EVALUATION OF THE ONTARIO COMMON ASSESSMENT ... - CCIM

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OCAN Evaluation for Aboriginal Mental Health Programs OCAN in Aboriginal Mental Health Services A Report on the Pilot Implementation of OCAN in Aboriginal Mental Health Programs in the Ontario North East Local Health Integration Network INTRODUCTION In 2008, the North East Local Health Integrated Network (NE LHIN) became the first LHIN to initiate a LHINwide implementation of an automated common assessment tool, the Ontario Common Assessment of Need (OCAN) to all its Community Mental Health (CMH) Programs. This implementation pilot of OCAN plays a key role in shaping the provincial framework for future use of the OCAN. Reflecting Ontario’s diversity in the NE LHIN, the OCAN will see use with Aboriginal, Anglophone and Francophone consumer populations and their service providers. In this document we report on the experience of the Aboriginal mental health services stakeholders with respect to the OCAN implementation in diverse regions of Northern Eastern Ontario. This evaluation of the pilot implementation of the OCAN in Aboriginal mental health programs was conducted during the winter of 2009/2010. The evaluation research was conducted by Mariette Sutherland (Consultant, Whitefish River First Nation) and Dr. Marion Maar (Faculty, Northern Ontario School of Medicine). Over the past 10 years, these researchers have collaborated on numerous mental health research projects within the Aboriginal communities and organizations, including First Nation health service organizations based in Northern Ontario, as well as provincial Aboriginal territorial organizations (PTOs) and provincial and federal government departments. This OCAN evaluation report of Aboriginal mental health programs is detailed in the following sections: Background to the OCAN in the NE LHIN and previous OCAN evaluation research Purpose of this evaluation & evaluation questions Methods and timelines of the evaluation Description and results for Ontario regions in the Far North and North Central area Discussion of results and implications for OCAN implementation in Aboriginal mental health services Recommendations for OCAN implementation in Aboriginal mental health services Appendices of research instruments Sutherland & Maar - March 2010 Page 5
OCAN Evaluation for Aboriginal Mental Health Programs BACKGROUND In this section we provide background on (1) Ontario’s relevant health information management programs, (2) community mental health programs in Ontario, (3) the Ontario Common Assessment of Need (OCAN) and (4) previous evaluation research of the OCAN implementation in mainstream services. The Community Care Information Management (CCIM) Program 1 Since 2005, CCIM has played a critical role in improving the health care system for providers, residents, and consumers across the Long-Term Care, Community Mental Health & Addictions (CMH&A), Community Care Access Centres (CCACs), Community Support Services sectors and, more recently, Small & Chronic Care Hospitals and Community Health Centres. The implementation of common assessment tools and business systems solutions along with two integration initiatives enables access to standardized information for evidence-based care planning, operational improvements, and funding decisions that directly support the delivery of better health care to clients at home and in our communities. The RAI-MDS 2.0 common assessment tool in Long-term Care Homes and the OCAN tool in Community Mental Health agencies assist consumer-led decision-making at an individual level and make sharing information easy and timely across the sector. The purpose is to implement standard assessment practices that improve business processes and client care management by identifying needs, helping match needs to existing services and identifying service gaps. Also within the CCIM Common Assessment stream, an Integrated Assessment solution is being created, which will allow health care professionals to see community-based assessment data to help inform the treatment planning for people in their care. Plans are being made to begin a pilot in two or three volunteer LHINs this summer, prior to a provincial rollout. Two business systems solutions are being rolled-out in the CMH&A, Community Support Services, and Small & Chronic Care Hospitals sectors. A financial and statistical software solution (MIS) is currently being implemented in organizations to create consistent, reliable internal processes and systems and to meet external Ontario Healthcare Reporting Standards (OHRS) reporting requirements. This solution is also in the initiation stage in the Community Health Centres sector. The human resources and payroll software solution will make it easier for organizations to track the valuable services provided to clients and enable organizations to automate and streamline their payroll and human resources processes for improved efficiency, accountability and reporting. Both systems will make standardized reporting possible at the local level for Health Service Providers, Local Health Integration Networks (LHINs) and the Ministry. The Integrated Data Strategy is an overall initiative that builds on the past and present work being done in the Business Systems and Common Assessment project streams regarding the implementation of standardized data, tools, and processes across the community care sectors. Currently, information is being reported individually by these streams to reflect the sectors’ clinical, financial and HR information. The Integrated Data Strategy aims to combine this information to more clearly demonstrate the relationship between needs, services, outcomes, and cost. 1 Information provided in the sections (i.e. CCIM, CMH&A and OCAN) are adapted from materials provided by the Ministry of Health and Long Term Care. Sutherland & Maar - March 2010 Page 6
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EVALUATION OF THE ONTARIO COMMON ASSESSMENT ... - CCIM

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