2016 Amending Agreement Schedule 3 Revisions FOR...

2016 Amending Agreement

Schedule 3 Revisions

FOR INFORMATION ONLY

Dietetic Services Schedule – 2014 Consolidated Services Version - Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3

Services Schedule

Dietetic

Dietetic Services Schedule – 2014 Consolidated Services Version - Template Final Version – September, 2014 Page 5 of 45March 31, 2016 Amending Agreement

(b) a Service Request has been made to a service provider but only partially accepted and the remaining Services have been refused by all service providers; or

(c) the CCAC intends to make a Service Request, but such Service Request has not yet been made for funding, resource or other reasons;

“Discharge Report” is defined in SS Section 5.7(1)(b);

“Emergency Plan” is defined in SS Section 7.2(2)(e);

“Equipment and Supplies” means the Standard Equipment and Supplies, the CCAC Equipment and Supplies and, if applicable, the Equipment and Supplies provided by the CCAC pursuant to SS Section 4.1(2);

“French Language Services Act” means the Ontario French Language Services Act, R.S.O. 1990, Chapter F.32, as amended from time to time;

“General Dietetic Interventions” is defined in SS Section 3.3.1(2);

“Health Care Consent Act” means the Ontario Health Care Consent Act, 1996, S.O. 1996, Chapter 2, Schedule A, as amended from time to time;

“Health Protection and Promotion Act” means the Ontario Health Protection and Promotion Act, R.S.O. 1990, Chapter H.7, as amended from time to time;

“Home Care and Community Services Act” means the Ontario Home Care and Community Services Act, 1994, S.O. 1994, Chapter 26, as amended from time to time;

“Initial Report” is defined in SS Section 5.3(1);

“Listed CCAC Equipment and Supplies” is defined in SS Section 4.2(1)(a);

“Missed Care” means any scheduled Fixed Period Visit or Hourly Visit to a Patient, authorized by the CCAC as part of the Patient Care Plan, that has been accepted by the Service Provider but that the Service Provider fails to attend and fails to reschedule the visit time to the satisfaction of the Patient in accordance with the Patient Care Plan and includes a Fixed Period Visit or Hourly Visit required by the Patient Care Plan that the Service Provider originally accepts and then subsequently informs the CCAC that it is unable to carry out;

“Non-CCAC Community Services” means community services, including professional services, personal support services and homemaking services and community support services, that are delivered to a Patient and that are not funded by the CCAC;

“Non-CCAC Providers” means providers of Non-CCAC Community Services and school personnel;

“Orientation Sessions” is defined in SS Section 7.4(1)(f);

“Other CCAC Providers” means providers of CCAC Community Services other than the Service Provider;

“Other Equipment and Supplies” is defined in SS Section 4.2(1)(b);

“Part Quarter” means either of the following periods, as applicable:

(a) the period commencing on the Starting Date and ending on the day before the beginning of the first complete Quarter in the Agreement Term; or


(2) The CCAC shall provide the Service Provider with a report on the CCAC assessment (the “CCAC Assessment”) in respect of each Patient to whom the Service Provider will deliver Dietetic Services.

(3) The CCAC Assessment will include some or all of the following information:

(a) the Patient’s personal information;

(b) a summary of the Patient’s view of his or her requirements for CCAC Community Services and Non-CCAC Community Services;

(c) a summary of all assessments and information provided to the CCAC relating to the Patient’s capacity, impairment and requirements for CCAC Community Services and Non-CCAC Community Services;

(d) a description of the Patient’s health condition and nutrition-related disorder for which the CCAC will fund the provision of Dietetic Services to the Patient by the Service Provider (the “Reason for Referral”);

(e) a description of the Patient’s health condition and functional limitations for which the CCAC will fund the provision of CCAC Community Services to the Patient by Other CCAC Providers;

(f) a description of any specific needs and preferences of the Patient, including preferences based on ethnic, spiritual, linguistic, familial and cultural factors;

