An Overview of Health System Improvement PreProposals HSIP at Toronto Central LHIN

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An Overview of Health System Improvement
Pre-Proposals (H-SIP) at Toronto Central LHIN
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Background

• H-SIPs submitted to date
• Helped the LHIN identify local health system gaps
  and informed the development of strategic plans
• Remain a valuable source of innovative ideas for
  health system improvement
• Resulted in projects funded by Toronto Central
  LHIN and executed by Health Service Providers
• Recently we reviewed feedback from Health Service
  Providers and the Toronto Central LHIN team to
  determine how we can best utilize the H-SIP
  process going forward
• Result A re-designed H-SIP process and form to
  promote clarity for both Health Service Providers
  and Toronto Central LHIN

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How are H-SIPs used at the Toronto Central LHIN?

• At the Toronto Central LHIN the H-SIP form
  is the sole venue available for Health Service
  Providers to articulate
• A request for funding to implement a new health
  service that the organization has not previously
  provided
• A request for funding to expand an existing
  service
• A request for funding to improve efficiency or
  reduce barriers to care
• An informal notification of voluntary integration
  in advance of formal notice
• Before providing a formal notice of voluntary
  integration, Health Service Providers must first
  submit an informal notice of voluntary
  integration using the H-SIP form. Following this
  submission, Toronto Central LHIN staff will
  contact the submitting Health Service Providers
  and instruct them to either proceed to a formal
  notice of voluntary integration or to supply the
  LHIN with additional information.

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Key Considerations for Submitters

• Before submitting an H-SIP, Health Service
  Providers (HSP) should make
• note of the following
• The Toronto Central LHIN has a limited amount of
  discretionary funding at its disposal, most of
  which is one-time in nature
• HSPs should be prepared to describe how their
  proposal will be sustained after LHIN funding is
  complete
• When significant multi-year funding becomes
  available, the Toronto Central LHIN may make note
  of it through a targeted call for proposals
• The Toronto Central LHIN gives particular
  attention to H-SIPs that align with the LHINs
  and the MoHLTCs priorities.
• HSPs should be aware that their proposals may be
  shared with potential collaborators

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The H-SIP Process at the Toronto Central LHIN

• H-SIP Submissions
• H-SIPs can be submitted at any time throughout
  the year. The form can be downloaded from the
  Toronto Central LHIN website and sent in via
  email.
• Acknowledgement of Receipt
• HSPs will be sent a letter of acknowledgement
  specifying the date their H-SIP was received.
  HSPs must take note that their proposals will
  expire one year from this date.
• HSPs are welcome to resubmit expired proposals
  with updated information.
• H-SIPs submitted prior to September 2008 will
  expire September 1, 2009 and do not need to
  re-submit using the new form.
• H-SIP Reviews
• During the fiscal year (April 1st ? March 31st)
  the Toronto Central LHIN performs two scheduled
  reviews. All H-SIPS received prior to a scheduled
  review date will be considered during that
  review.
• All H-SIPs remain in funding consideration until
  their expiration date, and are considered during
  all reviews, as appropriate.
• Additional reviews may be conducted at any point
  throughout the year should a new funding source
  or urgent requirement deem it necessary.

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Key Considerations used by the Toronto Central
LHIN

• In evaluating H-SIPs, the Toronto Central LHIN
  will consider the following
• Does the proposal align with the LHINs and
  MoHLTCs current priority areas?
• Does the proposal support timely, measurable,
  well-defined outcomes?
• Have consumers, residents and other stakeholders
  within the community been engaged in identifying
  this proposal as necessary and appropriate to
  meet community needs?
• Are the submitted cost projections reasonable?
• Does the proposal support health service delivery
  sustainability?
• Does the proposal demonstrate strong partnerships
  and collaboration?
• Is the proposal evidence-based?
• Does the proposal target improvements in LHIN
  priority neighborhoods?
• Are the submitting HSPs meeting the requirements
  set out in their accountability agreement with
  the Toronto Central LHIN, specifically
  maintaining a balanced budget?

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For more information please visit

• http//www.torontocentrallhin.on.ca
• Click on Health Service Providers to find
• Re-designed H-SIP Form
• H-SIP Manual
• Voluntary Integration Manual
• Project Manual
• Calls for Proposals