Common use of Explanatory Indicators Clause in Contracts

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 57% < 68% 57% < 69% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 N/A *1.5 N/A *TBD N/A CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 - 3080 2800 2520 - 3080 XXX XXX CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 - 263 219 175 - 263 XXX XXX CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 N/A *$93,120 N/A *TBD N/A CSS ABI - Day Services 72 5 83 20 S 483*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 N/A *2.2 N/A *TBD N/A CSS ABI - Day Services 72 5 83 20 S 483*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 200 160 - 240 200 160 - 240 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 - 7665 Attendance Days Face-to-Face S 483* CSS ABI - Day Services 72 5 83 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support Service Training 72 5 84 10 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI - Day Services 72 5 83 20 S 483*, 455* *$192,070 *$192,070 320 - 480 320 - 480 3510 - 4290 3510 - 4290 *$210,168 *$210,168 6935 - 7665

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute Algoma Family Services Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 5720% < 6824% 5720% < 6924% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors CSS IH Healthcare Service Provider: Algoma Family Services 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Primary Care COM Clinics/Programs - Caregiver Support Addictions Treatment-Substance Abuse 72 5 82 50 10 78 11 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 2.5 N/A *1.5 2.5 N/A *TBD N/A CSS IH COM Clinics/Programs - Caregiver Support Addictions Treatment-Substance Abuse 72 5 82 50 10 78 11 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 1042 938 - 3080 2800 2520 1146 1042 938 - 3080 1146 XXX XXX CSS IH COM Clinics/Programs - Caregiver Support Addictions Treatment-Substance Abuse 72 5 82 50 10 78 11 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 333 266 - 263 219 175 400 333 266 - 263 400 XXX XXX CSS IH COM Clinics/Programs - Caregiver Support Addictions Treatment-Substance Abuse 72 5 82 50 10 78 11 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 198,980 N/A *$93,120 198,980 N/A *TBD N/A CSS ABI COM Clinics/Programs - Day Services Initial Assessment and Treatment Planning 72 5 83 20 10 78 30 S 483450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 0.5 N/A *2.2 0.5 N/A *TBD N/A CSS ABI COM Clinics/Programs - Day Services Initial Assessment and Treatment Planning 72 5 83 20 10 78 30 S 483450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 208 166 - 250 208 166 - 250 XXX XXX COM Clinics/Programs - Initial Assessment and Treatment Planning 72 5 10 78 30 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 200 160 67 54 - 240 200 160 80 67 54 - 240 80 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 COM Clinics/Programs - 7665 Attendance Days Face-to-Face S 483* CSS ABI - Day Services Initial Assessment and Treatment Planning 72 5 83 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support Service Training 72 5 84 10 78 30 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI - Day Services 72 5 83 20 S 483*, 455* *$192,070 38,946 N/A *$192,070 320 38,946 N/A *TBD N/A Schedule E2c: MH&A Specific Indicators Sector Specific Indicators- Mental Health & Addictions Healthcare Service Provider: Algoma Family Services Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Number of Days from Referral to Assessment 1N/A 1N/A 1N/A 1N/A XXX XXX Explanatory Indicators *% of Clients Satisfied with Services Received Schedule E3: LHIN Local Indicators Measure/Obligation Commitment to Integration The HSP Board of Directors and management previously passed Board motions that committed the HSP to support the principles of integration as per the section 24 of the Local Health System Integration Act, 2006 (LHSIA) as a means of improving the health system in northern Ontario. On an annual basis the HSP is committed to completing the following: 1) An organizational self assessment tool of gaps, issues and pressures in the delivery of health care services (tool to be provided by the LHIN) 2) A report, by May 31st of each year, of integration opportunities and strategies to implement which would include at a minimum (template to be provided by the LHIN) • Summary of discussions with HSPs for the identification and implementation of integration opportunities within the sector • Summary of discussions with HSPs for the identification and implementation of integration opportunities within the HUB region 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Sector: ALL SECTORS - 480 320 - 480 3510 - 4290 3510 - 4290 *$210,168 *$210,168 6935 - 7665- Activity

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 5719% < 6822% 5719% < 6923% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors CSS IH Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: CMHA/Peel 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 14.6 N/A *1.5 14.6 N/A *TBD N/A CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 - 3080 2800 2520 - 3080 10050 9548 ‐ 10553 10050 9548 ‐ 10553 XXX XXX CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 - 263 219 175 - 263 315 252 ‐ 378 315 252 ‐ 378 XXX XXX CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 1,081,979 N/A *$93,120 1,106,635 N/A *TBD N/A CSS ABI Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: CMHA/Peel 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Clinics/Programs - Day Services MH Vocational/Employment 72 5 83 20 10 76 40 S 483450*, 451*, 455* Total Cost for Functional Centre *$71,732 N/A *$73,586 N/A *TBD N/A COM Clinics/Programs - MH Clubhouses 72 5 10 76 41 S 450*, 451*, 455* Full-time equivalents (FTEFTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *9.9 N/A *9.1 N/A *TBD N/A COM Clinics/Programs - MH Clubhouses 72 5 10 76 41 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 16000 15200 ‐ 16800 20000 19000 ‐ 21000 XXX XXX COM Clinics/Programs - MH Clubhouses 72 5 10 76 41 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 300 240 ‐ 360 400 320 ‐ 480 XXX XXX COM Clinics/Programs - MH Clubhouses 72 5 10 76 41 S 450*, 451*, 455* Total Cost for Functional Centre *$665,784 N/A *$629,119 N/A *TBD N/A COM Clinics/Programs - MH Early Intervention 72 5 10 76 51 S 450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 N/A *2.2 N/A *TBD N/A CSS ABI COM Clinics/Programs - Day Services MH Early Intervention 72 5 83 20 10 76 51 S 483450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 1900 1710 ‐ 2090 1900 1710 ‐ 2090 XXX XXX COM Clinics/Programs - MH Early Intervention 72 5 10 76 51 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 200 160 - 240 200 160 - 240 30 24 ‐ 36 30 24 ‐ 36 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 COM Clinics/Programs - 7665 Attendance Days Face-to-Face S 483* CSS ABI - Day Services MH Early Intervention 72 5 83 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support Service Training 72 5 84 10 76 51 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI *$148,271 N/A *$153,330 N/A *TBD N/A COM Clinics/Programs - Day Services MH Diversion and Court Support 72 5 83 20 10 76 56 S 483450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *13 N/A *13 N/A *TBD N/A COM Clinics/Programs - MH Diversion and Court Support 72 5 10 76 56 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 