(g) a description of the CCAC Community Services and Non-CCAC Community Services that the Patient is receiving;

(h) a description of any additional CCAC Community Service requirements of the Patient;

(i) a description of the availability of Non-CCAC Community Services to the Patient;

(j) a description of any other health conditions and functional limitations that will affect, or are likely to affect, the delivery of CCAC Community Services;

(k) identification of the equipment, supplies and medication requirements of thePatient;

(l) a list of the Caregivers that the CCAC has identified and the level of involvement of the identified Caregivers in the care of the Patient; and

(m) an assessment and identification of any known risks to the Patient, Caregiver or Service Provider Personnel.

2.1.3 Patient Care Plan

(1) The CCAC shall, in accordance with Applicable Law, prepare a plan of service for each Patient (the “Patient Care Plan”).

(2) The CCAC shall, in its sole discretion, determine the format and content of the Patient Care Plan, which will include some or all of the following information:

(a) the Patient’s name and the identification number used by the CCAC to identify the Patient (the “Patient Identifiers”);


(b) the Service Delivery Location including the address;

(c) the starting date of delivery of Dietetic Services;

(d) the Reason for Referral and any other health conditions and functional limitations that may have an impact on the delivery of Dietetic Services;

(e) a description of Dietetic Services to be delivered to the Patient by the Service Provider, including a general description of the types of General Dietetic Interventions required, and the clinical pathway, if any, to be used to provide care to the Patient;

(f) a description of, and timeframe for, the expected health care outcomes to be achieved by the Patient through the delivery of CCAC Community Services (the “Care Plan Goals”);

(g) the number or frequency, or both, of Fixed Period Visits and Hourly Visits to be delivered to the Patient;

(h) the expected starting dates and frequency of other CCAC Community Services to be delivered to the Patient or the wait list status of the Patient for other CCAC Community Services;

(i) a list of the Non-CCAC Community Services that the Patient is receiving;

(j) a list of other Non-CCAC Community Services that are available to the Patient;

(k) any requirements of the Service Provider to co-ordinate the delivery of Dietetic Services with the Caregiver, Other CCAC Providers and Non-CCAC Providers;

(l) the CCAC Equipment and Supplies that the CCAC has ordered for the Patient;

(m) the communication or interpretation requirements of the Patient;

(n) the CCAC’s authorization for the Patient to use the Ontario Drug Benefits Program, if granted;

(o) a list of any medication that has been ordered or prescribed for the Patient;

(p) any special instructions with respect to the delivery of Dietetic Services, including any special instructions relating to,

(i) the Service Delivery Location; and

(ii) the timing of Fixed Period Visits and Hourly Visits, including time specific Fixed Period Visits or Hourly Visits;

(q) any contingency plans relating to the care of the Patient; and

(r) the date on which the Patient is expected to be discharged by the CCAC (the “Planned Discharge Date”) for each CCAC Community Service.

(3) The CCAC may, in accordance with the Home Care and Community Services Act, update and revise the Patient Care Plan from time to time, including a change to the number or frequency, or both, of Fixed Period Visits and Hourly Visits.


(4) The CCAC shall notify the Service Provider with respect to any change to the Patient Care Plan that affects the delivery of Dietetic Services.

(5) If the CCAC notifies the Service Provider with respect to a change to the Patient Care Plan pursuant to SS Section 2.1.3(4), the CCAC shall deliver to the Service Provider, at the Service Provider’s request, a written description of the change to the Patient Care Plan.

(6) For clarity, for the purposes of the definition of Missed Care, a Fixed Period Visit or Hourly Visit requested by the CCAC for a specific time represents a requirement of the Patient Care Plan and if such time specific Fixed Period Visit or Hourly Visit is not delivered at the specified time, it shall be considered Missed Care for the purposes of this Agreement, regardless of whether a Patient has accepted the delivery of Services at a different time as an alternative to the specified time.

