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Regrets: Kerri Harrison, Linda Shaw

\uD83E\uDD45 Goals

  • Review annual staffing plan, direct care hours (DCH) & cost

  • Review Operating Revenue

\uD83D\uDDE3 Discussion Topics

Agenda Items

Notes

Annual Staffing Plan Review

  • Q1 .

  • Goal of this data point: to have an eye on the HR challenges in the sector. 2 pieces:

    • RN coverage 24/7 shift-level

    • global info

  • could we

    & Q2) Will the operators be able to provide the # of staff that are full-time, part-time and casual? Will the operators be able to provide FTEs?

    Goal for column P to S is wanting to know whether the staff’s wages close to the HEABC rate? wages can pre pre-filled as Y
    • Head count should be possible but this would not be possible to capture per shift. We would need to do it per role instead (i.e. RN/RPN, LPN, etc.). Should only record this at the job code level? NHA and VIHA.

      FT/PT/casual numbers of RNs. Shouldn’t be against shift times, just for the number of people (headcount).

      . Would not be possible to provide FTEs (i.e., no FTEs for casuals).

    • IHA agrees with the snapshot headcount - make this more clear in the table.

    • no subtotal by position, it’s currently by category. Instructions: we are just asking for the total of headcount at the job code level.

  • NHA has different staffing levels (scheduled hours) - may have to add a column for stat.

  • The intent of this annual staffing plan is just for

    • The objective of this data point is for the ministry to have a line of sight into what HR challenges exist in the sector.

    • CGI will ensure instructions are clear on the form.

  • Will need to clarify the definition of a "shift". The majority of hours worked during a time period will define the shift (i.e. Day, Evening, Night). Replying to NHA: the Staffing plan is really to capture the hours and not the cost so it wouldn't be necessary to split the hours.

DCH Review

  • Added 3 columns that would be auto-calculated.

  • Performance Measures

  • How do we get the value for C98? This may be difficult to pull this info (we don’t know right now). HAs will take this away and figure - it is information that is important. FHA has started this process and the data … using payroll data + agency data. Haven’t figured out how to do this sustainably.

  • NHA has a hard time pulling the agency vs. the regular contracted services. Coding it to the same response centre - let’s merge these together.

    • as long as the form has a note for this section - NHA could include that there.

  • include column that would total Q86 and X86 so the providers can view this right away. “Total direct care , another cell below that calculates the total benefit rate”.

operating revenue

  • VIHA doesn’t think there is a process form for this. It’s hard to tell what is included in each year. In order for HAs to defer, approval is required from HAs. Is it helpful to have this or not?

Next week’s agenda

Parked Items

  • bonnie will follow-up with Kerri. Column U, V, W. VIHA thinks we’re getting too granular.

  • Ana - STAT whether a STAT column is used

  • Goal for column P to S is wanting to know whether the staff’s wages close to the HEABC rate? wages can pre pre-filled as Y. But not wages?

  • Other performance measures to include?

Decision: Yes we will need to track the "Minimum 20% RN/LPNs care staffing".

  • Column R & S would be difficult to provide by NHA. VIHA agrees it would be difficult to separate Contract Services from Agency Services.

Decision: Merge two columns back into one

  • NHA mentioned that the break down between Productive and non-productive is not captured.

    • A note field will be required to explain the higher amount of hours in one of the category.

  • The break down of hours per category (FT, PT, Casual) will be difficult to provide. This won't be that valuable for the Ministry and therefore is not necessary.

  • Question from Ron: Would it be possible to take cells Q86 and X86 to calculate the total DCH and the total benefit rate displayed for the operators below?

   Decision: This calculation will be added to the Benefits table.

Operating Revenue

For future discussion:

  • How do HAs manage deferrals and should it be tracked?

Next Week’s Agenda

The objective for next week will be to finalize Revenue and Expenditures sections.

  • HAs may be interested in seeing others additional stats (e.g. the % Allied Professionals). If there are additional performance measures HAs would like included, then email Bonnie. Nothing new for now.

  • Review the revenue and expenditures section

✅ Action Items

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1

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Aug 24

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In Progress

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ID

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Status

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1

Staffing Plan. To review parked columns U to W for now as a group. Bonnie will follow-up with Kerri on this.

  • takeaway: minimum 20% professional (just for nursing) . Need to these in the quarterly reports as well. No % required for allied professional. The provincial staffing model states that 20% of all nurses hours should be produced by professional staff (LPNs, RNs).

    • VIHA suggested that a spreadsheet

    • add instructions to include being clear on specifically identified as LPNs and RNs

  • Operating Revenue

  • NEXT WEEK

    • go through the revenue and expenditures section

    ✅ Action items

    FCS

    Aug 24

    Aug 31

    New

    2

    Re-visit statutory days for Northern Health’s

    FCS

    Aug 24

    Aug 31

    New

    NHA is capturing Stat Days separately and therefore scheduled hours can be different. The MoH will park this one and get back to the HAs. A potential could be to add a column for stat.

    3

    Bonnie to confirm with Kerri whether the columns P and R are necessary as it looks like the input for the Wage columns will always be “Y”.

    FCS

    Aug 24

    Aug 31

    New

    4

    HAs to take away the RN 24/7 performance indicator and confirm whether this could be provided or not.

    HAs

    Aug 24

    Aug 31

    New

    The indicator for the number of days (not shifts) where the RN 24/7 was not achieved could be difficult to provide.

    5

    HAs to review the different types of revenues that are listed and come prepared to following meeting.

    HAs

    Aug 24

    Aug 31

    New

    5

    Bonnie to update the calculation on line 15 in order to accurately capture the hourly rate.

    FCS

    Aug 24

    Aug 31

    New

    6

    Bonnie to send the package for Operating Expenditures by the end of the week

    FCS

    Aug 24

    Aug 31

    New

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