7120 6764 ‐ 7476 7120 6764 ‐ 7476 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: CMHA/Peel 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Clinics/Programs - MH Diversion and Court Support 72 5 10 76 56 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 520 442 ‐ 598 520 442 ‐ 598 XXX XXX COM Clinics/Programs - MH Diversion and Court Support 72 5 10 76 56 S 450*, 451*, 455* Total Cost for Functional Centre *$192,070 890,333 N/A *$192,070 320 945,667 N/A *TBD N/A COM Crisis Intervention COM Crisis Intervention - 480 320 Mental Health 72 5 15 76 S 450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *32.7 N/A *31.7 N/A *TBD N/A COM Crisis Intervention - 480 3510 Mental Health 72 5 15 76 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 20580 19551 ‐ 21609 21207 20147 ‐ 22267 XXX XXX COM Crisis Intervention - 4290 3510 Mental Health 72 5 15 76 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 2860 2574 ‐ 3146 2982 2684 ‐ 3280 XXX XXX COM Crisis Intervention - 4290 Mental Health 72 5 15 76 S 450*, 451*, 455* Group Sessions (# of group sessions) S 492* 50 40 ‐ 60 50 40 ‐ 60 XXX XXX COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Total Cost for Functional Centre *$210,168 2,851,727 N/A *$210,168 6935 2,801,718 N/A *TBD N/A COM Residential Services COM Res. Mental Health - 7665Support within Housing 72 5 40 76 30 S 403*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *4.2 N/A *4 N/A *TBD N/A COM Res. Mental Health - Support within Housing 72 5 40 76 30 S 403*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2600 2340 ‐ 2860 2600 2340 ‐ 2860 XXX XXX COM Res. Mental Health - Support within Housing 72 5 40 76 30 S 403*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 52 42 ‐ 62 52 42 ‐ 62 XXX XXX COM Res. Mental Health - Support within Housing 72 5 40 76 30 S 403*, 455* Total Cost for Functional Centre *$260,099 N/A *$260,099 N/A *TBD N/A Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: CMHA/Peel 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Performance Target Standard *0.1 N/A *$19,003 N/A *3.4 N/A 3500 3150 ‐ 3850 70 56 ‐ 84 *$233,018 N/A Performance Target Standard *0.1 N/A *$19,003 N/A *3.4 N/A 5000 4750 ‐ 5250 90 72 ‐ 108 *$239,391 N/A Performance Target Standard *TBD N/A *TBD N/A *TBD N/A XXX XXX XXX XXX *TBD N/A COM Health Promotion and Education COM Health Promo. /Education MH - Community Full-time equivalents (FTE) Development 72 5 50 76 40 S 310*,350*,380*,390* (Earned Hours) divided by S 452* 455* 1950= FTE COM Health Promo. /Education MH - Community Development 72 5 50 76 40 Total Cost for Functional Centre S 452* 455* COM Consumer/Survivor/Family Initiatives COM Consumer Survivor Initiatives - Peer/Self Help Full-time equivalents (FTE) 72 5 51 76 11 S 310*,350*,380*,390* (Earned Hours) divided by S 455* 1950= FTE COM Consumer Survivor Initiatives - Peer/Self Help Not Uniquely Identified Service Recipient 72 5 51 76 11 Interactions S 455* S. 452**00 COM Consumer Survivor Initiatives - Peer/Self Help Group Sessions (# of group sessions) 72 5 51 76 11 S 492* S 455* COM Consumer Survivor Initiatives - Peer/Self Help 72 5 51 76 11 Total Cost for Functional Centre S 455* > 1N/A - not a Accountability indicator in 2011-12 or 2012-13 Schedule E2c: MH&A Specific Indicators Number of Days from Referral to Assessment 1N/A 1N/A 1N/A 1N/A XXX XXX Explanatory Indicators *% of Clients Satisfied with Services Received LHIN Local Indicator – LHIN Specific Healthcare Service Provider: Canadian Mental Health Association, Peel Branch Sector: CMH Activity: Health Equity Environmental Scan Measure/Obligation: The HSP will complete a Health Equity Environmental Scan and submit it to the Central West LHIN on or before September 30, 2011. Submission Date: September 30, 2011 XXX LOCAL HEALTH INTEGRATION NETWORK (the “LHIN”) [Legal Name of the Health Service Provider] (the “HSP”)

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute University of Waterloo Accountability Indicators 2011-2012 2012-2013 20130000 0000-2014 0000 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 570% < 680% 570% < 690% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors CSS In-Home and Community Services (CSS IH COM) CSS IH COM - Caregiver Support Vision Impaired Care Services 72 5 82 50 75 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 2.8 N/A *1.5 2.8 N/A *TBD N/A CSS IH COM - Caregiver Support Vision Impaired Care Services 72 5 82 50 75 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 5460 5187 - 3080 2800 2520 5733 5460 5187 - 3080 5733 XXX XXX CSS IH COM - Caregiver Support Vision Impaired Care Services 72 5 82 50 75 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 680 578 - 263 219 175 782 680 578 - 263 782 XXX XXX CSS IH COM - Caregiver Support Vision Impaired Care Services 72 5 82 50 75 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 184,838 N/A *$93,120 190,384 N/A *TBD N/A Schedule E2d : CSS ABI - Day Services 72 5 83 20 S 483*, 455* FullSpecific Indicators Healthcare Service Provider: University of Waterloo Accountability Indicators 2011-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 N2012 2012-0000 0000-0000 Target Performance Standard Target Performance Standard Target Performance Standard Average Number of Days on Waitlist 1N/A *2.2 N1N/A *TBD N1N/A CSS ABI - Day Services 72 5 83 20 S 483*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 200 160 - 240 200 160 - 240 1N/A XXX XXX Explanatory Indicators # Persons waiting for service (by functional centre) Schedule E2a CORE INDICATORS- All Sectors 6935 - 7665 Attendance Days FaceE3: LHIN Local Indicators Measure/Obligation Core Local Performance Obligations (in all agreements) 1. Community Engagement The HSP is required to maintain Community Engagement records that capture the following information: • purpose of engagement • process of engagement • intended outcomes • feedback received • participants evaluation 2. WWLHIN Health System The HSP is required to fully participate in health system reviews and planning as well as the implementation of related recommendations. The HSP is required to be able to demonstrate how your services, impact reductions in Emergency Department wait times and Alternate Level of Care days, as a direct, diversion or preventative impact. 2011-to2012 2012-Face S 483* 0000 0000-0000 Target Performance Standard Target Performance Standard Target Performance Standard 1. CSS ABI - Day Services 72 5 83 20 S 483*agency intake appointments will be shared at least 2 weeks out from any current date. The quantity of available open intake appointments will be sufficient to deliver timely intake service. 2. CSS agency will ensure the delivery of intake appointments scheduled by the resource centre. 3. CSS service directory listings will be maintained by CSS agencies with current, 455* Total Cost for Functional Centre accurate information across all categories of funded community support services. 4. CSS Com Sup Init - Support Service Training 72 5 84 10 S 450*agency will work towards consistent quality and availability of service across Waterloo Wellington by working collaboratively with other providers (e.g., 451*presence of service, 455* Total Cost for Functional Centre CSS ABI - Day Services 72 5 83 20 S 483*, 455* *$192,070 *$192,070 320 - 480 320 - 480 3510 - 4290 3510 - 4290 *$210,168 *$210,168 6935 - 7665clinic-based or in-home based) across all agreed service categories.