2.2 Service Requests

(1) The CCAC shall request Dietetic Services to be provided by the Service Provider,

(a) by a CCAC request to provide Dietetic Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Dietetic Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Dietetic Services to an active Patient (a “Service Increase Request”); and

(d) by a CCAC request to provide Urgent Dietetic Services (an “Urgent Dietetic Services Request”),

(collectively, “Service Requests”). The Service Provider shall be available to receive Service Requests during the hours and days set out in the Special Conditions of the Agreement.

(2) The CCAC shall make a Service Request to the Service Provider (and the Service Provider shall receive Service Requests) either by,

(a) personal contact by telephone;

(b) facsimile;

(c) voicemail; or

(d) other electronic means,

as instructed by the CCAC, in writing, from time to time.

(3) If the Service Provider refuses the Service Request pursuant to SS Sections 2.3.1(2), 2.4.1(1), 2.4.2(1) or 2.4.3(4), the Service Provider shall,

(a) provide reasons, in the format specified by the CCAC, for refusing the Service Request; and

(b) provide the earliest date on which the Service Provider can accept the Service Request.

Nursing Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3

Services Schedule

Nursing

Nursing Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014 Page 4 of 50March 31, 2016 Amending Agreement

THE SERVICES SCHEDULESCHEDULE 3 TO THE GENERAL CONDITIONS

SECTION 1 INTERPRETATION

1.1 Definitions

“Adverse Event” is defined in SS Section 5.5(3);

“Annual Indicators” is defined in SS Section 7.3(2)(h);

“Annual Report” is defined in SS Section 8.5(1);

“Care Delivery Plan” is defined in SS Section 3.1.2(1);

“Care Delivery Plan Goals” is defined in SS Section 3.1.2(3)(c);

“Care Plan Goals” is defined in SS Section 2.1.3(2)(f);

“Caregiver” means any individual who is responsible for the care of a Patient and who provides care to the Patient without remuneration, and includes the Patient’s substitute decision-maker as defined in the Home Care and Community Services Act;

“CCAC Assessment” is defined in SS Section 2.1.2(2);

“CCAC Care Coordinator” means the care coordinator designated by the CCAC;

“CCAC Community Services” means professional services, personal support services and homemaking services, as defined in the Home Care and Community Services Act, that are funded by the CCAC;

“CCAC Equipment and Supplies” is defined in SS Section 4.2(1);

“CCAC Policies and Procedures” means the written policies and procedures of the CCAC provided to the Service Provider, as amended from time to time;

“CCAC Service Authorization Date” means the date the CCAC authorizes the provision of the specified Service to the Patient;

“Change of Status Report” is defined in SS Section 5.4(1);

“College Standards and Guidelines” means the standards, guidelines, procedures, policies, manuals and any other documentation produced and endorsed by the College of Nurses of Ontario, as amended from time to time;

“Controlled Act” means a controlled act as defined in the Regulated Health Professions Act;






“General Nursing Clinical Treatments” is defined in SS Section 3.3.1(2);









“Nursing Act” means the Ontario Nursing Act, 1991, S.O. 1991, Chapter 32, as amended from time to time;

“Nursing Services” means the services to be provided by the Service Provider to Patients and as set out in this Services Schedule;

“Nursing Services Wait List” means the list of Patients for whom,

(a) a Service Request has been made to all service providers with whom the CCAC has signed an agreement to provide nursing services but has been refused by all service providers;












(c) the starting date of delivery of Nursing Services;

(d) the Reason for Referral and any other health conditions and functional limitations that may have an impact on the delivery of Nursing Services;

(e) a description of Nursing Services to be delivered to the Patient by the Service Provider, including a general description of the types of General Nursing Clinical Treatments required, and the clinical pathway, if any, to be used to provide care to the Patient;






(k) any requirements of the Service Provider to co-ordinate the delivery of Nursing Services with the Caregiver, Other CCAC Providers and Non-CCAC Providers;





(p) any special instructions with respect to the delivery of Nursing Services, including any special instructions relating to,







(4) The CCAC shall notify the Service Provider with respect to any change to the Patient Care Plan that affects the delivery of Nursing Services.


