200810 HAPSHSAA Indicators: Organizational Health

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• 2008-10 HAPS/H-SAA Indicators Organizational
  Health

August 2007
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Overview

• This session covers organizational health
  indicators in the 2008-10 Hospital Annual
  Planning Submission (HAPS) Guidelines and
  Web-Enabled Reporting System (WERS)
• Aimed at hospital and LHIN staff involved in the
  preparation and review of HAPS
• Updated and expanded as needed

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2008-10 HAPS/H-SAA Indicators Domains
Training Development
Financial Health
Organizational Health
Capital Health IT/Med Equipment
Turnover Rate
Paid Sick Time (Full-time)
Operational Efficiency
Vacancy Rate
Paid Overtime (Full-time Part-Time)
Capital Health Facility Condition Index
Nursing FTE
Current Ratio Consolidated
Staff Satisfaction
Total Margin Sector Code 1
Workplace Safety Indicators
Total Margin Consolidated
Readmissions to Own Facility
Readmissions (All Facilities CHF Only)
CCC Skin Ulcers
Mental Health
CCC Index Indicators
ALC Indicators
Volumes
Rehab Indicators
ED Indicators
Stroke Care Index Indicators
Patient Safety
Hospital-CCAC Integration Indicators
System Integration
Patient Access Outcomes
HSMR
Adult IP Sat Indicators
ED Sat Indicators
Paediatric Sat Indicators
Patient Experience
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2008-10 HAPS/H-SAA Organizational Health
Indicators

• Performance Indicator
• Full-Time Nursing (no change)
• Monitoring Indicators
• Paid Sick Time (refinements to definition)
• Paid Overtime (new definitions)
• Workplace Safety Injury Frequency (new)
• Explanatory Indicator
• Workplace Safety Injury Severity (new)

• Developmental Indicators
• Turnover Rate (draft definition)
• Vacancy Rate (draft definitions)
• Training Development (draft definition)
• Staff Satisfaction
• Retired Indicator
• NEER Index

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Performance Indicator Full Time Nurses
Description Percentage of Management and
Operational Support (MOS), Unit Producing
Personnel (UPP) and Nurse Practitioner (NP)
earned hours (including worked and benefit hours)
provided by full-time nurses of all employment
status for provincial sector code 1. Definition
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Performance Indicator Full-Time Nurses
Numerator MOS, UPP and NP Earned Hours for
Full-Time Nurses Provincial Sector Code
1 Primary Accounts 711, 712, 713, 714,
715, 717, 718, 719 Secondary Accounts 631
11 1, 631 11 3, 631 11 4, 631 11 6, 631 12
1, 631 12 3, 631 12 4, 631 12 6, 631 13 1,
631 13 3, 631 13 4, 631 13 6, 631 14 1, 631
14 3, 631 14 4, 631 14 6, 631 15 1, 631 15
3, 631 15 4, 631 15 6, 631 16 1, 631 16 3,
631 16 4, 631 16 6, 635, 11 1, 635 11 3, 635
11 4, 635 11 6, 635 12 1, 635 12 3, 635 12
4, 635 12 6, 635 13 1, 635 13 3, 635 13 4,
635 13 6, 635 14 1, 635 14 3, 635 14 4, 635
14 6, 635 15 1, 635 15 3, 635 15 4, 635 15
6, 635 16 1, 635 16 3, 635 16 4, 635 16 6,
638 11 1, 638 11 3, 638 11 4, 638 11 6, 638
16 1, 638 16 3, 638 16 4, 638 16 6

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Performance Indicator Full time Nurses
Denominator MOS, UPP and NP Earned Hours for
Nurses of all Employment Status Provincial
Sector Code 1 Primary Accounts 711, 712,
713, 714, 715, 717, 718, 719 Secondary
Accounts 631 , 635 , 638 For
greater certainty, please see 2008-10
H-SAA. Ministry Target Minimum of
70 Performance Corridor For Academic and
Community Hospitals the Performance Corridor is
Negotiated Target minus 1 (lower limit only).
For Small Hospitals, as defined by the JPPC, the
Performance Corridor is Negotiated Target minus
3 (lower limit only).

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Monitoring Indicator Paid Sick Time

• Description
• The percentage of Management and Operational
  Support (MOS), Unit Producing Personnel (UPP) and
  Nurse Practitioner (NP) sick time hours incurred
  by full-time (full-time, job share and temporary
  full-time staff) for provincial sector code 1.
• Definition
• Full-Time MOS, UPP and NP Sick Time
• Paid Sick Time _______________________________
  ______
• Full-Time MOS, UPP and NP Earned Hours

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Monitoring Indicator Paid Sick Time
Numerator Full-time MOS, UPP and NP Sick Time
Hours Provincial Sector Code 1 Primary
Accounts 71 Secondary Accounts 63113,
63133, 63143, 63163, 63513, 63533,
63543, 63563, 63813, 63833, 63843,
63863 Denominator Full-time MOS, UPP and NP
Earned Hours Provincial Sector Code 1 Primary
Accounts 71 Secondary Accounts 6311,
6313, 6314, 6316, 6351 6353,
6354, 6356, 6381 6383, 6384,
6386 Targets Corridors None recommended at
this time
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Monitoring Indicator Paid Overtime

• Description
• The percentage of Management and Operational
  Support (MOS), Unit Producing Personnel (UPP) and
  Nurse Practitioner (NP) overtime hours provided
  by full-time and part-time staff for provincial
  sector code 1.
• Definition 1 Full-time (Full-time, Job Share
  and Temporary Full-Time)
• Full-Time MOS, UPP and NP Overtime Hours
• Full-Time MOS, UPP and NP Earned Hours
• Definition 2 Part-Time only
• Part-Time MOS, UPP and NP Overtime Hours
• Part-Time MOS, UPP and NP Earned Hours

