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July 2013 Upcoming Events AUGUST 13, 2013 Page 1 of 16 11 C.14 - CW INFO July 2013 Physiotherapy Funding Reform Upcoming Events The government has held firm to its August 1 implementation date for changes to Administrator Leadership Program publicly-funded physiotherapy (PT). This is despite strong push back from the (Fall) Designated Physiotherapy Clinics Association (DPCA), including an application to October 20-25, 2013 the court on July 24 to delay implementation for 45 days. That application has Novotel Hotel, North York resulted in a Court Order to extend PT OHIP billing privileges to August 21, 2013. Consent & Capacity Workshop Fall 2013 OANHSS has continued its efforts to support members in the transition and ensure Details coming soon! that we are part of the Ministry’s implementation discussions. Staff and member representatives (Lawrence Grant of the Glebe Centre and Astrida Plorins from Ethical Dilemmas Webinar Summer 2013 & Fall 2013 Cardinal Ambrozic Houses of Providence) participated in recent meetings on the Details coming soon! draft funding policy underlying the new physiotherapy funding model. The Ministry has since communicated the funding policy to homes. Despite the Court Behavioural Supports Ontario Order, new funding will flow on a monthly basis and homes will receive the Workshop September 2013 amount reflected in their August payment notice on, or around, August 22. Our Details coming soon! understanding from the Ministry is that homes and PTs will have the option of either billing OHIP for PT services or following through with the new funding Palliative Care & End of Life Care model. Workshop November 2013 Details coming soon! We have also raised questions and concerns in meetings with the ADM, including those related to the implications of the PT funding changes on the Assistive See page 14 for more details on events Devices Program (ADP). The Ministry is preparing a memo for homes clarifying or visit the Education section of the who pays what for assistive device assessments and purchases within long term OANHSS website. care homes. We will continue to keep members updated on developments. AUGUST 13, 2013 Page 2 of 16 11 C.14 - CW INFO Government Relations LTC Task Force Sets 2013-14 Priorities Amendment to Allow Nursing Students The LTC Task Force on Resident Care and Safety met to Administer Drugs is in Effect recently to review the work plan for year two (April This month OANHSS shared with members that we 2013 to March 2014) and approve priority activities. successfully advocated for changes to the Regulation The 18 actions identified in the initial Task Force Action under the LTCHA so that nursing students in long term Plan are significant and extensive and the 11 assigned care are able to administer medication under the to the sector cover a broad range of topics including supervision of a RN or RPN. The amendment to the indicators, resident and family surveys, leadership Regulation that allows this came into effect on July 19. development, and staff training, among others. OANHSS is pleased that the Ministry quickly responded In considering how to advance the plan, it was agreed to the sector’s concerns by introducing the amendment, that the best approach in terms of effectiveness and which means that nursing students in long term care time/resource availability would be to target a few are afforded a full clinical experience (as is provided in specific priorities each year. other sectors) with appropriate oversight and supervision. The approved actions for 2013-2014 include furthering previous work on promoting the sector’s commitment The amended provisions allow nursing students to to resident care and safety; best practices for engaging administer medication if certain conditions are met, residents and families in quality improvement being: committees in long term care homes; calling on the Ministry to follow through on its commitment to work (a) The nursing student has received education or with the sector to develop suitable indicators to reflect training about the administration of drugs as part abuse, neglect and resident quality of life; and of a nursing educational program; strengthening sector capacity and leadership in managing responsive/mental health behaviours. These (b) The nursing student has been trained by a were selected based on the current environment member of the registered nursing staff in the including incidents that have continued to draw written policies and protocols for the long term attention to the need to improve resident care and care home’s medication management system safety and, in particular, to provide more support to referred to in subsection 114 (2) of the homes and staff to appropriately manage responsive Regulation; behaviours. (c) The member of the home’s registered nursing The Task Force issued its first progress report in January staff, who is permitting the administration, is and the next public update on work to date will be satisfied that the nursing student can safely released later this summer. administer drugs; and, (d) The nursing student administers drugs under the supervision of the member of the home’s registered nursing staff. In addition, the nursing student must be working in the long term care home pursuant to an agreement between the home and the nursing education program. 