(6) For clarity, for the purposes of the definition of Missed Care, a Fixed Period Visit or Hourly Visit requested by the CCAC for a specific time represents a requirement of the Patient Care Plan and ifsuch time specific Fixed Period Visit or Hourly Visit is not delivered at the specified time, it shall be considered Missed Care for the purposes of this Agreement, regardless of whether a Patient has accepted the delivery of Services at a different time as an alternative to the specified time.


(1) The CCAC shall request Nursing Services to be provided by the Service Provider,

(a) by a CCAC request to provide Nursing Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Nursing Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Nursing Services to an active Patient (a “Service Increase Request”); and

(d) by a CCAC request to provide Urgent Nursing Services (an “Urgent Nursing Services Request”),




(b) facsimile;

(c) voicemail; or


Occupational Therapy Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3

Services Schedule

Occupational Therapy

Occupational Therapy Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014 Page 5 of 44March 31, 2016 Amending Agreement

“General Occupational Therapy Interventions” is defined in SS Section 3.3.1(2);









“Occupational Therapist” means a registered occupational therapist with a valid general certificate of registration as a registered occupational therapist in Ontario under the Occupational Therapy Act;

“Occupational Therapy Act” means the Ontario Occupational Therapy Act, 1991, S.O. 1991, Chapter 33, as amended from time to time;

“Occupational Therapy Services” means the services to be provided by the Service Provider to Patients and as set out in this Services Schedule;

“Occupational Therapy Services Wait List” means the list of Patients for whom,

(a) a Service Request has been made to all service providers with whom the CCAC has signed an agreement to provide Occupational Therapy services but has been refused by all service providers;




“OTA” means an Occupational Therapist Assistant as described in the Special Conditions of the Agreement;



2.1.2 CCAC Assessment

(1) The CCAC shall assess the Patient’s requirements for CCAC Community Services and Non-CCAC Community Services in accordance with the Home Care and Community Services Act.

(2) The CCAC shall provide the Service Provider with a report on the CCAC assessment (the “CCAC Assessment”) in respect of each Patient to whom the Service Provider will deliver Occupational Therapy Services.

(3) The CCAC Assessment will include some or all of the following information:

(a) the Patient’s personal information;

(b) a summary of the Patient’s view of his or her requirements for CCAC Community Services and Non-CCAC Community Services;


(d) a description of the Patient’s health condition and functional limitations for which the CCAC will fund the provision of Occupational Therapy Services to the Patient by the Service Provider (the “Reason for Referral”);







(k) identification of the equipment, supplies and medication requirements of the Patient;









(c) the starting date of delivery of Occupational Therapy Services;

(d) the Reason for Referral and any other health conditions and functional limitations that may have an impact on the delivery of Occupational Therapy Services;

(e) a description of Occupational Therapy Services to be delivered to the Patient by the Service Provider, including a general description of the types of General Occupational Therapy Interventions required, and the clinical pathway, if any, to be used to provide care to the Patient;






(k) any requirements of the Service Provider to co-ordinate the delivery of Occupational Therapy Services with the Caregiver, Other CCAC Providers and Non-CCAC Providers;





(p) any special instructions with respect to the delivery of Occupational Therapy Services, including any special instructions relating to,







(4) The CCAC shall notify the Service Provider with respect to any change to the Patient Care Plan that affects the delivery of Occupational Therapy Services.