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute Hamilton Program for Schizophrenia Inc. Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 5720% <24% 19% < 68% 57% < 6923% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors CSS IH Healthcare Service Provider: Hamilton Program for Schizophrenia Inc. 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 10.3 N/A *1.5 10.27 N/A *TBD N/A CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 29000 27840 - 3080 2800 2520 30160 29000 27840 - 3080 30160 XXX XXX CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 190 152 - 263 219 175 228 190 152 - 263 228 XXX XXX CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 959,236 N/A *$93,120 947,549 N/A *TBD N/A CSS ABI COM Primary Care COM Clinics Programs - Day Services MH Counseling and Treatment 72 5 83 20 10 76 12 S 483450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 1.22 N/A *2.2 1.21 N/A *TBD N/A CSS ABI COM Clinics Programs - Day Services MH Counseling and Treatment 72 5 83 20 10 76 12 S 483450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 1450 1305 - 1595 1450 1305 - 1595 XXX XXX COM Clinics Programs - MH Counseling and Treatment 72 5 10 76 12 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 200 160 190 152 - 240 200 160 228 190 152 - 240 228 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 COM Clinics Programs - 7665 Attendance Days Face-to-Face S 483* CSS ABI - Day Services MH Counseling and Treatment 72 5 83 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support Service Training 72 5 84 10 76 12 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI *$270,444 N/A *$263,606 N/A *TBD N/A COM Clinics/Programs - Day Services MH Social Rehab./Recreation 72 5 83 20 10 76 81 S 483450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.41 N/A *1.4 N/A *TBD N/A COM Clinics/Programs - MH Social Rehab./Recreation 72 5 10 76 81 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 13050 12398 - 13703 13050 12398 - 13703 XXX XXX COM Clinics/Programs - MH Social Rehab./Recreation 72 5 10 76 81 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 375 300 - 450 375 300 - 450 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: Xxxxxxxx Program for Schizophrenia Inc. 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Clinics/Programs - MH Social Rehab./Recreation 72 5 10 76 81 S 450*, 451*, 455* Total Cost for Functional Centre *$192,070 145,820 N/A *$192,070 320 145,199 N/A *TBD N/A COM Information and Referral Service COM Information and Referral Service - 480 320 General 72 5 70 10 S 452*' Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *0.94 N/A *0.93 N/A *TBD N/A COM Information and Referral Service - 480 3510 General 72 5 70 10 S 452*' Not Uniquely Identified Service Recipient Interactions S. 452**00 900 765 - 4290 3510 1035 900 765 - 4290 1035 XXX XXX COM Information and Referral Service - General 72 5 70 10 S 452*' Total Cost for Functional Centre *$210,168 83,809 N/A *$210,168 6935 83,368 N/A *TBD N/A Schedule E2b: MH&A Specific Indicators Healthcare Service Provider: Xxxxxxxx Program for Schizophrenia Inc. Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Number of Days from Referral to Assessment 1N/A 1N/A 1N/A 1N/A XXX XXX Explanatory Indicators *% of Clients Satisfied with Services Received Schedule E3: LHIN Local Indicators Measure/Obligation Health service providers are required to update their organization's Community Information Centre information sheet annually to reflect its current services and are to update their organization's information sheet when a change in program occurs (i.e. start, stop, change hours, etc.) 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Measure/Obligation Health service providers are to work and collaborate as appropriate with the French Language Health Planning Entity to improve access to and accessibility of French language services. 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Sector: ALL SECTORS - 7665- - - - - Activity Measure/Obligation As an identified health service provider for French language services, your organization is required to: 1. Complete/update and submit to the LHIN's French Language Services (FLS) Consultant its FLS Implementation Plan for 2011-2014 a) Draft by June 30, 2011 b) Final by December 31, 2011 2. Provide the LHIN FLS Coordinator with a progress report of the organization's FLS Implementation Plan semi-annually per the following schedule: a) March 31, 2012 b) September 30, 2012 c) March 31, 2013 d) September 30, 2013 e) March 31, 2014 XXX LOCAL HEALTH INTEGRATION NETWORK (the “LHIN”) [Legal Name of the Health Service Provider] (the “HSP”)

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute South West Community Care Access Centre Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 5711% < 6813% 5710% < 6912% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors CSS IH Healthcare Service Provider: South West Community Care Access Centre 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM - Caregiver Support Case Management 72 5 82 50 09 30 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 476 N/A *1.5 461.2 N/A *TBD N/A CSS IH COM - Caregiver Support Case Management 72 5 82 09 30 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 173286 168087 - 178485 173286 168087 - 178485 XXX XXX COM Case Management 72 5 09 30 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 60000 57000 - 63000 60000 57000 - 63000 XXX XXX COM Case Management 72 5 09 30 S 450*, 451*, 455* Total Cost for Functional Centre *$42,278,828 N/A *$40,798,014 N/A *TBD N/A COM Clinics/Programs-Practice 72 5 10 05 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$2,835,506 N/A *$2,328,656 N/A *TBD N/A COM Clinics/Programs-Nursing Clinic 72 5 10 15 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 50397 48885 - 51909 51175 49640 - 52710 XXX XXX COM Clinics/Programs-Nursing Clinic 72 5 10 15 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 4341 3907 - 4775 4455 4010 - 4901 XXX XXX COM Clinics/Programs-Nursing Clinic 72 5 10 15 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$2,501,234 N/A *$2,573,786 N/A *TBD N/A COM In-Home Care COM In-Home Health Care - Nursing - Visiting 72 5 30 40 11 S 448*, 449*,450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 450675 437155 - 464195 447436 434013 - 460859 XXX XXX COM In-Home Health Care - Nursing - Visiting 72 5 30 40 11 S 448*, 449*,450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 20744 19707 - 21781 21170 20112 - 22229 XXX XXX COM In-Home Health Care - Nursing - Visiting 72 5 30 40 11 S 448*, 449*,450*, 451*, 455* Total Cost for Functional Centre *$36,627,038 N/A *$37,264,237 N/A *TBD N/A Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: South West Community Care Access Centre 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM In-Home Health Care - Nursing - Shift 72 5 30 40 12 S 453*, 454*, 455* Hours of Care In-House & Contracted Out S. 454*, 453* 141847 137592 - 146102 141208 136972 - 145444 XXX XXX COM In-Home Health Care - Nursing - Shift 72 5 30 40 12 S 453*, 454*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 153 122 - 184 161 129 - 193 XXX XXX COM In-Home Health Care - Nursing - Shift 72 5 30 40 12 S 453*, 454*, 455* Total Cost for Functional Centre *$7,697,907 N/A *$7,800,015 N/A *TBD N/A COM In-Home Health Care - Nutrition/Dietetic 72 5 30 40 45 S 448*, 449*,450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 5551 5273 - 5829 5530 5254 - 5807 XXX XXX COM In-Home Health Care - Nutrition/Dietetic 72 5 30 40 45 S 448*, 449*,450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 1728 1555 - 1901 1745 1571 - 1920 XXX XXX COM In-Home Health Care - Nutrition/Dietetic 72 5 30 40 45 S 448*, 449*,450*, 451*, 455* Total Cost for Functional Centre *$735,770 N/A *$749,617 N/A *TBD N/A COM In-Home Health Care - Physiotherapy 72 5 30 40 50 S 448*, 449*,450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 37870 36355 - 39385 36790 35318 - 38262 XXX XXX COM In-Home Health Care - Physiotherapy 72 5 30 40 50 S 448*, 449*,450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 7831 7439 - 8223 7813 7422 - 8204 XXX XXX COM In-Home Health Care - Physiotherapy 72 5 30 40 50 S 448*, 449*,450*, 451*, 455* Total Cost for Functional Centre *$4,078,950 N/A *$4,027,350 N/A *TBD N/A COM In-Home Health Care - Occupational Therapy 72 5 30 40 55 S 448*, 449*,450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 27102 26018 - 28186 27848 26734 - 28962 XXX XXX COM In-Home Health Care - Occupational Therapy 72 5 30 40 55 S 448*, 449*,450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 10309 9794 - 10824 10866 10323 - 11409 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: South West Community Care Access Centre 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM In-Home Health Care - Occupational Therapy 72 5 30 40 55 S 448*, 449*,450*, 451*, 455* Total Cost for Functional Centre *$3,518,229 N/A *$3,673,659 N/A *TBD N/A COM In-Home Health Care - Speech Lang. Path. 72 5 30 40 62 S 448*, 449*,450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2137 1923 - 2351 2092 1883 - 2301 XXX XXX COM In-Home Health Care - Speech Lang. Path. 72 5 30 40 62 S 448*, 449*,450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 640 544 - 736 638 542 - 734 XXX XXX COM In-Home Health Care - Speech Lang. Path. 72 5 30 40 62 S 448*, 449*,450*, 451*, 455* Total Cost for Functional Centre *$322,507 N/A *$322,068 N/A *TBD N/A COM In-Home Health Care - Social Work 72 5 30 40 70 S 448*, 449*,450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 7608 7228 - 7988 8046 7644 - 8448 XXX XXX COM In-Home Health Care - Social Work 72 5 30 40 70 S 448*, 449*,450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 1666 1499 - 1833 1812 1631 - 1993 XXX XXX COM In-Home Health Care - Social Work 72 5 30 40 70 S 448*, 449*,450*, 451*, 455* Total Cost for Functional Centre *$1,070,089 N/A *$1,151,340 N/A *TBD N/A COM Private/Home Schools COM Private/Home Schools - Nursing - Visiting 72 5 30 42 11 S 448*, 449*,450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 198 158 - 238 203 162 - 244 XXX XXX COM Private/Home Schools - Nursing - Visiting 72 5 30 42 11 S 448*, 449*,450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 2 2 - 2 3 2 - 4 XXX XXX COM Private/Home Schools - Nursing - Visiting 72 5 30 42 11 S 448*, 449*,450*, 451*, 455* Total Cost for Functional Centre *$11,564 N/A *$12,263 N/A *TBD N/A COM Private/Home Schools - Nursing - Shift 72 5 30 42 12 S 453*, 454*, 455* Hours of Care In-House & Contracted Out S. 454*, 453* 1342 1208 - 1476 1278 1150 - 1406 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: South West Community Care Access Centre 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Private/Home Schools - Nursing - Shift 72 5 30 42 12 S 453*, 454*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 3 2 - 4 3 2 - 4 XXX XXX COM Private/Home Schools - Nursing - Shift 72 5 30 42 12 S 453*, 454*, 455* Total Cost for Functional Centre *$74,286 N/A *$71,911 N/A *TBD N/A COM Private/Home Schools - Physiotherapy 72 5 30 42 50 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 166 133 - 3080 2800 2520 199 150 120 - 3080 180 XXX XXX CSS IH COM Private/Home Schools - Caregiver Support Physiotherapy 72 5 82 30 42 50 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 78 62 - 263 219 175 94 75 60 - 263 90 XXX XXX CSS IH COM Private/Home Schools - Caregiver Support Physiotherapy 72 5 82 30 42 50 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 21,187 N/A *$93,120 19,660 N/A *TBD N/A CSS ABI COM Private/Home Schools - Day Services Occupational Therapy 72 5 83 20 30 42 55 S 483448*, 449*, 450*, 451*, 455* FullVisits Face-time equivalents (FTE) to-face, Telephone In-House, Contracted Out S 310*,350*,380*,390450*, 451*, 448*, 449* (Earned Hours) divided by 1950= FTE *2.2 N347 278 - 416 361 289 - 433 XXX XXX COM Private/A *2.2 N/A *TBD N/A CSS ABI Home Schools - Day Services Occupational Therapy 72 5 83 20 30 42 55 S 483448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 200 160 87 70 - 240 200 160 104 89 71 - 240 107 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 COM Private/Home Schools - 7665 Attendance Days Face-to-Face S 483* CSS ABI - Day Services Occupational Therapy 72 5 83 20 30 42 55 S 483448*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support Service Training 72 5 84 10 S 449*, 450*, 451*, 455* Total Cost for Functional Centre CSS ABI *$43,509 N/A *$45,405 N/A *TBD N/A COM Private/Home Schools - Day Services Speech Lang. Path. 72 5 83 20 30 42 62 S 483448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 487 390 - 584 438 350 - 526 XXX XXX COM Private/Home Schools - Speech Lang. Path. 72 5 30 42 62 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 58 46 - 70 52 42 - 62 XXX XXX COM Private/Home Schools - Speech Lang. Path. 72 5 30 42 62 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$192,070 66,754 N/A *$192,070 320 61,682 N/A *TBD N/A Schedule E2a CORE INDICATORS- All Sectors Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: South West Community Care Access Centre 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Publicly Funded Schools - 480 320 - 480 3510 - 4290 3510 - 4290 Physiotherapy 72 5 30 44 50 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$210,168 909,216 N/A *$210,168 6935 959,093 N/A *TBD N/A COM Publicly Funded Schools - 7665Occ. Therapy 72 5 30 44 55 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 11697 11112 - 12282 11484 10910 - 12058 XXX XXX COM Publicly Funded Schools - Occ. Therapy 72 5 30 44 55 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 2165 1949 - 2382 2015 1814 - 2217 XXX XXX COM Publicly Funded Schools - Occ. Therapy 72 5 30 44 55 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$1,519,318 N/A *$1,512,759 N/A *TBD N/A COM Publicly Funded Schools - Speech Lang. Path. 72 5 30 44 62 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 12976 12327 - 13625 12185 11576 - 12794 XXX XXX COM Publicly Funded Schools - Speech Lang. Path. 72 5 30 44 62 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 1203 1083 - 1323 1150 1035 - 1265 XXX XXX COM Publicly Funded Schools - Speech Lang. Path. 72 5 30 44 62 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$1,794,861 N/A *$1,719,546 N/A *TBD N/A COM In-Home Support Services COM In-Home Support - Comb. PS and HM Services 72 5 35 40 30 S 453*, 454*, 455* Hours of Care In-House & Contracted Out S. 454*, 453* 1353374 1312773 - 1393975 1309797 1270503 - 1349091 XXX XXX COM In-Home Support - Comb. PS and HM Services 