Common use of Bone Marrow Transplant Clause in Contracts

Bone Marrow Transplant. Adult Interventional Cardiology for Congenital Heart Defects Cardiac Laser Lead Removals Pulmonary Thromboendarterectomy Services Thoracoabdominal Aortic Aneurysm Repairs (TAA) * Organ Transplantation - Funding for living donation (kidney & liver) included as part of organ transplantation funding. Hospitals are funded retrospectively for deceased donor management activity, reported and validated by the Trillium Gift of Life Network. Note: Additional accountabilities assigned in Schedule B, B1 Funding and volumes for these services should be planned for based on 2009/10 approved allocations. Amendments, pursuant to section 5.2 of this Agreement, may be made during the quarterly submission process. Chronic Kidney Disease Weighted Units Cardiac Catherization Cardiac Surgery Procedures Weighted Units Cardiac Rehabilitation Number of patients treated Visudyne Therapy Number of insured Visudyne vials Total Hip and Knee Joint Replacements (Non-WTS) Number of Implant Devices Magnetic Resonance Imaging Hours of operation Regional Trauma Cases Regional & District Stroke Centres Sexual Assault/Domestic Violence Treatment Centres Provincial Regional Genetic Services HIV Outpatient Clinics Hemophiliac Ambulatory Clinics Permanent Cardiac Pacemaker Services Fac # Units of Service 2010/11 Performance Target 2010/11 Performance Standard 2011/12 LHIN Plan Stable Priority Services Provincial Strategies Specialized Hospital Services Provincial Resources Schedule H1 2010/11 0 85 10 83 Wait Time Services Hospital Fac # 2009/10 Funded 2010/11 Funded Incremental Volumes Base Volumes ** Base Volumes Incremental Volumes ** Selected Cardiac Services Total Hip and Knee Joint Replacements (Total Implantations) Cataract Surgeries (Total Procedures) Magnetic Resonance Imaging (MRI) (Total Hours) Computed Tomography (CT) (Total Hours) * The 2009/10 Funded volumes are as a reference only ** Once negotiated, an amendment will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule B, B1. This funding would be an additional in-year allocation contemplated by section 5.3 of the Agreement. Refer to Schedule G for Cardiac Service Volumes and Targets 640

Bone Marrow Transplant. Adult Interventional Cardiology for Congenital Heart Defects Cardiac Laser Lead Removals Pulmonary Thromboendarterectomy Services Thoracoabdominal Aortic Aneurysm Repairs (TAA) * Organ Transplantation - Funding for living donation Health Results (kidney & liver) included as part of organ transplantation funding. Hospitals are funded retrospectively for deceased donor management activity, reported and validated by the Trillium Gift of Life Network. Note: Additional accountabilities assigned in Schedule B, B1 Funding and volumes for these services should be planned for based on 2009/10 approved allocations. Amendments, pursuant to section 5.2 of this Agreement, may be made during the quarterly submission process. Chronic Kidney Disease Weighted Units Cardiac Catherization Cardiac Surgery Procedures Weighted Units Cardiac Rehabilitation Number of patients treated Visudyne Therapy Number of insured Visudyne vials Total Hip and Knee Joint Replacements (Non-WTS) Number of Implant Devices Magnetic Resonance Imaging Hours of operation Regional Trauma Cases Regional & District Stroke Centres Sexual Assault/Domestic Violence Treatment Centres Provincial Regional Genetic Services HIV Outpatient Clinics Hemophiliac Ambulatory Clinics Permanent Cardiac Pacemaker Services Fac # Units of Service 2010/11 Performance Target 2010/11 Performance Standard 2011/12 LHIN Plan Stable Priority Services Provincial Strategies Specialized Hospital Services Provincial Resources Schedule H1 2010/11 0 85 10 83 Wait Time Services Hospital Fac # 2009/10 Funded 2010/11 Funded Incremental Volumes Base Volumes ** Base Volumes Incremental Volumes ** Strategy): Schedule H Selected Cardiac Services Total Hip and Knee Joint Replacements (Total ImplantationsPrimary 83 volumes) Cataract Surgeries (Total Procedures) Magnetic Resonance Imaging (MRI) (Total Hours) Computed Tomography (CT) ($571,200 Total Hours) * The 2009/10 Funded Additional Base and One Time Funding $550,200 $765,000 Total Allocation $31,493,400 Allocations not provided in this schedule for 2010/11, will be provided to hospitals in subsequent planning cycles. Hospitals should assume, for planning purposes, funding for similar volumes are as a reference only for Priority Services in out-years. Global Volumes Schedule D1 2010/11 Hospital COLLINGWOOD General and Marine Fac # 640 2010/11 2010/11 Performance Performance Global Volumes Units of Service Target Standard** Total