(1) The CCAC shall request Occupational Therapy Services to be provided by the Service Provider,

(a) by a CCAC request to provide Occupational Therapy Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Occupational Therapy Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Occupational Therapy Services to an active Patient (a “Service Increase Request”); and

(d) by a CCAC request to provide Urgent Occupational Therapy Services (an “Urgent Occupational Therapy Services Request”),




(b) facsimile;

(c) voicemail; or



Personal Support and Homemaking Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3

Services Schedule

Personal Support and Homemaking

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THE SERVICES SCHEDULESCHEDULE 3 TO THE GENERAL CONDITIONS

ARTICLE 1 INTERPRETATION

1.1 Definitions

“Adverse Event” is defined in SS Section 5.5(3);

“Annual Indicators” is defined in SS Section 7.3(2)(g);

“Annual Report” is defined in SS Section 8.5(1);

“Care Delivery Plan” is defined in SS Section 3.1.1(1);

“Care Delivery Plan Goals” is defined in SS Section 3.1.1(3)(b);

“Care Plan Goals” is defined in SS Section 2.1.3(2)(f);

“Caregiver” means any individual who is responsible for the care of a Patient and who provides care to the Patient without remuneration, and includes the Patient’s substitute decision-maker as defined in the Home Care and Community Services Act;

“CCAC Assessment” is defined in SS Section 2.1.2(2);

“CCAC Care Coordinator” means the care coordinator designated by the CCAC;

“CCAC Community Services” means professional services, personal support services and homemaking services, as defined in the Home Care and Community Services Act, that are funded by the CCAC;

“CCAC Equipment and Supplies” is defined in SS Section 4.2(1);

“CCAC Policies and Procedures” means the written policies and procedures of the CCAC provided to the Service Provider, as amended from time to time;

“CCAC Service Authorization Date” means the date the CCAC authorizes the provision of the specified Service to the Patient;

“Change of Status Report” is defined in SS Section 5.4(1);

“College Standards and Guidelines” means the standards, guidelines, procedures, policies, manuals and any other documentation produced and endorsed by a regulated health professional’s college, as amended from time to time;

“Community Care Access Corporations Act” means the Ontario Community Care Access Corporation Act, 2001, S.O. 2001, Chapter 33, as amended from time to time;

“Complex Patient” means a Patient receiving Personal Support and Homemaking Services designated as “complex” by the CCAC;



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“Homemaking Tasks” is defined in SS Section 3.3.1(3);





“Non-CCAC Providers” means providers of Non-CCAC Community Services;

“Nursing Act” means the Ontario Nursing Act, 1991, S.O. 1991, Chapter 32, as amended from time to time;

“Occupational Therapist” means a registered occupational therapist with a valid general certificate of registration as a registered occupational therapist in Ontario under the Occupational Therapy Act;

“Occupational Therapy Act” means the Ontario Occupational Therapy Act, 1991, S.O. 1991, Chapter 33, as amended from time to time;

“Orientation Session” is defined in SS Section 7.4(1)(g);





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(d) a description of the Patient’s health condition and functional limitations for which the CCAC will fund the provision of Personal Support and Homemaking Services to the Patient by the Service Provider (the “Reason for Referral”);















(c) the starting date of delivery of Personal Support and Homemaking Services;

(d) the Reason for Referral and any other health conditions and functional limitations that may have an impact on the delivery of Personal Support and Homemaking Services;

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(e) a description of Personal Support and Homemaking Services to be delivered to the Patient by the Service Provider, including a specific description of the types of Personal Support Tasks and Homemaking Tasks required by the Patient and any training requirements for Support Workers identified by a regulated health professional;






(k) any requirements of the Service Provider to co-ordinate the delivery of Personal Support and Homemaking Services with the Caregiver, Other CCAC Providers and Non-CCAC Providers;





(p) any special instructions with respect to the delivery of Personal Support and Homemaking Services, including any special instructions relating to,






(4) The CCAC shall notify the Service Provider with respect to any change to the Patient Care Plan that affects the delivery of Personal Support and Homemaking Services.