72 5 35 40 30 S 453*, 454*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 13818 13127 - 14509 13804 13114 - 14494 XXX XXX COM In-Home Support - Comb. PS and HM Services 72 5 35 40 30 S 453*, 454*, 455* Total Cost for Functional Centre *$42,051,665 N/A *$41,307,985 N/A *TBD N/A COM Private/Home School Support Services COM Private/Home School Support - Personal Services 72 5 35 42 10 S 453*, 455* Hours of Care In-House & Contracted Out S. 454*, 453* 12891 12246 - 13536 12631 11999 - 13263 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Residential Hospice- End of Life (EOL) Residential Hospice - EOL-Nursing Shift 72 5 40 95 12 S 449*, 450*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 24353.90315 23136 - 25572 24353.88346 23136 - 25572 XXX XXX Residential Hospice - EOL-Nursing Shift 72 5 40 95 12 S 449*, 450*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 660 561 - 759 660 561 - 759 XXX XXX Residential Hospice - EOL-Nursing Shift 72 5 40 95 12 S 449*, 450*, 455* Total Cost for Functional Centre *$1,237,178 N/A *$1,237,177 N/A *TBD N/A Residential Hospice - EOL-Combined PS and HM Services 72 5 40 95 30 S 449*, 450*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 29844.49749 28651 - 31038 29844.54581 28651 - 31038 XXX XXX Residential Hospice - EOL-Combined PS and HM Services 72 5 40 95 30 S 449*, 450*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 660 561 - 759 660 561 - 759 XXX XXX Residential Hospice - EOL-Combined PS and HM Services 72 5 40 95 30 S 449*, 450*, 455* Total Cost for Functional Centre *$617,662 N/A *$617,663 N/A *TBD N/A COM Health Promotion and Education COM Health Prom/Educ & Com Dev - General 72 5 50 10 S 452* 455* Total Cost for Functional Centre *$1,327,914 N/A *$1,358,408 N/A *TBD N/A Schedule E2e: CCAC Specific Indicators Sector Specific Indicators- Community Care Access Centre (CCAC)‌

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Supplemental: Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 57% < 68% 57% < 69% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Service Activity Indicators- All Sectors Supplemental: Schedule E2a CORE INDICATORS- Service Activity Indicators- All Sectors CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Healthcare Service Provider: Baycrest Centre for Geriatric Care Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 4.20 N/A *1.5 N/A *TBD N/A CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 - 3080 2800 2520 - 3080 XXX XXX CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 N/A N/A Attendance Days Face-to-Face 6,000 5700 - 263 219 175 - 263 XXX XXX CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* 6300 Total Cost for Functional Centre *$93,120 307,561 N/A *$93,120 Supplemental Schedule E2d : CSS Specific Indicators Percentage ALC Days 15.0% <16.5% Average number of days waited for First Service (by functional centre) N/A *TBD N/A CSS ABI - Day Services 72 5 83 20 S 483*, 455* Full-time equivalents Explanatory Indicators Repeat Unscheduled Emergency Visits within 30 days for Mental Health Conditions Repeat Unscheduled Emergency Visits within 30 days for Substance Abuse Conditions Number of Persons Waiting for Service (FTEby functional centre) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 N/A *2.2 N/A *TBD N/A CSS ABI - Day Services 72 5 83 20 S 483*, 455* LHIN Local Indicators- LHIN Specific Supple me ntal Schedule E3: LHIN Local Indicators Healthcare Service Provider: Baycrest Centre for Geriatric Care Number of Individuals Served by Functional Centre or as appropriate Individuals Served served by Organization S. 455*, 855* 200 160 922 784 - 240 200 160 - 240 1060 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 - 7665 Attendance Days Face-to-Face S 483* CSS ABI - Day Services 72 5 83 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support LOCAL HEALTH INTEGRATION NETWORK (the “LHIN”) [Legal Name of the Health Service Training 72 5 84 10 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI - Day Services 72 5 83 20 S 483*, 455* *$192,070 *$192,070 320 - 480 320 - 480 3510 - 4290 3510 - 4290 *$210,168 *$210,168 6935 - 7665Provider] (the “HSP”)

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors Schedule E1 CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard All Sectors Schedule E1 CORE INDICATORS- All Sectors Schedule E1 CORE INDICATORS- All Sectors % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 573% < 683% 573% < 693% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days St. Joseph's Healthcare Xxxxxxxx M-SAA 2011-14 36 of 47 Schedule E2a CORE INDICATORS- All Sectors CSS IH Schedule E2a CORE INDICATORS- All Sectors CORE INDICATORS‐ ALL SECTORS‌ Healthcare Service Provider: St. Joseph's Healthcare Xxxxxxxx 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 9.39 N/A *1.5 9.27 N/A *TBD N/A CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 - 3080 2800 2520 - 3080 12625 11994 ‐ 13256 12625 11994 ‐ 13256 XXX XXX CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 - 263 219 175 - 263 736 626 ‐ 846 736 626 ‐ 846 XXX XXX CSS IH COM Case Management - Caregiver Support Mental Health 72 5 82 50 09 76 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 1,076,879 N/A *$93,120 1,076,879 N/A *TBD N/A CSS ABI COM Primary Care COM Clinics Programs - Day Services MH Counseling and Treatment 72 5 83 10 76 12 S 450*, 451*, 455* Not Uniquely Identified Service Recipient Interactions S. 452**00 116 93 ‐ 139 116 93 ‐ 139 XXX XXX COM Clinics Programs - MH Counseling and Treatment 72 5 10 76 12 S 450*, 451*, 455* Total Cost for Functional Centre *$51,989 N/A *$51,989 N/A *TBD N/A COM Clinic s/Programs-MH Assertive Community Treatment Teams 72 5 10 76 20 S 483450*, 451*, 455* Full-time equivalents (FTE) S FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 37.34 N/A *2.2 37.14 N/A *TBD N/A CSS ABI - Day Services COM Clinic s/Programs-MH Assertive Community Treatment Teams 72 5 83 10 76 20 S 483450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 48521 47065 ‐ 49977 48521 47065 ‐ 49977 XXX XXX COM Clinic s/Programs-MH Assertive Community Treatment Teams 72 5 10 76 20 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 200 160 - 240 200 160 - 240 352 282 ‐ 422 352 282 ‐ 422 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 - 7665 Attendance Days FaceCOM Clinic s/Programs-to-Face S 483* CSS ABI - Day Services MH Assertive Community Treatment Teams 72 5 83 10 76 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support Service Training 72 5 84 10 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI *$4,242,596 N/A *$4,242,596 N/A *TBD N/A COM Clinics/Programs - Day Services MH Early Intervention 72 5 83 20 10 76 51 S 483450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *11.04 N/A *10.67 N/A *TBD N/A Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: St. Joseph's Healthcare Xxxxxxxx 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Clinics/Programs - MH Early Intervention 72 5 10 76 51 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 7459 7086 ‐ 7832 7464 7091 ‐ 7837 XXX XXX COM Clinics/Programs - MH Early Intervention 72 5 10 76 51 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 313 250 ‐ 376 313 250 ‐ 376 XXX XXX COM Clinics/Programs - MH Early Intervention 72 5 10 76 51 S 450*, 451*, 455* Total