendar Year) Due Dates (Must pass 3c Edits) Q2 - Apr to Sept (Fiscal Year) October 31, Jan to June (Calendar Year) 03 - Apr to Dec (Fiscal Year) January 31, Optional Submission 03 - Jan to Sept 30-17(Calendar Year) Q4 - Apr to March (Fiscal Year) May 31, 2018 Q4 - Jan to Dec (Calendar Year) Due Dates (Must pass 3c Edits) Q2 - Apr to Sept (Fiscal Year) October 31,2018 Q2 - Jan to June (Calendar Year) 03 - Apr to Dec (Fiscal Year) January 31, Optional Submission 03 - Jan to Seo (Calendar Year) 04 - Apr to March (Fiscal Year) May Q4 - Jan to Dec (Calendar Year) 5. Compliance Declaration Funding Year Due Dates January 1, December March 1, 2017 January 1, December 31,2017 March 1,2018 January 1, December 31, 2018 March 1, 2019 I These are estimated dates provided by the MOHLTC and are subject to change. If the due date falls 00 a weekend, reporting will be due the following business day. 1

9 Schedule C - Reporting Requirements Cont'd 6. Continuing Care Reporting System (CCRS)/RAI MDS Reporting Period Estimated Final Due Dates August 31, Q2 November 3D, Q3 February 28, Q4 May31, Q1 August 31, Q2 November Q3 February 28, Q4 Mav August Q2 November February 28, Q4 May 31, StaffIng Report ~ Reporting Period Estimated Oue Oates 1 -- January 1, December 31, 2016 Julv January December July 6, 2018 January 1, December 31, 2018 July 5, Quality Improvement Plan (submitted to Health Quality Ontario (HOO)) Planning Period Due Dates Apri11,2016-March 31,2017 April 1,2016 Aori March Aoril AoriI1,2018-March April

10 Peel Manor Schedule D - Performance 1.0 Performance Indicators The HSP's delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. ni. means 'not-applicable', that there is no defined Perfonnance Standard for the indicator for the applicable year. tbd means a Targe~ and a Performance Standard, if applicable. will be detennined during the applicable year. In the following table: r INO.cATOR INDICATOR CATEGORY P.PerItIm... lndiciior Performance E-ExpIIInetDry Indlcldor Target Standard 0lflan/zatlonal Health lind Debt Service Coverage Ratio (P) nla nla Financial Indicators Total Margin (P) nla nla Coordination and Access Average Long-Stay Occupancy I Average Long-Stay Utilization (E) nla nla I Indicators, Wait Time from CCAC Determination of Eligibility to LTC Home ResPonse (E) nla nla i Long-Term Care Home Refusal Rate (E) nla nja Quality and Resident Percentage of Residents Who Fell In the Last 30 days (E) nla nla Safety Indicators Percentage of Residents Whose Pressure Ulcer Worsened (E) nla nla Percentage of Residents on Antlpsychotlcs Without a Diagnosis of Psychosis (E) nla nla Percentage of Residents in Dally Physical Restraints (E) nla rja

11 2.0 LHIN-Speclftc Performance Obligation. I.ana Term care Service Accounability Alreernent LHIN Speclftc Perfarmlnce ObIlptions IHSP 20115/19 _!ey Priority Ar.. Expected Outcome PerformlnCe Expectation pm Q,,1II1yEd Vwru. Q,,'" WIdInnulltlon Ao... tfon AGeI"""_ The Central West LHINIs committed to en!ljrilll controls and accou,uibilrlies U1c:1erthis stateg!c objectfvoe,lclr'6-term Can providers in the lolli-term Can Homes are r"ecpred to malnlllin acaeditation ere in place to address erells of quality of health care, patient SI!IIfetyend Central West LHIN wj1l be accountable for the quality of their on en on~ili basis and provide documenllltion to the LHIN svstem effectiveness. CoIlabOnltirc with providers and public to continue to health services by achievlrc and maintainrc a recosnlzed when accredtlltlon is awarded.. create end"'n a eufture of quality f~ IICrO!S the LHINI. en accrecltlltfon statul essential element of the LHIN'I ~ oversisht role. The Central Wnt LHIN will achieve this through: Monitorilll the fmplemenllllion of the Excellent Care for AllAct and its implications for the LHIN Lo_lnclcMnt R~ort"a Loo.i Incrdwlt "-Portilla Advancilll quality and its continuous improv'l!mer1t across the health care To emure that the LHINis Informed In a timeiy marner about The LTCHorne will adhere to the "PI"otocoi for l.ociiilncident!lectors local incidents, especially If thelle Incidents could"_ lin Impect Reportirc- 18aIed by the Central West LHIN. EnsJrirc ~rent pili"" prooe.llnd rellource8l1n!dedicated to drive on other health IIINIce providers, CI'OSI LHINboundaries, or improvement in the quality of the health care system with p.-t!ctj.. attention have. potential negllltive ptblic profile, the Central west LHIN to ero.. sectxlr improvement Iredesisn Masdeveloped a "PI"otocol for Local Incident Reportilll" by lisps. EnSLriI1lmeasures, controls andaccou'ltab11ities.. e in piece and monitored that eddl'llslliinim of qullllityof the ~