2 www.oanhss.org Action Update AUGUST 13, 2013 Page 3 of 16 11 C.14 - CW INFO Government Relations eReferral Agreements Under Review OANHSS reiterated its position that none of the suggested revenue generation opportunities would be The Community Integration Information Management enough to cover the construction per diem funding gap. and Network Services Agreement (NSA) and the As well, most would not be viable for a variety of Community Integration Data Sharing Agreements (DSA) reasons including space limitations, lack of critical are being revised and potentially amended. Both of mass, and implications for chartable tax status. these agreements, currently rolling out in some CCACs, will allow for the implementation of eReferrals from Following the focus group discussions, Deloitte expects CCACs into LTC and CSS. to submit an interim report to the Ministry by mid-August. After which, they will conduct follow-up The OACCAC has distributed for feedback a revised interviews with selected stakeholders with a final report DSA and NSA. Draft revisions have been made to the to the Ministry by mid-September. agreements based on input from OANHSS and other associations as well as from organizations that refused LTC to Participate in IAR to sign the original agreements. Further to OANHSS’ previous communication to OANHSS will be reviewing the revised agreements and members, the MOHLTC has now issued a memo to will be providing comments back to the OACCAC based providers requiring long term care home participation in on input from members for the July 31 deadline. Our the Integrated Assessment Record (IAR) Project. understanding is that another draft will be circulated Specifically, the Ministry will require that all long term for approval in early August. care homes submit their RAI-MDS 2.0 data to IAR in order to comply with the reporting requirements of the For further information or to provide comments on the LTCHA. The Ministry states in the memo that a separate revised agreements, please contact Jeffrey Graham, communication will be sent to homes identifying and Director of Public Policy (ext. 237). confirming this requirement. Redevelopment Consultation To date, over 50 long term care homes have completed the IAR implementation and another 80 are in the final OANHSS participated in a focus group consultation on stages of implementation. revenue generation opportunities for redeveloping long term care homes. This was part of a consultation that OANHSS is looking to host a member webinar with the Deloitte is conducting with the long term care sector IAR implementation team to provide a high-level and the lending community, which aims to identify and overview of the program and to seek clarification or recommend alternative revenue sources for homes to raise any concerns with the implementation of the use toward redevelopment. program prior to a more formal introduction by LHINs. Further details will be provided. Four revenue generating opportunities were presented for discussion including: Co-locating programs and services in long term care homes with program funding from the Ministry, such as palliative care, or convalescent care beds; and leasing, housing or commercial opportunities. Action Update July 2013 3 AUGUST 13, 2013 Page 4 of 16 11 C.14 - CW INFO Government Relations OANHSS Participates on Rehabilitative Musculoskeletal disorders (MSDs) Care Alliance Steering Committee Slips, trips and falls Machinery-related incidents OANHSS was invited to participate on the Motor vehicle incidents Rehabilitative Care Alliance Steering Committee. This task-oriented group with representation from all LHINs, The Ministry will also be giving priority to vulnerable the long term care sector (OANHSS, OLTCA), the workers and small businesses. MOHLTC, health care providers and clinical experts has an ambitious work plan over two years to address four To help ensure compliance with the Occupational key initiatives: Health and Safety Act (OHSA), enforcement blitzes will take place in the health care sector in the coming Develop standardized definitions that describe rehabilitative care resources across the months that focus on the following: continuum including a system-wide assess and restore approach. New and Young Workers – Currently underway until August 31. Develop a cross-continuum rehabilitative care approach, including best practice guidelines, for MSD – September and October 2013. frail senior/medically complex populations. Hazardous Drugs and Waste Management – November and December 2013. Develop a comprehensive, standardized minimum dataset for Ministry-funded outpatient/ ambulatory rehabilitative programs. Similar plans have also been developed for other sectors, including industrial, construction, and mining, Develop a standardized rehabilitative care capacity planning and evaluation toolkit. and are done on an annual basis.
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