Cost for Functional Centre *$192,070 1,862,970 N/A *$192,070 320 1,862,970 N/A *TBD N/A COM Clinics/Programs - 480 320 MH Forensic 72 5 10 76 55 S 450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *0.83 N/A *0.83 N/A *TBD N/A COM Clinics/Programs - 480 3510 MH Forensic 72 5 10 76 55 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 1080 972 ‐ 1188 1080 972 ‐ 1188 XXX XXX COM Clinics/Programs - 4290 3510 MH Forensic 72 5 10 76 55 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 60 48 ‐ 72 60 48 ‐ 72 XXX XXX COM Clinics/Programs - 4290 MH Forensic 72 5 10 76 55 S 450*, 451*, 455* Total Cost for Functional Centre *$210,168 86,508 N/A *$210,168 6935 86,508 N/A *TBD N/A COM Clinics/Programs - 7665MH Eating Disorders 72 5 10 76 70 S 450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *3.08 N/A *3.04 N/A *TBD N/A COM Clinics/Programs - MH Eating Disorders 72 5 10 76 70 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 3588 3229 ‐ 3947 3588 3229 ‐ 3947 XXX XXX COM Clinics/Programs - MH Eating Disorders 72 5 10 76 70 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 179 143 ‐ 215 179 143 ‐ 215 XXX XXX COM Clinics/Programs - MH Eating Disorders 72 5 10 76 70 S 450*, 451*, 455* Total Cost for Functional Centre *$392,797 N/A *$392,797 N/A *TBD N/A Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: St. Joseph's Healthcare Xxxxxxxx 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Clinics/Programs - MH Social Rehab./Recreation 72 5 10 76 81 S 450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *4.05 N/A *3.96 N/A *TBD N/A COM Clinics/Programs - MH Social Rehab./Recreation 72 5 10 76 81 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 926 787 ‐ 1065 926 787 ‐ 1065 XXX XXX COM Clinics/Programs - MH Social Rehab./Recreation 72 5 10 76 81 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 75 60 ‐ 90 75 60 ‐ 90 XXX XXX COM Clinics/Programs - MH Social Rehab./Recreation 72 5 10 76 81 S 450*, 451*, 455* Total Cost for Functional Centre *$415,755 N/A *$415,755 N/A *TBD N/A COM Clinics/Programs - MH Psycho-geriatric 72 5 10 76 96 S 450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *11.43 N/A *11.39 N/A *TBD N/A COM Clinics/Programs - MH Psycho-geriatric 72 5 10 76 96 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 11412 10841 ‐ 11983 11317 10751 ‐ 11883 XXX XXX COM Clinics/Programs - MH Psycho-geriatric 72 5 10 76 96 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 1258 1132 ‐ 1384 1249 1124 ‐ 1374 XXX XXX COM Clinics/Programs - MH Psycho-geriatric 72 5 10 76 96 S 450*, 451*, 455* Total Cost for Functional Centre *$1,243,301 N/A *$1,243,301 N/A *TBD N/A COM Clinics/Programs - Addictions Withdrawal Mgmt. 72 5 10 78 20 S 450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *20.32 N/A *20.38 N/A *TBD N/A COM Clinics/Programs - Addictions Withdrawal Mgmt. 72 5 10 78 20 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 9076 8622 ‐ 9530 9677 9193 ‐ 10161 XXX XXX COM Clinics/Programs - Addictions Withdrawal Mgmt. 72 5 10 78 20 S 450*, 451*, 455* Not Uniquely Identified Service Recipient Interactions S. 452**00 1115 1004 ‐ 1227 1115 1004 ‐ 1227 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: St. Joseph's Healthcare Xxxxxxxx 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Clinics/Programs - Addictions Withdrawal Mgmt. 72 5 10 78 20 S 450*, 451*, 455* Inpatient/Resident Days S 403* 7810 7420 ‐ 8201 7810 7420 ‐ 8201 XXX XXX COM Clinics/Programs - Addictions Withdrawal Mgmt. 72 5 10 78 20 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 852 724 ‐ 980 852 724 ‐ 980 XXX XXX COM Clinics/Programs - Addictions Withdrawal Mgmt. 72 5 10 78 20 S 450*, 451*, 455* Total Cost for Functional Centre *$1,637,197 N/A *$1,637,197 N/A *TBD N/A COM Crisis Intervention COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *11.2 N/A *11.23 N/A *TBD N/A COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 13272 12608 ‐ 13936 13272 12608 ‐ 13936 XXX XXX COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 1965 1769 ‐ 2162 1965 1769 ‐ 2162 XXX XXX COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Total Cost for Functional Centre *$1,486,764 N/A *$1,486,764 N/A *TBD N/A COM Health Promotion and Education COM Health Prom/Educ & Com Dev - Psycho-Geriatric 72 5 50 96 76 S 450*, 451*, 452* Full-time equivalents (FTE)S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.31 N/A *1.3 N/A *TBD N/A COM Health Prom/Educ & Com Dev - Psycho-Geriatric 72 5 50 96 76 S 450*, 451*, 452* Not Uniquely Identified Service Recipient Interactions S. 452**00 2820 2538 ‐ 3102 2820 2538 ‐ 3102 XXX XXX COM Health Prom/Educ & Com Dev - Psycho-Geriatric 72 5 50 96 76 S 450*, 451*, 452* Total Cost for Functional Centre *$151,121 N/A *$151,121 N/A *TBD N/A COM Consumer/Survivor/Family Initiatives COM Consumer Survivor Initiatives - Alternative Businesses 72 5 51 76 12 S 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 55 44 ‐ 66 55 44 ‐ 66 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Total Cost for Functional Centre COM Consumer Survivor Initiatives - Alternative Businesses 72 5 51 76 12 S 455* *$57,238 *$57,238 Schedule E2b: MH&A Specific Indicators Number of Days from Referral to Assessment 1N/A 1N/A 1N/A 1N/A XXX XXX Explanatory Indicators *% of Clients Satisfied with Services Received Schedule E3: LHIN Local Indicators Schedule E3: LHIN Local Indicators Health service providers are required to update their organization's Community Information Centre information sheet annually to reflect its current services and are to update their organization's information sheet when a change in program occurs (i.e. start, stop, change hours, etc.) Health service providers are to work and collaborate as appropriate with the French Language Health Planning Entity to improve access to and accessibility of French language services. As an identified health service provider for French language services, your organization is required to: 1. Complete/update and submit to the LHIN's French Language Services (FLS) Consultant its FLS Implementation Plan for 2011‐2014 a) Draft by June 30, 2011

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute Fort Erie Meals on Wheels Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 578% < 6810% 578% < 6910% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors CSS In-Home and Community Services (CSS IH COM) CSS IH COM - Caregiver Support Meals Delivery 72 5 82 50 10 S 448*, 449*, 450*, 451*248**10, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 1.75 N/A *1.5 1.75 N/A *TBD N/A CSS IH COM - Caregiver Support Meals Delivery 72 5 82 50 10 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 - 3080 2800 2520 - 3080 XXX XXX CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*248**10, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 192 154 - 263 219 175 230 195 156 - 263 234 XXX XXX CSS IH COM - Caregiver Support Meals Delivery 72 5 82 50 10 S 448*248**10, 449*, 450*, 451*455* Meal Delivered-Combined S. 248**10 17142 16285 - 17999 17485 16611 - 18359 XXX XXX CSS IH COM - Meals Delivery 72 5 82 10 S 248**10, 455* Total Cost for Functional Centre *$93,120 198,928 N/A *$93,120 202,005 N/A *TBD N/A Schedule E2b : CSS ABI - Day Services 72 5 83 20 S 483*, 455* FullSpecific Indicators Healthcare Service Provider: Fort Erie Meals on Wheels Accountability Indicators 2011-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 N2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Average Number of Days on Waitlist 1N/A *2.2 N1N/A *TBD N1N/A CSS ABI - Day Services 72 5 83 20 S 483*1N/A XXX XXX Explanatory Indicators # Persons waiting for service (by functional centre) Schedule E3: LHIN Local Indicators Measure/Obligation Health service providers are required to update their organization's Community Information Centre information sheet annually to reflect its current services and are to update their organization's information sheet when a change in programs occurs (i.e. start, 455* Individuals Served by Functional Centre or stop, change hours, etc.) 