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(1) The CCAC shall request Personal Support and Homemaking Services to be provided by the Service Provider,

(a) by a CCAC request to provide Personal Support and Homemaking Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Personal Support and Homemaking Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Personal Support and Homemaking Services to an active Patient (a “Service Increase Request”); and

(d) by a CCAC request to provide Urgent Personal Support and Homemaking Services (an “Urgent Personal Support and Homemaking Services Request”),




(b) facsimile;

(c) voicemail; or



(3) If the Service Provider refuses the Service Request pursuant to SS Sections 2.3.1(2), 2.4.1(1), 2.4.2(1) or 2.4.3(4), the Service Provider shall,

(a) provide reasons, in the format specified by the CCAC, for refusing the Service Request; and

(b) provide the earliest date on which the Service Provider can accept the Service Request .

Physiotherapy Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3

Services Schedule

Physiotherapy

Physiotherapy Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014 Page 5 of 45March 31, 2016 Amending Agreement


“General Physiotherapy Interventions” is defined in SS Section 3.3.1(2);

“Health Care Consent Act” means the Ontario Health Care Consent Act, 1996, S.O. 1996 Chapter 2, Schedule A, as amended from time to time;













(b) the period commencing on the day after the last complete Quarter prior to the End Date and ending on the End Date;

“Patient” means any individual determined by the CCAC to be eligible to receive Physiotherapy Services from the Service Provider;

“Patient Care Plan” is defined in SS Section 2.1.3(1);

“Patient Case Conference” is defined in SS Section 3.3.4(2)(a);

“Patient Identifiers” is defined in SS Section 2.1.3(2)(a);

“Patient Interim Report” is defined in SS Section 5.6(1);







(c) the starting date of delivery of Physiotherapy Services;

(d) the Reason for Referral and any other health conditions and functional limitations that may have an impact on the delivery of Physiotherapy Services;

(e) a description of Physiotherapy Services to be delivered to the Patient by the Service Provider, including a general description of the types of General Physiotherapy Interventions required, and the clinical pathway, if any, to be used to provide care to the Patient;






(k) any requirements of the Service Provider to co-ordinate the delivery of Physiotherapy Services with the Caregiver, Other CCAC Providers and Non-CCAC Providers;





(p) any special instructions with respect to the delivery of Physiotherapy Services, including any special instructions relating to,







(4) The CCAC shall notify the Service Provider with respect to any change to the Patient Care Plan that affects the delivery of Physiotherapy Services.




(1) The CCAC shall request Physiotherapy Services to be provided by the Service Provider,

(a) by a CCAC request to provide Physiotherapy Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Physiotherapy Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Physiotherapy Services to an active Patient (a “Service Increase Request”); and

(d) by a CCAC request to provide Urgent Physiotherapy Services (an “Urgent Physiotherapy Services Request”),




(b) facsimile;

(c) voicemail; or


Respiratory Therapy Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3

Services Schedule

Respiratory Therapy

Respiratory Therapy Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014 Page 5 of 48March 31, 2016 Amending Agreement

“General Respiratory Therapy Clinical Treatments” is defined in SS Section 3.3.1(2);















“Patient” means any individual determined by the CCAC to be eligible to receive Respiratory Therapy Services from the Service Provider;





“Planned Discharge Date” is defined in SS Section 2.1.3(2)(r);












(c) the starting date of delivery of Respiratory Therapy Services;

(d) the Reason for Referral and any other health conditions and functional limitations that may have an impact on the delivery of Respiratory Therapy Services;

(e) a description of Respiratory Therapy Services to be delivered to the Patient by the Service Provider, including a general description of the types of General Respiratory Therapy Clinical Treatments required, and the clinical pathway, if any, to be used to provide care to the Patient;






(k) any requirements of the Service Provider to co-ordinate the delivery of Respiratory Therapy Services with the Caregiver, Other CCAC Providers and Non-CCAC Providers;






(p) any special instructions with respect to the delivery of Respiratory Therapy Services, including any special instructions relating to,






(4) The CCAC shall notify the Service Provider with respect to any change to the Patient Care Plan that affects the delivery of Respiratory Therapy Services.




