Continuing Care e-Health Program

1. Continuing Care e-Health Program LHIN Conference Call August 22, 2007

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3. Background • The Continuing Care e-Health (CCeH) program was created in 2005 with the mandate of developing business solutions and the technology infrastructure to meet the e-Health needs of the Continuing Care sector. • To date the program has established province wide standards and implemented business tools for MIS, Common Assessment and e-Referrals & Access Tracking. • The program has also provided education and support for the business as they implement the new standards and tools. • The program has been funded through the Continuing Care sector since its inception and governed by the CCeH Council comprised of representatives from the sector and other key stakeholders. • Funding has been made available from two sources: • Base operating funding from CCAC account • One time funding from delayed implementation of new programs or in-year recoveries • Given the new LHIN based funding model that has been introduced we need to determine how best to continue to support this program so that it can continue to deliver the business solutions needed by the sector. 2

4. Program Accomplishments The Program has accomplished a great deal since the fall of 2005 when the CCeH Council established MIS, Common Assessment and e-Referrals & Access Tracking as the initial business priorities. • Management Information Systems (MIS) • We have established a MIS framework that defines standards for collecting financial and statistical data for CCACs, Community Mental Health Agencies (CMHA), Long-Term Care Homes (LTCH) and Community Support Services (CSS) • We have implemented integrated financial software (FSMS) in all CCACs providing a common approach to collecting and reporting information for evidence-based decision making • Common Data Set standards have been rolled out establishing a foundation for clinical and administrative data collection in Community Mental Health • Human Resources Information Systems has been implemented in 12 CCACs • 99% of CMHA agencies are complying with MIS reporting • MIS standards and a pilot have been completed for CSS 3

5. Program Accomplishments • Common Assessment • Long Stay Assessment Software (LSAS) has been implemented in all CCACs • The Common Intake Assessment Tool (CIAT) is being used by case managers in 7 CCACs • The Resident Assessment Instrument (RAI-MDS) tool has been implemented in over 150 Long Term Care Homes • A common assessment tool has been selected for Community Mental Health and planning is underway for provincial rollout • e-Referrals & Access Tracking • We have automated referrals from the Scarborough hospital to Central East CCAC with over 1000 referrals processed to date • Province-wide standards established for data, nomenclature and messaging within Continuing Care sector. Data and nomenclature standards have been approved by OHISC • Next Phase of pilot to be implemented this fall which will automate referrals from CCAC to Service Providers • Mental Health and Addictions pilot will go live this fall 4

6. Future Initiatives • Management Information Systems • Rollout of a financial software tool to CSS agencies • Complete MIS software tool selection and rollout to Community Mental Health • MIS standards and tool implementation for Long Term Care Homes • Common Assessment • Complete rollout of CIAT software to remaining CCACs • Complete rollout of RAI-MDS to remaining Long Term Care Homes • Rollout of selected assessment software to Community Mental Health agencies • e-Referrals & Access Tracking • Complete e-Referrals pilots and integrate with province-wide referral strategy 5

7. Next Steps • Approved funding for the CCeH Program will support the completion of certain deliverables for the balance of this fiscal year only. To complete the future initiatives, funding will be required going forward • e-Health program strategy will drive investment in other areas of the health care system in the short term • For Fiscal 2008/2009 funding requests for these projects will be determined by sector stakeholder (i.e CCAC, MHA, CSS, LTCH etc) and by LHIN • Consider the establishment of a committee of LHIN and Continuing Care sector stakeholders to determine the future governance and funding of these projects 6

8. Appendix 1Budget Process for CCeH • Following the strategy approved by CCeH Council each project determines how much funding is required for the fiscal year • The projects align their requirements to the appropriate sub sector where the direct benefit is expected (e.g. MDS RAI to Long-Term Care Homes) • The MOHLTC incorporates in RBP • Once approved, funding and cash flow requirements are determined by project and flowed to the transfer payment agency • Projects proceed with ongoing management/oversight from ministry and steering committees 7