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Measure/Obligation Health service providers are to work and collaborate as appropriate Individuals Served by Organization S. 455*, 855* 200 160 - 240 200 160 - 240 with the French Language Health Planning Entity to improve access to and accessibility of French language services. 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Sector: CSS 93 74-100 93 74-100 XXX XXX Activity Measure/Obligation Percent of clients assessed using Risk Assessment Tool Schedule E2a CORE INDICATORS- All Sectors 6935 - 7665 Attendance Days FaceE3: LHIN Local Indicators Sector: CSS 92 74-to100 92 74-Face S 483* CSS ABI - Day Services 72 5 83 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support 100 XXX XXX Activity Measure/Obligation Percent of active clients identified as 'high risk' receiving food services XXX LOCAL HEALTH INTEGRATION NETWORK (the “LHIN”) [Legal Name of the Health Service Training 72 5 84 10 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI - Day Services 72 5 83 20 S 483*, 455* *$192,070 *$192,070 320 - 480 320 - 480 3510 - 4290 3510 - 4290 *$210,168 *$210,168 6935 - 7665Provider] (the “HSP”)

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute North Shore Community Support Services, Inc. Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 5737% < 6844% 5737% < 6944% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors CSS IH COM Primary Care COM Clinics/Programs - Caregiver Support MH Social Rehab./Recreation 72 5 82 50 10 76 81 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 2.49 N/A *1.5 2.49 N/A *TBD N/A CSS IH COM Clinics/Programs - Caregiver Support MH Social Rehab./Recreation 72 5 82 50 10 76 81 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 6000 5700 - 3080 2800 2520 6300 6000 5700 - 3080 6300 XXX XXX CSS IH COM Clinics/Programs - Caregiver Support MH Social Rehab./Recreation 72 5 82 50 10 76 81 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 140 112 - 263 219 175 168 140 112 - 263 168 XXX XXX CSS IH COM Clinics/Programs - Caregiver Support MH Social Rehab./Recreation 72 5 82 50 10 76 81 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 134,157 N/A *$93,120 134,157 N/A *TBD N/A CSS ABI COM Clinics/Programs - Day Services MH Psycho-geriatric 72 5 83 20 10 76 96 S 483450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 0.93 N/A *2.2 0.93 N/A *TBD N/A CSS ABI COM Clinics/Programs - Day Services MH Psycho-geriatric 72 5 83 20 10 76 96 S 483450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 420 336 - 504 420 336 - 504 XXX XXX COM Clinics/Programs - MH Psycho-geriatric 72 5 10 76 96 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 200 160 75 60 - 240 200 160 90 75 60 - 240 90 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 COM Clinics/Programs - 7665 Attendance Days FaceMH Psycho-to-Face S 483* CSS ABI - Day Services geriatric 72 5 83 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support Service Training 72 5 84 10 76 96 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI - Day Services 72 5 83 20 S 483*, 455* *$192,070 82,428 N/A *$192,070 320 82,428 N/A *TBD N/A Schedule E2c: MH&A Specific Indicators Healthcare Service Provider: North Shore Community Support Services, Inc. Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Number of Days from Referral to Assessment 1N/A 1N/A 1N/A 1N/A XXX XXX Explanatory Indicators *% of Clients Satisfied with Services Received Schedule E3: LHIN Local Indicators Measure/Obligation Commitment to Integration The HSP Board of Directors and management previously passed Board motions that committed the HSP to support the principles of integration as per the section 24 of the Local Health System Integration Act, 2006 (LHSIA) as a means of improving the health system in northern Ontario. On an annual basis the HSP is committed to completing the following: 1) An organizational self assessment tool of gaps, issues and pressures in the delivery of health care services (tool to be provided by the LHIN) 2) A report, by May 31st of each year, of integration opportunities and strategies to implement which would include at a minimum (template to be provided by the LHIN) • Summary of discussions with HSPs for the identification and implementation of integration opportunities within the sector • Summary of discussions with HSPs for the identification and implementation of integration opportunities within the HUB region 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Measure/Obligation Alternate Level of Care Improvement In the North East LHIN, the percentage of ALC patient days remains the highest in the province at 34%. The 2010/11 MOHLTC-LHIN Performance Agreement target is 17%. The current ALC situation in the North East remains a priority for all leaders in our communities who are making a concerted effort to introduce new initiatives and improvements. It is the Health Service Provider’s responsibility to participate in community planning initiatives to help reduce the number of Alternate Level of Care patients in the hospital and to help reduce the number of emergency department visits for at risk seniors. 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Sector: ALL SECTORS - 480 320 - 480 3510 - 4290 3510 - 4290 *$210,168 *$210,168 6935 - 7665- Activity Measure/Obligation AAH Funding and Reporting Health Service Provider’s who have received Aging at Home funding will submit a quarterly report on the indicators provided in Schedule E, Appendix 1. The quarterly reports will be due at the same time as the OHRS/MIS reports in WERS/SRI, as indicated in Schedule C, plus a Q1 report which will be due on July 15th of each year. Schedule E3: LHIN Local Indicators