Paid Full-time Overtime

Paid Part-time Overtime

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Monitoring Indicator Paid Overtime (Full-time)
Numerator Full-time MOS, UPP and NP Overtime
Hours Provincial Sector Code 1 Primary
Accounts 71 Secondary Accounts 63111,
63131, 63141, 63161, 63511, 63531,
63541, 63561, 63811, 63831, 63841,
63861 Denominator Full-time MOS, UPP and
NP Earned Hours Provincial Sector Code
1 Primary Accounts 71 Secondary Accounts
6311, 6313, 6314, 6316, 6351,
6353, 6354, 6356, 6381 6383,
6384, 6386 Targets Corridors None
recommended at this time
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Monitoring Indicator Paid Overtime (Part-Time)
Numerator Part-time MOS, UPP and NP Overtime
Hours Provincial Sector Code 1 Primary
Accounts 71 Secondary Accounts 63121,
63521, 63821 Denominator Part-time MOS,
UPP and NP Earned Hours Provincial Sector Code
1 Primary Accounts 71 Secondary Accounts
6312, 6352, 6382 Targets
Corridors None recommended at this time
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Monitoring Indicators Workplace Safety

• Injury Frequency Injury Severity indicators
  replace WSIB NEER Index
• NEER Index was challenging indicator for some
  hospitals, particularly smaller ones, to
  calculate/interpret
• HAPS/H-SAA definitions are consistent with the
  spirit of WSIB Injury Frequency Severity
  Indicators
• Differences in calculation enable hospitals to
  track indicators based on fiscal year and earned
  hours in hospital sector
• WSIB uses calendar year, non-industry specific
  normalizing factor and proxy measures to estimate
  hours worked.

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Monitoring Indicator Workplace Safety Injury
Frequency

• Description
• Number of allowed WSIB claims per 100 full-time
  equivalent workers (195,000 hours worked) during
  fiscal year. WSIB uses 200,000 hours worked and
  calendar year data
• Definition
• Total Number of Allowed WSIB Claims
  During fiscal Year
• Injury Frequency ______________________________
  ____ x 100
• MOS, UPP and NP Earned Hours of all
  employment status / 1,950 hours

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Monitoring Indicator Workplace Safety Injury
Frequency
Numerator Total number of WSIB claims during the
fiscal year multiplied by 195,000. Ideally, WSIB
firm data in numerator should be consistent
with sector code and fund type data in
denominator. Denominator MOS, UPP and NP
Earned Hours of all employment status Provincial
Sector Code 1 Primary Accounts 71 Secondary
Accounts 631, 635, 638 Targets
Corridors New indicator to HAPS/H-SAA no targets
or corridors recommended at this time
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Explanatory Indicator Workplace Safety Injury
Severity

• Description
• Total number of lost days authorized by the WSIB
  for loss of earnings per 100 full-time equivalent
  workers (195,000 hours worked) during fiscal
  year. WSIB uses 200,000 hours worked and
  calendar year data.
• Definition
• Total Number of Allowed WSIB Lost
• Days during Fiscal Year
• Injury Severity ___________________________
  _____ x 100
• Full-time and Part-time MOS, UPP and
• NP Earned Hours / 1,950 hours

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Explanatory Indicator Injury Severity
Numerator Total number of WSIB lost days
during fiscal year multiplied by 195,000.
Ideally, WSIB firm data in numerator should be
consistent with sector code and fund type data in
denominator. Note May include lost days due to
injuries incurred in previous fiscal years.
Denominator Full-time and Part-time MOS, UPP
and NP Earned Hours Provincial Sector Code
1 Primary Accounts 71 Secondary Accounts
631, 635, 638 Targets
Corridors New indicator to HAPS/H-SAA no targets
or corridors recommended at this time
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Developmental Indicator Turnover Rate

• A measure of those who have left the organization
  over the past year, both voluntary and
  involuntary (includes separations, retirements,
  workforce reductions, dismissals, etc.)
• Definition (draft)
• Average of employees who leave during the
  fiscal year
• _____________________________________________ x
  100
• Average employed during the fiscal year

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Developmental Indicator Vacancy Rate

• A measure of vacant employee positions for which
  the organization is actively recruitingcaptures
  both actual and budgeted positions
• Definition Option 1 (draft)
• Actual of vacant employee positions during the
  fiscal year
• __________________________________________________
  _ x 100
• Actual employees during the fiscal year
• Definition Option 2 (draft)
• Planned / Actual of employee positions during
  the fiscal year
• __________________________________________________
  _ x 100
• Planned employees during the fiscal year

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Developmental Indicator Training Development

• A measure of average training hours per employee
  (or FTE)
• Definition (draft)
• of employees participating in in-service
  training sessions and/or
• off-site education and training programs during
  the fiscal year
• __________________________________________________
  _ x 100
• Average employed during the fiscal year

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More Information

• Other e-learning sessions and background
  materials in this series are posted on
  www.oha.com, with links on WERS, FIM, LHIN and
  JPPC websites
• If you have questions, please contact your local
  LHIN www.lhins.on.ca

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We Welcome Your Feedback

• For more information on this e-learning series or
  other initiatives of the LHIN-JPPC Communication
  Education Work Group please contact
• Mimi Lowi-Young, Chair
• c/o Ontario Joint Policy and Planning Committee
  (JPPC)
• 415 Yonge Street, Suite 1200
• Toronto, ON M5B 2E7
• Tel [phone] Fax [phone]
• www.jppc.org