Acute Activity, including Weighted 4,900 4,410 - 5,390 inpatient and Day Surgery* Cases Other Complex Continuing Care RUG Weighted Patient Days Mental Health Inpatient Days ELDCAP Inpatient Days Rehabilitation Inpatient Days Emergency Department Visits Visits 31,483 >28,335 Ambulatory Care*** Visits 21,585 >16,189 * Global volumes based on CIHI Case mix Group (CMG)+ methodology and MOHLTC PAC-10 weights. ** Volume Performance Indicators under Global Volumes vary in application based on hospital type. ***Ambulatory Care includes OHRS Primary account codes 7134* (excluding 7134055), 712*, 7135*,715* OHRS secondary statistical account codes:447*,450*,5* (excluding 50*,511*,512*,513*,514*,518*,519*,521*) Performance Indicators Hospital COLLINGWOOD General and Marine Fac # 640 Performance Indicators HSAA Performance Indicators Perfomance Indicators For All Hospitals Current Ratio Year End Total Margin **Volume Performance Indicators under Global Volumes vary in application based on hospital type. 2010/11 2010/11 Performance Performance Target Standard** 0.68 0.8 - 2.0 0% 0% Once negotiated, an amendment will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule BB or B1. This funding would be an additional in-year allocation contemplated by section 5.3 of the Agreement Critical Care Funding Hospital This section has been intentionally left blank COLLINGWOOD General and Marine Schedule E1 2010/11 Once negotiated, an amendment (Sch F1.1) will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule B or B1. This funding would be an additional in-year allocation contemplated by section 5.3 of the Agreement. Refer to Schedule G for Cardiac Service Volumes and Targets 640

Bone Marrow Transplant. Adult Interventional Cardiology for Congenital Heart Defects Cardiac Laser Lead Removals Pulmonary Thromboendarterectomy Services Thoracoabdominal Aortic Aneurysm Repairs (TAA) Health Results (Wait Time Strategy): Schedule H Selected Cardiac Services Total Hip and Knee Joint Replacements Cataract Surgeries Magnetic Resonance Imaging (MRI) Computed Tomography (CT) Total Additional Base and One Time Funding Total Allocation $30,849,900 Allocations not provided in this schedule for 2011/12 will be provided to hospitals in subsequent planning cycles. Hospitals should assume, for planning purposes, funding for similar volumes (as in 2010/11) for Priority Services in out-years. Schedule D2 2011/12 COLLINGWOOD General and Marine Performance Indicators 640 Hospital Fac # Measurement Unit 2011/12 Performance Target 2011/12 Performance Standard** PERSON EXPERIENCE: Access, Safe, Effective, Person-Centred Accountability Indicators XXX XXX 90th Percentile ER LOS for Admitted Patients Hours XXX XXX 90th Percentile ER LOS for Non-admitted Complex Patients Hours 90th Percentile ER LOS for Non-admitted Minor / Uncomplicated Patients XXX XXX Hours Explanatory Indicators Emergency Department Activity Emergency Department Vists 30-day readmission of patients with stroke or transient ischemic attack (TIA) to acute care for all diagnoses Percent of stroke patients discharged to rehabilitation Percent of stroke patients managed on a designated stroke unit Wait Time Volumes (Per Schedule H2) Rehabilitation Separations Weighted Cases Visits Percentage Percentage Percentage Cases Separations ORGANIZATIONAL HEALTH: Efficient, Appropriately Resourced, Employee Experience, Governance Accountability Indicators Current Ratio (consolidated) Ratio 0.30 0.8 - 2.0 Total Margin (Conslidated) Percentage -0.03 0% Explanatory Indicators Total Margin (Hospital Sector Only) Percentage Percentage Full Time Nurses Percentage Percentage Paid Sick Time Percentage Percentage Paid Overtime Percentage SYSTEM INTEGRATION: Integration, Community Engagement, eHealth Explanatory Indicators Percentage ALC Days Repeat Unplanned Emergency Visits within 30 days for Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days for Substance Abuse Conditions Days Vists Visits GLOBAL VOLUMES Accountability Indicators Total Acute Activity, incl. Inpatient and Day Surgery* Complex Continuing Care Weighted Cases RUG Weighted Patient Days 5,070 4,660 - 5,475 Mental Health Inpatient Days ELDCAP Inpatient Days Rehabilitation Inpatient Days 16,700 - 27,840 22,275 Ambulatory Care*** Visits * Global volumes based on CIHI Case mix Group (CMG)+ methodology and RIW weights. **Volume Performance Indicators under Global Volumes vary in application based on hospital type. ***Ambulatory Care includes OHRS Primary account codes 7134* (excluding 7134055), 712*, 7135*,715* OHRS secondary statistical account codes:447*,450*,5* (excluding 50*,511*,512*,513*,514*,518*,519*,521*) Once negotiated, an