Explanatory Indicators. Without limiting the definition of “Explanatory Indicator” set out in s. 1.1, Explanatory Indicators: • are complementary indicators to the Accountability Indicators and will be documented in the technical specifications of the most appropriate Accountability Indicator(s); • support planning, negotiation or problem-solving at the provincial, LHIN level or agency level; • support transparency and enable planning discussions; • support of improving and sustaining health system quality, effectiveness and efficiency; • are indicators where data may already be provided through existing reporting systems; and • will not trigger consequences under the SAA (unless otherwise specified in a Performance Improvement Plan or new funding obligations). Turnover Rate is an example of an Explanatory Indicator. Schedule E1 CORE INDICATORS- All Sectors CORE INDICATORS- ALL SECTORS‌ Healthcare Service Provider: The Aphasia Intstitute Xxxxxx Xxxxx Memorial Hospital Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard % Total Margin 0-1% >=0% 0% >=0% XXX XXX Fund Type 2- Balanced Budget 0 0 0 0 XXX XXX Proportion of Budget Spent on Administration 570% < 680% 570% < 690% XXX XXX Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% XXX XXX Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% XXX XXX Explanatory Indicators Cost per Unit Service (by Functional Centre) Cost per Individual Served (by program/service) Turnover Rate Repeat Unplanned Emergency Visits within 30 days - Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days - Substance Abuse Conditions Percentage of Alternate Level of Care (ALC) days Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: Xxxxxx Xxxxx Memorial Hospital 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Case Management - Mental Health 72 5 09 76 S 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.6 N/A *1.6 N/A *TBD N/A COM Case Management - Mental Health 72 5 09 76 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 1500 1350 - 1650 1500 1350 - 1650 XXX XXX COM Case Management - Mental Health 72 5 09 76 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 42 34 - 50 42 34 - 50 XXX XXX COM Case Management - Mental Health 72 5 09 76 S 450*, 451*, 455* Total Cost for Functional Centre *$166,430 N/A *$166,430 N/A *TBD N/A COM Primary Care COM Clinic s/Programs-MH Assertive Community Treatment Teams 72 5 10 76 20 S 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *12.2 N/A *12.2 N/A *TBD N/A COM Clinic s/Programs-MH Assertive Community Treatment Teams 72 5 10 76 20 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 10200 9690 - 10710 10200 9690 - 10710 XXX XXX COM Clinic s/Programs-MH Assertive Community Treatment Teams 72 5 10 76 20 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 80 64 - 96 80 64 - 96 XXX XXX COM Clinic s/Programs-MH Assertive Community Treatment Teams 72 5 10 76 20 S 450*, 451*, 455* Total Cost for Functional Centre *$1,321,361 N/A *$1,321,361 N/A *TBD N/A COM - Clinics/Programs -MH Concurrent Disorders 72 5 10 76 45 S 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *0.4 N/A *0.4 N/A *TBD N/A COM - Clinics/Programs -MH Concurrent Disorders 72 5 10 76 45 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 525 446 - 604 525 446 - 604 XXX XXX COM - Clinics/Programs -MH Concurrent Disorders 72 5 10 76 45 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 50 40 - 60 50 40 - 60 XXX XXX Schedule E2a CORE INDICATORS- All Sectors COM Crisis Intervention COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *5.1 N/A *5.1 N/A *TBD N/A COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 1300 1170 - 1430 1300 1170 - 1430 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: Xxxxxx Xxxxx Memorial Hospital 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 800 680 - 920 800 680 - 920 XXX XXX COM Crisis Intervention - Mental Health 72 5 15 76 S 450*, 451*, 455* Total Cost for Functional Centre *$509,618 N/A *$509,618 N/A *TBD N/A CSS In-Home and Community Services (CSS IH COM) CSS IH COM - Social and Congregate Dining 72 5 82 12 S 483*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 60 48 - 72 60 48 - 72 XXX XXX CSS IH COM - Social and Congregate Dining 72 5 82 12 S 483*, 455* Attendance Days Face-to-Face S 483* 1350 1215 - 1485 1350 1215 - 1485 XXX XXX CSS IH COM - Social and Congregate Dining 72 5 82 12 S 483*, 455* Total Cost for Functional Centre *$70,999 N/A *$70,999 N/A *TBD N/A CSS IH COM - Day Services 72 5 82 20 S 483*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *13.33 N/A *13.32 N/A *TBD N/A CSS IH COM - Day Services 72 5 82 20 S 483*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 320 256 - 384 320 256 - 384 XXX XXX CSS IH COM - Day Services 72 5 82 20 S 483*, 455* Attendance Days Face-to-Face S 483* 14720 13984 - 15456 14720 13984 - 15456 XXX XXX CSS IH COM - Day Services 72 5 82 20 S 483*, 455* Total Cost for Functional Centre *$1,223,153 N/A *$1,227,412 N/A *TBD N/A CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Full-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *1.5 0.38 N/A *1.5 0.33 N/A *TBD N/A CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Visits Face-to-face, Telephone In-House, Contracted Out S 450*, 451*, 448*, 449* 2800 2520 725 616 - 3080 2800 2520 834 725 616 - 3080 834 XXX XXX Schedule E2a CORE INDICATORS- All Sectors Healthcare Service Provider: Xxxxxx Xxxxx Memorial Hospital 2011-2012 2012-2013 2013-2014 OHRS Description Health Service Activity *FTE & Total Functional Centre Cost: These values are provided for information purposes only. They are not Accountability Indicators. Target Performance Standard Target Performance Standard Target Performance Standard CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Individuals Served by Functional Centre or as appropriate Individuals Served by Organization S. 455*, 855* 219 175 550 468 - 263 219 175 633 550 468 - 263 633 XXX XXX CSS IH COM - Caregiver Support 72 5 82 50 S 448*, 449*, 450*, 451*, 455* Total Cost for Functional Centre *$93,120 36,398 N/A *$93,120 32,139 N/A *TBD N/A CSS ABI - Day Services 72 5 83 20 S 483*, 455* FullSchedule E2b: MH&A Specific Indicators Healthcare Service Provider: Xxxxxx Xxxxx Memorial Hospital Accountability Indicators 2011-time equivalents (FTE) S 310*,350*,380*,390* (Earned Hours) divided by 1950= FTE *2.2 N2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Number of Days from Referral to Assessment 1N/A *2.2 N1N/A *TBD N1N/A 1N/A XXX XXX Explanatory Indicators *% of Clients Satisfied with Services Received Schedule E2c : CSS ABI Specific Indicators Healthcare Service Provider: Xxxxxx Xxxxx Memorial Hospital Accountability Indicators 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Average Number of Days on Waitlist 1N/A 1N/A 1N/A 1N/A XXX XXX Explanatory Indicators # Persons waiting for service (by functional centre) Schedule E3: LHIN Local Indicators Measure/Obligation Health service providers are required to update their organization's Community Information Centre information sheet annually to reflect its current services and are to update their organization's information sheet when a change in program occurs (i.e. start, stop, change hours, etc.) 2011-2012 2012-2013 2013-2014 Target Performance Standard Target Performance Standard Target Performance Standard Sector: ALL SECTORS - Day Services 72 5 83 20 S 483*, 455* Individuals Served by Functional Centre or - - - - - Activity Measure/Obligation Health service providers are to work and collaborate as appropriate Individuals Served by Organization S. 455*, 855* 200 160 - 240 200 160 - 240 XXX XXX Schedule E2a CORE INDICATORS- All Sectors 6935 - 7665 Attendance Days Face-to-Face S 483* CSS ABI - Day Services 72 5 83 20 S 483*, 455* Total Cost for Functional Centre CSS Com Sup Init - Support Service Training 72 5 84 10 S 450*, 451*, 455* Total Cost for Functional Centre CSS ABI - Day Services 72 5 83 20 S 483*, 455* *$192,070 *$192,070 320 - 480 320 - 480 3510 - 4290 3510 - 4290 *$210,168 *$210,168 6935 - 7665with the French Language Health Planning Entity to improve access to and accessibility of French language services.