Winter Highlights: AFHTO Leadership Councils

Investing in Leaders, Investing in YOU

LeaderShift – An opportunity for EDs and/or senior leaders to advance as a leader, help shape the future of our health system and get LEADS certified. To learn more about this exciting opportunity, how to apply to a cohort nearest you, and how to participate in a LEADS Orientation Webinar CLICK HERE!
“Leadership LITE” – Looking for a lighter version of leadership training? AFHTO, together with LEADS Canada, will be offering an online introduction to the LEADS Framework Domains for our members only. Delivered through five ninety-minute webinars spread out over 15 weeks, this session will be available to FHT & NPLC EDs, senior staff, board chairs and lead physicians. CLICK HERE!
Physician Leaders – Leadership training specifically tailored for physicians is also available through a partnership with Joule’s Physician Leadership Institute. AFHTO is working with NSM, MH and HNHB LHINs to pilot this program and identify interested primary care physicians. Contact AFHTO for more information!

Final contract expected late February! AFHTO is currently undergoing legal review of the FHT-Ministry contract. A joint webcast with the Ministry will be announced shortly.
No significant changes have been identified since the proposed changes shared with members previously. However, we do anticipate the FHT contract to include an ‘Assignment’ clause allowing the Ministry to transfer the agreement to another agency of the government (like the LHINs).
- While the new contract is set for a 4-year term, the Ministry has not indicated any expressed intent or timeline for such a transfer to occur. Should there be an intent to transfer the agreements from the Ministry to the LHINs, AFHTO will ensure significant consultation with our members occurs early in the process, and will include transparent, ongoing communications between the LHINs, Ministry and AFHTO.

Contract and base funding for FHTs will remain with the Ministry for now, however the Patients First legislation enables LHINs to fund FHTs and NPLCs for certain projects or initiatives.
To receive any direct LHIN funding FHTs & NPLCs will have to sign a provincial Service Accountability Agreement (SAA).
- The current SAAs between LHINs and the health service providers they fund are not aligned with the current contracts FHT & NPLCs have with the Ministry. AFHTO is participating on the provincial SAA Advisory Committee to help inform the development of new Accountability Agreements for Primary Care. Further announcements will be made in the coming months including a primer webinar on what it means to be a LHIN HSP. AFHTO suggests contacting us if the LHIN is asking you to sign any agreements now.

AFHTO’s Board Chair Leadership Council has launched! Members of the Council will be reaching out to other FHT & NPLC board chairs in their region to encourage collaborative governance and to support board best practices.
- Interested in joining the Board Chair Leadership Council? Have a look at the membership list and Terms of Reference to see if your LHIN region is represented or email AFHTO to find out more!
More governance resources coming in March:
- Board Composition Guidance document, including a short case statement for a skills base Board; processes and tips for looking at Board composition and recruitment; and tools for Board use.
- Board survey regarding priority governance support needs.
- Board Primer to summarize the implications of any new contractual requirements for the role/accountabilities of the Board and individual Board members.
- Onsite training to FHT & NPLC boards as requested.

Phase 1 advocacy for equitable compensation is now complete: ‘Conducting a “Refresh” of the Common Salary Structure for Primary Care Organizations in Ontario: 2017 Report’. The original report that was sent out in January had small errors in the Appendix which have now been corrected in this final report.
Phase 2 has begun. AFHTO, AOHC and NPAO have partnered with a new consulting firm (Accompass) in the development of a senior executive compensation framework and guidance document in the primary care sector to support Boards to better understand what the job scope and salary rates should be for these positions.
- Utilizing survey input, stakeholder interviews, and best practice research Accompass will develop a guidance document for Boards as soon as the 2018/2019 funding letters become available (April – September 2018)

Data submission for D2D 5.1 is now closed! Results for D2D 5.1 will be visible on the Interactive Report page on March 8th, 2018.
What is D2D telling us?
- Healthcare costs for patients of primary care teams might be starting to decrease.
- Higher quality is related to lower cost. However, quality has not yet improved across all the AFHTO membership. Since evidence of higher quality care is key to demonstrating the value of teams, it’s important for AFHTO members to keep working to move beyond measurement to improvement.
- Single-site teams tend to have lower costs and better quality than multi-site teams. Why? Join your peers in the QI enablers study so we can find the answer(s) together.

If you have any further questions or comments, please contact Bryn Hamilton, Provincial Lead for the Governance & Leadership program.

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