12 Tall Pines Schedule C - Reporting Requirements 1. In-Year Revenue/Occupancy Report Reporting Period Estimated Due Dates Jan to Sept By October 15, Jan to Sept By October 15, Jan to Sept By October 15, Long Term Care Home Annual Report Reporting Period Estimated Due Dates Jan to Dec By September 30, Jan to Dec By September 30, Jan to Dec By September French Language Services Report Fiscal Year Due Dates Apr to March ApriJ28, Apr to March April 30, Apr to March April 30, OHRSlMIS Trial Balance Submission ~.~ -- Due Dates (Must pass 3c Edits) 02 - Apr to Sept (Fiscal Year) October 31, Jan to Jun (Calendar Year) 03 - Apr to Dec (Fiscal Year) January 31, Optional Submission 03 - Jan to sect (calendar Year) 04 - Apr to March (Fiscal Year) May 31, Jan to Dec (calendar Year) Due Dates (Must pass 3c Edits) 02 - Apr to Sept (Fiscal Year) October 31, Jan to June (Calendar Year) 03 - Apr to Dec (Fiscal Year) January 31, Optional Submission 03 - Jan to Sept 30-17'(Calendar Year) Q4 - Apr to March (Fiscal Year) May 31, 2018 Q4 - Jan to Dec (Calendar Year) Due Date. (Must pass 3c Edits) 02 - Apr to Sept (Fiscal Year) October 31, Jan to June (calendar Year) 03 - Apr to Dec (Fiscal Year) January 31, Optional Submission 03 - Jan to SeD (Calendar Year) Q4 - Apr to March (Fiscal Year) May 31,2019 Q4 - Jan to Dec (Calendar Year) 5. Compliance Declaration -=-. Funding Year Due Date. January 1, December 31,2016 March 1, 2017 January December 31,2017 March January 1, December March 1,2019 I These are estinated dates provided by the MOHLTC and are subject to change. If the due date fans on a 'W88kend, reporting will be due the following business day. 1

13 Schedule C - Reporting Requirements Cont'd 8. Continuing Care Reporting System (CCRS)lRAI MDS Reporting Period Estimated Final Due Dates ' Q1 AUQust 31, November 30, February 2B, May 31, AUQust 31, Q2 November February 28, Q4 May 31, AUQust 31, Q2 November 30, Q3 February 28, Q4 May 31, Staffing Report R_ortfna Period Estimated Due Dates~ Januav 1, December July 7,2017 January 1, December 31, 2017 July 6, 2018 Januarv 1, December July 5, Quality Improvement Plan {.ubmltted to Health Quality Ontario (HQO)) Planning Period Due Dates April 1, March 31,2017 April 1, 2016 Aoril March April 1, 2017 April 1, 2018-March 31,2019 April 1, _ 2

14 Tall Pines Schedule D - Performance 1.0 Performance Indicators The HSP's delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: ni, means 'not-applicable', that there is no defined Perfonnance Standard for the indicator for the apprlcable year. tbd meals a Target. and a Performance Standard, if applicable, will be detennined during the applicable year...._--- I=::b- INDICATOR 2017/18 CATEGORY Performance EaExplanatory IncIcIIIor...,._..- -~----. Organizational Health and Debt Service Coverage Ratio (P) nla nla Financial Indicators Total Margin (P) nla nla - Coordination and Access Average Long-Stay Occupancy I Average Long-Stay Utilization (E) nla nla Indicators Wait TIme from CCAC Determination of Eligibility to LTC Home Response (E) nla nla Target Standar@ Long-Term Care Home Refusal Rate (E) nla nla Quality and Resident Percentage of Residents Who Fellin the Last 30 days (E) nla nja Safety Indicators Percentage of Residents Whose Pressure Ulcer Worsened (E) nla nla Percentage of Residents on Antipsychotlcs Without a Diagnosis of PsychosiS (E) nla nla Percentage of Residents in Dally Physical Restraints (E) nib nla

15 2.0 LHIN-SpecIflc PerfonnMce Obligations I.anJTerm C.e ServIce Acccuttability Aareement - LHINSpeclftc Perfolllumce Obll,Mtons IHSP 2016/19 Drive 01." Key Priority Aree llipected Outcome PerformlnCllllpectatlon.nel VWIu. Q181ty.nel!nnoy"*,, Accredlt.lon AcCNdlbtlon The Central West LH!N is committed to emuril'13 controls end accountabilities under this statesie objective, Lol'13-Term Care prollfders in the LOI13-Tenn Care Homes are required to maintain accreditation lif"ein place to address areas of quality of health cere, patient SIIIfetyand Central West LHINmll be accountable for the quality of their on an on1loi1"8 bali's and provide doeul"11s1wtion to the LH!N gystem eff~ CoIleboratil"8 with provldln and pl.t)lrc to continue to n.lth aervicel by echifti,..ndmeintlllril'13 e rel:08rized when ecc:recsa.tion 1.1IWInled. creete and sustain II culture of quality Improvement IIcross the LHIN Is an accreditllltion status. essential element of the LHIN's system overslsht role. The Centnll West LHIN will echievoe ths through: Mon1torll'13 the Implementation of the ElCceIlent Cere for All Act lind Its LoCII!ndel.,t "-Portlns LoC!llncfclwtt ROIportlnl implications for the LHIN AdvIJncI,. qullllty end Its condnuous improyement across the health cane To ensure that the lhin I. Infonmed In. timely manner about The ltc Home wnl adhere to the "Protocol for Local Incident sectors Iocelineldents, especially If these Incidents could have an Impeet ReportirT'lsaJed by the Central West LHIN. Emuri,. transparent plans. process and rl!sou'c8s are dedicated to drive on other heelth seniice providers, cross LHIN boundaries, or improvement in the quality of the health care ~ with par1laa.. attention have a potential neseti e public profile, the Central West LH!N to cross-sector improvement I redesign t-es developed a "Protocol for Local Incident Reportil"8" by ~ Ensuri,. meeajres, control. end accountlllbl1ities ere in piece and monitored that addre. areas of QUality of the S Stem.

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