(1) The CCAC shall request Respiratory Therapy Services to be provided by the Service Provider,

(a) by a CCAC request to provide Respiratory Therapy Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Respiratory Therapy Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Respiratory Therapy Services to an active Patient (a “Service Increase Request”); and

Social Work Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3

Services Schedule

Social Work

Social Work Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014 Page 5 of 43March 31, 2016 Amending Agreement

“General Social Work Interventions” is defined in SS Section 3.3.1(2);

“General Social Work Treatments” is defined in SS Section 3.3.1(2);















“Patient” means any individual determined by the CCAC to be eligible to receive Social Work Services from the Service Provider;











(c) the starting date of delivery of Social Work Services;

(d) the Reason for Referral and any other health conditions and functional limitations that may have an impact on the delivery of Social Work Services;

(e) a description of Social Work Services to be delivered to the Patient by the Service Provider, including a general description of the types of General Social Work Interventions required, and the clinical pathway, if any, to be used to provide care to the Patient;






(k) any requirements of the Service Provider to co-ordinate the delivery of Social Work Services with the Caregiver, Other CCAC Providers and Non-CCAC Providers;





(p) any special instructions with respect to the delivery of Social Work Services, including any special instructions relating to,







(4) The CCAC shall notify the Service Provider with respect to any change to the Patient Care Plan that affects the delivery of Social Work Services.




(1) The CCAC shall request Social Work Services to be provided by the Service Provider,

(a) by a CCAC request to provide Social Work Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Social Work Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Social Work Services to an active Patient (a “Service Increase Request”); and

(d) by a CCAC request to provide Urgent Social Work Services (an “Urgent Social Work Services Request”),




(b) facsimile;

(c) voicemail; or


Speech-Language Pathology Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3

Services Schedule

Speech-Language Pathology

Speech-Language Pathology Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014 Page 5 of 44March 31, 2016 Amending Agreement



“General Speech-Language Pathology Interventions” is defined in SS Section 3.3.1(2);















“Patient” means any individual determined by the CCAC to be eligible to receive Speech-Language Pathology Services from the Service Provider;




(m) a list of the Caregivers that the CCAC has identified and the level of involvement of the identified Caregivers in the care of the Patient; and

(n) an assessment and identification of any known risks to the Patient, Caregiver or Service Provider Personnel.




(a) the Patient’s name and the identification number used by the CCAC to identify thePatient (the “Patient Identifiers”);


(c) the starting date of delivery of Speech-Language Pathology Services;

(d) the Reason for Referral and any other health conditions and speech and language dysfunctions and disorders that may have an impact on the delivery of Speech-Language Pathology Services;

(e) a description of Speech-Language Pathology Services to be delivered to the Patient by the Service Provider, including a general description of the types of General Speech-Language Pathology Interventions required, and the clinical pathway, if any, to be used to provide care to the Patient;






(k) any requirements of the Service Provider to co-ordinate the delivery of Speech-Language Pathology Services with the Caregiver, Other CCAC Providers and Non-CCAC Providers;

(l) the communication or interpretation requirements of the Patient;

(m) the CCAC’s authorization for the Patient to use the Ontario Drug Benefits Program, if granted;

(n) a list of any medication that has been ordered or prescribed for the Patient;


(o) any special instructions with respect to the delivery of Speech-Language Pathology Services, including any special instructions relating to,



(p) any contingency plans relating to the care of the Patient; and

(q) the date on which the Patient is expected to be discharged by the CCAC (the “Planned Discharge Date”) for each CCAC Community Service.


(4) The CCAC shall notify the Service Provider with respect to any change to the Patient Care Plan that affects the delivery of Speech-Language Pathology Services.