amendment will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule B, B1 or B2. This funding would be an additional in-year allocation contemplated by section 5.3 of the Agreement Critical Care Funding Hospital This section has been intentionally left blank Schedule E2 2011/12 Once negotiated, an amendment (Sch F2.1) will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule B, B1 or B2. This funding would be an additional in-year allocation contemplated by section 5.3 of the Agreement Post-Construction Operating Plan Funding and Volume Hospital TBD. This section has been intentionally left blank Schedule F2 2011/12 Protected Services Schedule G2 2011/12 Hospital Fac # 2011/12 Units of Xxxxxxx 0000/00 Service Performance Performance Target Standard Stable Priority Services Chronic Kidney Disease Weighted Units Cardiac catherization Procedures Cardiac surgery Weighted Cases Provincial Strategies Organ Transplantation* Cases Endovascular aortic aneurysm repair Electrophysiology studies EPS/ablation Percutaneous coronary intervention (PCI) Implantable cardiac defibrillators (ICD) Daily nocturnal home hemodialysis Provincial peritoneal dialysis initiative Newborn screening program Specialized Hospital Services Number of Cardiac Rehabilitation patients treated Number of insured Visudyne vials Visudyne Therapy administered Total Hip and Knee Joint Number of Replacements (Non-WTS) Implant Devices Magnetic Resonance Imaging Hours of operation Regional Trauma Cases Regional & District Stroke Centres Sexual Assault/Domestic Violence Treatment Centres Provincial Regional Genetic Services HIV Outpatient Clinics Hemophiliac Ambulatory Clinics Permanent Cardiac Pacemaker Services Provincial Resources Bone Marrow Transplant Adult Interventional Cardiology for Congenital Heart Defects Cardiac Laser Lead Removals Pulmonary Thromboendarterectomy Services Thoracoabdominal Aortic Aneurysm Repairs (TAA) * Organ Transplantation - Funding for living donation (kidney & liver) included as part of organ transplantation funding. Hospitals are funded retrospectively for deceased donor management activity, reported and validated by the Trillium Gift of Life Network. Note: Additional accountabilities assigned in Schedule B, B1 B1, B2 Funding and volumes for these services should be planned for based on 2009/10 2010/11 approved allocations. Amendments, pursuant to section 5.2 of this Agreement, may be made during the quarterly submission process. Chronic Kidney Disease Weighted Units Cardiac Catherization Cardiac Surgery Procedures Weighted Units Cardiac Rehabilitation Number of patients treated Visudyne Therapy Number of insured Visudyne vials Total Hip and Knee Joint Replacements (Non-WTS) Number of Implant Devices Magnetic Resonance Imaging Hours of operation Regional Trauma Cases Regional & District Stroke Centres Sexual Assault/Domestic Violence Treatment Centres Provincial Regional Genetic Services HIV Outpatient Clinics Hemophiliac Ambulatory Clinics Permanent Cardiac Pacemaker Services Fac # Units of Service 2010/11 Performance Target 2010/11 Performance Standard Schedule H2 2011/12 LHIN Plan Stable Priority Services Provincial Strategies Specialized Hospital Services Provincial Resources Schedule H1 2010/11 0 85 10 83 Wait Time Services COLLINGWOOD General and Marine Hospital Fac # 2009/10 Funded 2010/11 Funded Incremental Volumes Base Volumes ** Base Volumes Incremental Volumes ** Selected Cardiac Services Total Hip and Knee Joint Replacements (Total Implantations) 10 140 98 Cataract Surgeries (Total Procedures) Magnetic Resonance Imaging (MRI) (Total Hours) Computed Tomography (CT) (Total Hours) TBD 2,000 0 Fac # 2010/11 Funded Assumed Not Approved 2011/12 Funded Base Volumes Incremental Volumes* Base Volumes Incremental Volumes ** Measurement 2011/12 Unit Performance Target 2011/12 Performance Standard** 90th Percentile Wait Times for Cancer Surgery Days 90th Percentile Wait Times for Cardiac Surgery Days 90th Percentile Wait Times for Cataract Surgery Days 90th Percentile Wait Times for Hip Replacement Surgery Days NSM MLPA Target 10%*** 90th Percentile Wait Times for Knee Replacement Surgery Days NSM MLPA Target 10%*** 90th Percentile Wait Times for MRI Scan Days 90th Percentile Wait Times for CT Scan Days NSM MLPA Target 10%*** Refer to Schedule G for Cardiac Service Volumes and Targets 640 * The 2009/10 2010/11 Funded volumes are as a reference only ** Once negotiated, an amendment will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule B,B1, B1B2. This funding would be an additional in-in- year allocation contemplated by section 5.3 of the Agreement. Refer to Schedule G for Cardiac Service Volumes and Targets 640.

