SAMPLE AGREEMENT - Aphasia Institute

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SCHEDULE E - PERFORMANCE • 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. The Aphasia Institute Page 34 of 43
CORE INDICATORS- ALL SECTORS Healthcare Service Provider: The Aphasia Intstitute Schedule E1 CORE INDICATORS- All Sectors Accountability Indicators Target 2011-2012 2012-2013 2013-2014 Performance Performance Performance Standard Target Standard Target Standard % Total Margin 0% >=0% 0% >=0% TBD TBD Fund Type 2- Balanced Budget 0 0 0 0 TBD TBD Proportion of Budget Spent on Administration 57% < 68% 57% < 69% TBD TBD Variance Forecast to Actual Expenditures 0.0% < 5% 0.0% < 5% TBD TBD Variance Forecast to Actual Units of Service 0.0% < 5% 0.0% < 5% TBD TBD 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 > No negative variance is accepted for Total Margin > Fund Type 2- Balanced Budget: HSP's are required to submit a balanced budget. > TBD: To be Determined The Aphasia Institute Page 35 of 43
Page 1 and 2: MULTI-SECTOR SERVICE ACCOUNTABILITY
Page 3 and 4: “Board” means, in respect of an
Page 5 and 6: “Review” means a financial or o
Page 7 and 8: technology, privacy and security se
Page 9 and 10: (i) (ii) (iii) acknowledges that al
Page 11 and 12: direct the HSP to pay the amount ow
Page 13 and 14: (c) (d) (e) to tr ansfer, m erge or
Page 15 and 16: manner and in a form satisfactory b
Page 17 and 18: 8.5. Transparency. The HSP will pos
Page 19 and 20: Performance Agreement with its CEO
Page 21 and 22: (c) For Cause. The LHIN may termina
Page 23 and 24: termination to the HSP. 12.4 Conseq
Page 25 and 26: arising in connection with the Agre
Page 27 and 28: Population and Geography Narratives
Page 29 and 30: Form Act3a Activity Summary Healthc
Page 31 and 32: SCHEDULE C - REPORTS COMMUNITY SUPP
Page 33: SCHEDULE E - PERFORMANCE 1.0 DEFINI
Page 37 and 38: CORE INDICATORS- ALL SECTORS Health
Page 39 and 40: LHIN Local Indicators- LHIN Specifi
Page 41 and 42: SCHEDULE F - PROJECT FUNDING AGREEM
Page 43: SCHEDULE G- FORM OF COMPLIANCE DECL

SAMPLE AGREEMENT - Aphasia Institute

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