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SAMPLE AGREEMENT - Aphasia Institute

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CORE INDICATORS- ALL SECTORS<br />

Healthcare Service Provider:<br />

The <strong>Aphasia</strong> Intstitute<br />

Schedule E2a<br />

CORE INDICATORS- All Sectors<br />

CSS ABI - Day Services<br />

72 5 83 20<br />

S 483*, 455*<br />

OHRS Description Health Service Activity Target<br />

*FTE & Total Functional Centre Cost: These values are<br />

provided for information purposes only. They are not<br />

Accountability Indicators.<br />

2011-2012<br />

Performance<br />

Standard<br />

Target<br />

2012-2013<br />

Performance<br />

Standard<br />

Target<br />

2013-2014<br />

Performance<br />

Standard<br />

Attendance Days Face-to-Face<br />

S 483*<br />

7300 6935 - 7665 7300 6935 - 7665 TBD TBD<br />

CSS ABI - Day Services<br />

72 5 83 20<br />

S 483*, 455*<br />

Total Cost for Functional Centre *$210,168 N/A *$210,168 N/A *TBD N/A<br />

CSS Community Support Initiatives<br />

CSS Com Sup Init - Support Service Training<br />

72 5 84 10<br />

S 450*, 451*, 455*<br />

Full-time equivalents (FTE)<br />

S 310*,350*,380*,390* (Earned Hours) divided by<br />

1950= FTE<br />

*2 N/A *2 N/A *TBD N/A<br />

CSS Com Sup Init - Support Service Training<br />

72 5 84 10<br />

S 450*, 451*, 455*<br />

Visits Face-to-face, Telephone In-House,<br />

Contracted Out<br />

S 450*, 451*, 448*, 449*<br />

3900 3510 - 4290 3900 3510 - 4290 TBD TBD<br />

CSS Com Sup Init - Support Service Training<br />

72 5 84 10<br />

S 450*, 451*, 455*<br />

Individuals Served by Functional Centre or as<br />

appropriate Individuals Served by Organization<br />

S. 455*, 855*<br />

400 320 - 480 400 320 - 480 TBD TBD<br />

CSS Com Sup Init - Support Service Training<br />

72 5 84 10<br />

S 450*, 451*, 455*<br />

Total Cost for Functional Centre *$192,070 N/A *$192,070 N/A *TBD N/A<br />

The <strong>Aphasia</strong> <strong>Institute</strong> Page 37 of 43

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