Bone Marrow Transplant. Adult Interventional Cardiology for Congenital Heart Defects Cardiac Laser Lead Removals Pulmonary Thromboendarterectomy Services Thoracoabdominal Aortic Aneurysm Repairs (TAA) Health Results (Wait Time Strategy): Schedule H Selected Cardiac Services Total Hip and Knee Joint Replacements Cataract Surgeries Magnetic Resonance Imaging (MRI) Computed Tomography (CT) Total Additional Base and One Time Funding Total Allocation $30,849,900 Allocations not provided in this schedule for 2011/12 will be provided to hospitals in subsequent planning cycles. Hospitals should assume, for planning purposes, funding for similar volumes (as in 2010/11) for Priority Services in out-years. Schedule D2 2011/12 COLLINGWOOD General and Marine Performance Indicators 640 Hospital Fac # Measurement Unit 2011/12 Performance Target 2011/12 Performance Standard** PERSON EXPERIENCE: Access, Safe, Effective, Person-Centred Accountability Indicators XXX XXX 90th Percentile ER LOS for Admitted Patients Hours XXX XXX 90th Percentile ER LOS for Non-admitted Complex Patients Hours 90th Percentile ER LOS for Non-admitted Minor / Uncomplicated Patients XXX XXX Hours Explanatory Indicators Emergency Department Activity Emergency Department Vists 30-day readmission of patients with stroke or transient ischemic attack (TIA) to acute care for all diagnoses Percent of stroke patients discharged to rehabilitation Percent of stroke patients managed on a designated stroke unit Wait Time Volumes (Per Schedule H2) Rehabilitation Separations Weighted Cases Visits Percentage Percentage Percentage Cases Separations ORGANIZATIONAL HEALTH: Efficient, Appropriately Resourced, Employee Experience, Governance Accountability Indicators Current Ratio (consolidated) Ratio 0.30 0.8 - 2.0 Total Margin (Conslidated) Percentage -0.03 0% Explanatory Indicators Total Margin (Hospital Sector Only) Percentage Percentage Full Time Nurses Percentage Percentage Paid Sick Time Percentage Percentage Paid Overtime Percentage SYSTEM INTEGRATION: Integration, Community Engagement, eHealth Explanatory Indicators Percentage ALC Days Repeat Unplanned Emergency Visits within 30 days for Mental Health Conditions Repeat Unplanned Emergency Visits within 30 days for Substance Abuse Conditions Days Vists Visits GLOBAL VOLUMES Accountability Indicators Total Acute Activity, incl. Inpatient and Day Surgery* Complex Continuing Care Weighted Cases RUG Weighted Patient Days 5,070 4,660 - 5,475 Mental Health Inpatient Days ELDCAP Inpatient Days Rehabilitation Inpatient Days 16,700 - 27,840 22,275 Ambulatory Care*** Visits * Global volumes based on CIHI Case mix Group (CMG)+ methodology and RIW weights. **Volume Performance Indicators under Global Volumes vary in application based on hospital type. ***Ambulatory Care includes OHRS Primary account codes 7134* (excluding 7134055), 712*, 7135*,715* OHRS secondary statistical account codes:447*,450*,5* (excluding 50*,511*,512*,513*,514*,518*,519*,521*) Critical Care Funding Hospital Schedule E2 2011/12 Once negotiated, an amendment will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule B, B1 or B2. This funding would be an additional in-year allocation contemplated by section 5.3 of the Agreement This section has been intentionally left blank Post-Construction Operating Plan Funding and Volume Hospital Schedule F2 2011/12 Once negotiated, an amendment (Sch F2.1) will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule B, B1 or B2. This funding would be an additional in-year allocation contemplated by section 5.3 of the Agreement TBD. This section has been intentionally left blank Protected Services Schedule G2 2011/12 Hospital Fac # 2011/12 Units of Xxxxxxx 0000/00 Service Performance Performance Target Standard Stable Priority Services Chronic Kidney Disease Weighted Units Cardiac catherization Procedures Cardiac surgery Weighted