(1) The CCAC shall request Speech-Language Pathology Services to be provided by the Service Provider,

(a) by a CCAC request to provide Speech-Language Pathology Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Speech-Language Pathology Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Speech-Language Pathology Services to an active Patient (a “Service Increase Request”); and

(d) by a CCAC request to provide Urgent Speech-Language Pathology Services (an “Urgent Speech-Language Pathology Services Request”),




Consolidated Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014March 31, 2016 Amending Agreement

Schedule 3A

Consolidated Services Schedule

Consolidated Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014 Page 2 of 41March 31, 2016 Amending Agreement

a Service Request has been made to all service providers with whom the(a)CCAC has signed an agreement to provide Consolidated Services but hasbeen refused by all service providers;

a Service Request has been made to a service provider but only partially(b)accepted and the remaining Services have been refused by all serviceproviders; or

the CCAC intends to make a Service Request, but such Service Request has(c)not yet been made for funding, resource or other reasons;


“Dietetics Act” means the Ontario Dietetics Act, 1991, S.O. 1991, Chapter 26, as amended from time totime;


“Discretionary Consolidated Services” is defined in SS Section 2.1(1)(c);


“Equipment and Supplies” means the Standard Equipment and Supplies, the CCAC Equipment andSupplies and, if applicable, the Equipment and Supplies provided by the CCAC pursuant to SS Section4.1(2);

“French Language Services Act” means the Ontario French Language Services Act, R.S.O. 1990,Chapter F.32, as amended from time to time;

“Health Care Consent Act” means the Ontario Health Care Consent Act, 1996, S.O. 1996, Chapter 2,Schedule A, as amended from time to time;

“Health Protection and Promotion Act” means the Ontario Health Protection and Promotion Act, R.S.O.1990, Chapter H.7, as amended from time to time;

“Home Care and Community Services Act” means the Ontario Home Care and Community ServicesAct, 1994, S.O. 1994, Chapter 26, as amended from time to time;

“Homemaking Tasks” means those instrumental activities of daily living which Support Workers arequalified to carry out;


“LHIN Mandated OBPs” is defined in SS Section 2.1(1)(a);


“Missed Care” means any scheduled Fixed Period Visit or Hourly Visit to a Patient, authorized by theCCAC as part of the Patient Care Plan, that has been accepted by the Service Provider but that theService Provider fails to attend and fails to reschedule in accordingthe visit time to the satisfaction of the Patient in accordance with the Patient Care Plan and includes a Fixed Period Visit or Hourly Visit requiredby the Patient Care Plan that the Service Provider originally accepts and then subsequently informs theCCAC that it is unable to carry out;

“Negotiated Consolidated Services” is defined in SS Section 2.1(1)(b);

Consolidated Services Schedule – 2014 Consolidated Services Version – Template Final Version – September, 2014 Page 7 of 41March 31, 2016 Amending Agreement

(2) If a Patient is designated by the CCAC to receive “Consolidated Services”, the Service Provider shall be responsible for the clinical management and delivery of the Consolidated Services to the Patient.

2.2 CCAC Assessment and Patient Care Plan

(1) The CCAC shall assess the Patient’s requirements for CCAC Community Services and Non-CCAC Community Services in accordance with the Home Care and Community Services Act. The CCAC shall make a report on the CCAC assessment (the “CCAC Assessment”) available to the Service Provider in respect of each Patient to whom the Service Provider will deliver Consolidated Services.

(2) The CCAC shall, in accordance with the Applicable Law, prepare a plan of service for each Patient (the “Patient Care Plan”).

(3) The CCAC shall notify the Service Provider with respect to a change to the Patient Care Plan and the CCAC shall deliver to the Service Provider, at the Service Provider’s request, a written description of such a change to the Patient Care Plan.



(1) The CCAC shall request Consolidated Services to be provided by the Service Provider for a Patient,

(a) by a CCAC request to provide Consolidated Services to a new Patient (a “Referral”);

(b) by a CCAC request to resume Consolidated Services to a Patient that has been “on hold” as defined by the Ministry of Health and Long-Term Care or CCAC Policies and Procedures (a “Resumption Request”);

(c) by a CCAC request to increase Consolidated Services to an active Patient (a “Service Increase Request”); and

(d) by a CCAC request to provide Urgent Consolidated Services (an “Urgent Consolidated Services Request”),




(b) facsimile;

(c) voicemail; or


2016 Amending Agreement Schedule 3 Revisions FOR...

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