HAPS FAQ #2. Hospital Accountability Planning Submission (HAPS)

Transcription

1 HAPS FAQ #2 Hospital Accountability Planning Submission (HAPS) Version: April 4, 2013

2 Table of Contents A. GLOSSARY OF TERMS... 3 B. QUESTIONS AND ANSWERS... 3 B1. What level of materiality are you expecting as a percentage of revenues?... 3 B2. Will the materiality also apply to performance factor on the margin?... 3 B3. We expected a minimum of 6 weeks from the release of forms, schedules and technical Guidelines to submission of the HAPS. Is the submission of our Haps by March 1st reasonable?... 3 B4. When will the new reconciled consolidated HSAA agreement be available?... 4 B5. Are there going to be targets set on the explanatory indicators? Including the new ones?... 4 B6. Will there be any further adjustments in 2013/14 to the 2012/13 carve-outs for the 2012/13 QBPs?... 4 B7. What are the expected corridors known today? (HBAM, QBP and QBP percentile used for procedures)... 4 B8. When will the information related to the new QBPs be out?... 4 B9. What is the suggested HBAM mitigation rate that hospitals should use for 2012/13?... 4 B10. Will fiscal 2012 HBAM data be available in order to inform the hospital planning assumptions for fiscal 2014?... 4 B11. Can contact information of Finance staff across hospitals be shared in order to perhaps facilitate local discussions regarding assumptions?... 4 B12. The execution of the hospital's HAPs has system impacts on community partners. Is there a section in the HAPs that requires partner involvement and joint risk mitigation strategies?... 4 B13. Will there be a narrative submission of our HAPS like last year?... 4 B14. Do the HAPS require Board approval as indicated by a signature prior to submission to the LHIN?... 4

3 HAPS FAQ #2 This document contains answers to frequently asked questions (FAQs) related to the Hospital Accountability Planning Submission (HAPS). A. GLOSSARY OF TERMS HAPS means Hospital Accountability Planning Submission. The HAPS is the planning tool used by hospitals to inform the negotiation of the Hospital Service Accountability Agreement (H-SAA). HBAM: Health Based Allocation Model. A component of patient based funding. H-SAA means Hospital Service Accountability Agreement. The H-SAA is the service accountability agreement that the LHINs are required to enter into with the hospitals pursuant to the terms of the Local Health Integration Act (LHSIA). HSFR means Health System Funding Reform. HSFR is moving Ontario s health care system away from a global funding system towards what is known as Patient-Based Funding (PBF). Under PBF, health care organizations are compensated based on how many patients they look after, the services they deliver, the evidence-based quality of those services, and the specific needs of the broader population they serve. B. QUESTIONS AND ANSWERS B1. What level of materiality are you expecting as a percentage of revenues? A: There will be no fixed level of materiality set as a percentage of revenues. Should actual funding be different than funding assumed within the HAPS and this results in the hospital being unable to deliver on a performance commitment within corridor despite its best efforts, then it will be considered as a material change and require the hospital and the LHIN to renegotiate the relevant performance indicator. B2. Will the materiality also apply to performance factor on the margin? A: Materiality will be considered against all performance indicators including total margin. B3. We expected a minimum of 6 weeks from the release of forms, schedules and technical Guidelines to submission of the HAPS. Is the submission of our Haps by March 1st reasonable? A: The submission date of March 1st was set provincially as a target for all LHINs to work towards. However, if there are extenuating circumstances at the local level a discussion should occur between the hospital and LHIN to agree to a submission date. B4. When will the new reconciled consolidated HSAA agreement be available? A: A 6 month H-SAA extension agreement and a 6 month H-SAA amending agreement have recently been finalized and have been made available to all LHINs for use with their hospitals. The latter is to be used where a hospital and LHIN have negotiated the targets and related 3

4 information to be included in the new schedules for fiscal 2013/14. The LHINs and the OHA are currently finalizing a work plan to develop a revised HSAA template agreement. B5. Are there going to be targets set on the explanatory indicators? Including the new ones? A: No targets will be set with explanatory indicators. By definition, the explanatory indicators do not have targets associated with them. B6. Will there be any further adjustments in 2013/14 to the 2012/13 carve-outs for the 2012/13 QBPs? A: Awaiting Ministry of Health and Long Term Care direction. B7. What are the expected mitigation corridors known today? (HBAM, QBP and QBP percentile used for procedures) A: Awaiting Ministry of Health and Long Term Care direction. B8. When will the information related to the new QBPs be out? A: Awaiting Ministry of Health and Long Term Care direction. B9. What is the suggested HBAM mitigation rate that hospitals should use for 2012/13? A: As per the HAPS process for fiscal 2013/14, hospitals are to leverage their internal budgeting assumptions for completion of the HAPS including estimating a likely mitigation assumption. LHINs will discuss these assumptions with hospitals and assess for reasonableness. B10. Will fiscal 2012 HBAM data be available in order to inform the hospital planning assumptions for fiscal 2014? A: Yes, 2012 HBAM data will be made available through the MOHLTC. The anticipated date for release will be spring B11. Can contact information of Finance staff across hospitals be shared in order to perhaps facilitate local discussions regarding assumptions? A: Finance decisions, including decision support conversations, happen between local LHINs and hospitals as part of the planning process. Additionally, each LHIN has a local partnership committee that likely includes financial representatives from hospital partners. LHINs are encouraged to connect with their hospitals locally for this information. B12. The execution of a hospital's HAPS may have system impacts on community partners. Is there a section in the HAPS that requires partner involvement and joint risk mitigation strategies? A: The HAPS Guide reflects that hospitals are expected to engage with its partners when considering service changes. In some cases, a potential change may have such sensitivity that a hospital is disinclined to engage in detailed discussions until and unless the change becomes necessary. 4

5 B13. Will there be a narrative submission of our HAPS like last year? A: Yes, there will be a narrative component of the 2013/14 HAPS just as there was in 2012/13. B14. Do the HAPS require Board approval as indicated by a signature prior to submission to the LHIN? A: No, LHINs do not require that hospital boards sign off and approve the HAPS prior to submission. That said, many hospital boards do sign the HAPS as a matter of practice. 5

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