COLLABORATIVE GOVERNANCE SubRegion Forums Draft Terms of Reference

COLLABORATIVE GOVERNANCE

Sub-Region Forums Draft Terms of Reference Vision A patient-centred sustainable health care system providing continuity of care to individuals and families through integration of health services. Purpose To bring together sub-regional communities of Health Service Providers (HSPs), and additional provider agencies and organizations: to foster the development and implementation of governance-based integration initiatives; strengthen communications; and build health system and related services leadership within local communities.

Values To be determined by Forum members Goals 1. Achieve generative governance at the Board level through building knowledge and understanding of leading practices 2. Identify how to improve the patient/client/family experience through active engagement across the health care system 3. Champion delivery of coordinated, timely and quality care to patients/clients/families by identifying, at a strategic level, opportunities to build new partnerships and improve collaboration.

Governance Initiatives for Early Consideration Within the context of the South East LHIN IHSP and considering local and regional priorities, and demographic profiles, each Forum will come together to identify governance-led South East Health Systems initiatives that are measurable, and designed to: 1. improve patient/client/family care; 2. reduce system obstructions to care; 3. reduce incidence of illness/support preventive care; and 4. effect sustainability.

Measures of Success (To be established by forums – with one or two common measures of success) The three Forums will establish measures of success, and monitor performance on these measures. Reporting Relationship The sub-regional Forums report to the Strengthening System Performance through Collaborative Governance Committee (SSPCG) through a locally selected Forum representative and each Forum’s LHIN Board member, neither of whom Chair the Forum. The SSPCG Committee is a committee of the South East LHIN Board and the Chair is a member of the LHIN Board.

Membership (As a Minimum) • 1 Chair/2 Co-chairs (a HSP Board Member, to be determined locally) • 1 forum representative to the CGCE (e. g. a HSP Board Chair or a HSP Board member) • At least 1 community representative • 1 LHIN Board member • All other HSP board members who wish to attend • Executive Directors – non-voting members • 1 vote per organization

Term of Office (Forums to determine) Meetings and Quorum (Forums to determine – suggest two or three times a year) SE LHIN will fund one workshop per year in each of the geographic areas, in the form of approved venue costs and administrative support or one regional workshop.

South East Local Health Integration Network Strengthening System Performance through Collaborative Governance Committee Terms of Reference

Purpose The Committee is to support the continuing development of sub-region forums in the SE LHIN Region and to encourage consideration of aspects of system performance, from a strategic/generative perspective, at the subregional and regional levels. Accountability The Committee is accountable and reports to the Board of Directors of the SE LHIN.

Responsibilities The responsibilities of the Committee are: • To support the sub-regional forums in identifying governance-led SE LHIN health system initiatives that are measurable, and designed to: improve patient/client/family care; reduce system obstructions to care; reduce incidences of illness/support preventative care; and effect sustainability. The context would be the SE LHIN IHSP and local and regional priorities. See Appendix A for the draft Terms of Reference for the sub-regional forums. • To encourage the forums, in articulating initiatives, to improve the patient/client/family journey whether within the forum geography, across forum geography or through communication with another LHIN.

• To encourage the forums to include related provider agencies and organizations (e. g. funded by other Ministries, etc. ) to provide a more holistic approach in developing strategic/generative initiatives. • To strengthen communications between governance of service provider organizations at the local and regional level and with the SE LHIN Board, e. g. updates on governance-led initiatives. • To share the proposal from each sub-region for an annual governanceled workshop or to support planning one regional workshop. • To review available population demographics at the LHIN and sub LHIN levels to support governance-led initiatives.

• To review the non-identifying results of patient/client/family surveys at the regional and sub-regional levels with a view to incorporating ways to improve results through governance-led initiatives. • To review other system performance related data as requested by the Board with the objective of improving performance outcomes. • Other responsibilities as identified by the SE LHIN Board.

Measures of Success The Measures of Success are to be established by the SSPCG Committee. The performance and effectiveness of the Committee is to be assessed annually as part of the Board’s evaluation process. Membership and Voting members: • Up to 4 directors appointed by the LHIN board • 3 Sub-Regional Forum members – one selected by each Forum (e. g. a HSP Chair or a HSP Board member neither of whom the Forum Chair) Non-voting members: • Chair of the LHIN board • LHIN CEO.

Quorum 50 % plus one member entitled to vote Term of Office Members of the Committee shall serve for a two year term, and may be reappointed at the discretion of the Board for a maximum of one additional term, provided that no such term shall exceed the term of any applicable Order-In-Council appointment. Chair The Chair is a member of the committee appointed by the LHIN Board

Meetings Three or four meetings annually. Meetings will generally be held by teleconference to support attendance of the sub-region forum representatives. Resources Board Coordinator provides support to the committee Reporting Committee Reports provided to the LHIN Board after each meeting. Date: April 2016

Working Definition of Collaborative Governance In the provision of health care, collaboration may occur at many levels such as: between staff of two organizations in providing care for an individual; between CEO’s/ED’s in dealing with immediate issues which involve both organizations; and between governors of two or more organizations who agree to work together to make policy, functional or structural changes to achieve more for the betterment of patients/clients than could be achieved independently. The working definition for Collaborative Governance is as follows…

Governance is defined as the exercise of authority, direction and control of any organization to ensure its purpose is achieved. This purpose includes not only the management of corporate responsibilities, but also the contribution of each agency towards a sustainable system of local and regional integrated care. Collaboration is a mutually beneficial well defined relationship entered into by two or more organizations to achieve common goals. For this committee, collaborative governance means that the SE LHIN will support and facilitate health service provider boards to work together to coordinate the development, implementation and monitoring of strategies, objectives and joint actions which result in quality, seamless and safe care to accomplish regional and local goals. Note: Many documents related to collaborative governance are yielded as a result of a search of the topic. The article most commonly cited is Collaborative Governance in Theory and Practice by Chris Ansell and Alison Gash (2008).