Cases Provincial Strategies Organ Transplantation* Cases Endovascular aortic aneurysm repair Electrophysiology studies EPS/ablation Percutaneous coronary intervention (PCI) Implantable cardiac defibrillators (ICD) Daily nocturnal home hemodialysis Provincial peritoneal dialysis initiative Newborn screening program Specialized Hospital Services Number of Cardiac Rehabilitation patients treated Number of insured Visudyne vials Visudyne Therapy administered Total Hip and Knee Joint Number of Replacements (Non-WTS) Implant Devices Magnetic Resonance Imaging Hours of operation Regional Trauma Cases Regional & District Stroke Centres Sexual Assault/Domestic Violence Treatment Centres Provincial Regional Genetic Services HIV Outpatient Clinics Hemophiliac Ambulatory Clinics Permanent Cardiac Pacemaker Services Provincial Resources Bone Marrow Transplant Adult Interventional Cardiology for Congenital Heart Defects Cardiac Laser Lead Removals Pulmonary Thromboendarterectomy Services Thoracoabdominal Aortic Aneurysm Repairs (TAA) * Organ Transplantation - Funding for living donation (kidney & liver) included as part of organ transplantation funding. Hospitals are funded retrospectively for deceased donor management activity, reported and validated by the Trillium Gift of Life Network. Note: Additional accountabilities assigned in Schedule B, B1 B1, B2 Funding and volumes for these services should be planned for based on 2009/10 2010/11 approved allocations. Amendments, pursuant to section 5.2 of this Agreement, may be made during the quarterly submission process. Chronic Kidney Disease Weighted Units Cardiac Catherization Cardiac Surgery Procedures Weighted Units Cardiac Rehabilitation Number of patients treated Visudyne Therapy Number of insured Visudyne vials Total Hip and Knee Joint Replacements (Non-WTS) Number of Implant Devices Magnetic Resonance Imaging Hours of operation Regional Trauma Cases Regional & District Stroke Centres Sexual Assault/Domestic Violence Treatment Centres Provincial Regional Genetic Services HIV Outpatient Clinics Hemophiliac Ambulatory Clinics Permanent Cardiac Pacemaker Services Fac # Units of Service 2010/11 Performance Target 2010/11 Performance Standard 2011/12 LHIN Plan Stable Priority Services Provincial Strategies Specialized Hospital Services Provincial Resources Schedule H1 2010/11 0 85 10 83 Wait Time Services Schedule H2 2011/12 COLLINGWOOD General and Marine Hospital Fac # 2009/10 Funded 2010/11 Funded Incremental Volumes Base Volumes ** Base Volumes Incremental Volumes ** Selected Cardiac Services Total Hip and Knee Joint Replacements (Total Implantations) 10 140 98 Cataract Surgeries (Total Procedures) Magnetic Resonance Imaging (MRI) (Total Hours) Computed Tomography (CT) (Total Hours) TBD 2,000 10%*** NSM MLPA Target Days 90th Percentile Wait Times for CT Scan Days 90th Percentile Wait Times for MRI Scan 10%*** NSM MLPA Target Days 90th Percentile Wait Times for Knee Replacement Surgery 10%*** NSM MLPA Target Days 90th Percentile Wait Times for Hip Replacement Surgery Days 90th Percentile Wait Times for Cataract Surgery Days 90th Percentile Wait Times for Cardiac Surgery Days 90th Percentile Wait Times for Cancer Surgery 2011/12 Performance Standard** Measurement 2011/12 Unit Performance Target Base Volumes Incremental Volumes* Base Volumes Incremental Volumes ** Assumed Not Approved 2011/12 Funded 2010/11 Funded Fac # Refer to Schedule G for Cardiac Service Volumes and Targets 640 * The 2009/10 2010/11 Funded volumes are as a reference only ** Once negotiated, an amendment will be made under section 15.3 of the Agreement to include these targets and any additional conditions not otherwise set out in Schedule B,B1, B1B2. This funding would be an additional in-in- year allocation contemplated by section 5.3 of the Agreement. Refer to Schedule G for Cardiac Service Volumes and Targets 640.