Common use of Performance Indicators Clause in Contracts

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 Total Margin (P) 0 ™0 Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (M) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator Percentage of Residents Who Fell in the Last 30 days (M) 2019/20 PERFORMANCE Percentage of Residents Whose Pressure Ulcer Worsened (M) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (M) n/a n/a Percentage of Residents in Daily Physical Restraints (M) n/a n/a Indigenous Cultural Awareness: The Health Service Provider (HSP) will report on the activities it has undertaken during the fiscal year to increase the Indigenous cultural awareness and sensitivity of its staff, physicians and volunteers (including Board members) throughout the organization. In order to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is due to the LHIN by April 30, 2020 and should be submitted using the subject line: 2019-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇. An updated/revised reporting template will be forwarded to all HSPs at a later date. HSPs that have multiple accountability agreements with the LHIN should provide one aggregated report for the corporation. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors of the (the “LHIN”). Attn: Board Chair.

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 ≥1 Total Margin (P) 0 ™0 ≥0 Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (M) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Quality and Resident Safety Indicators Percentage of Residents Who Fell in the Last 30 days (M) 2019/20 PERFORMANCE n/a n/a Percentage of Residents Whose Pressure Ulcer Worsened (M) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (M) n/a n/a Percentage of Residents in Daily Physical Restraints (M) n/a n/a 1. Develop a Indigenous Cultural Awareness: The quality improvement plan for 2019-20 and submit a copy of the plan to the HNHB LHIN by June 1, 2019. 2. Patient/client reported feedback is an important component of measuring and improving the patient/client experience. Health Service Provider Providers (HSPHSPs) are required to report patient experience indicators for fiscal year 2019-20 by June 1, 2020. Reporting will reflect two elements of the patient/client reported experience: overall patient/client satisfaction and the involvement in decisions about care. HSPs should report on the activities it has undertaken during the fiscal year to increase the Indigenous cultural awareness and sensitivity of its staff, physicians and volunteers (including Board members) throughout the organization. In order to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is due questions that are most similar to the LHIN following: a. Overall satisfaction: “Overall, how would you rate the care and services you received?” b. Involvement in decisions about care: “Were you involved in decisions about your care as much as you wanted to be? Health Service Providers are also required to submit a brief narrative by April 30June 1, 2020 outlining their organization’s engagement and should be submitted using partnership with patient and family advisors. 3. Health Service Providers (HSPs) will actively strive to meet the subject line: 2019targets for health system performance indicators; engage in activities that include LHIN-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇. An updated/revised reporting template will be forwarded to all HSPs at a later date. HSPs that have multiple accountability agreements wide initiatives, which result in the demonstrated improving performance trends on relevant system-level indicators; and separately and in conjunction with the LHIN should provide one aggregated report for and other HSPs, identify opportunities to integrate the corporation. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors services of the (the “local health system to provide appropriate, co-coordinated, effective and efficient services. [Insert Name of LHIN”). Attn: Board Chair.]

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 S1 Total Margin (P) 0 ™0 S0 Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (ME) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator Percentage of Residents Who Fell in the Last 30 days (ME) 2019/20 PERFORMANCE n/a n/a Percentage of Residents Whose Pressure Ulcer Worsened (ME) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (ME) n/a n/a Percentage of Residents in Daily Physical Restraints (ME) n/a n/a Indigenous Cultural Awareness: a 1. Mississauga Halton LHIN & Long- Term Care Homes Quarterly Sector Meetings The Health Service Provider (HSP) will report on Long -Term Care Home Administrator/Director of Care or delegate is required to participate in the activities it has undertaken during the fiscal year Mississauga Halton LHIN/Long-Term Care Homes quarterly meetings to increase the Indigenous cultural awareness review performance, quality and sensitivity of its staff, physicians compliance. 2. Avoidable ED Transfers The HSP is required to complete and volunteers (including Board members) throughout the organization. In order submit to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is monthly, the Emergency Department (ED) Transfer Report form to include the frequency and reason for transfers of Long-Term Care Home (LTCH) residents to a hospital emergency department. The monthly reports are due to the LHIN by April 30Nurse Practitioner- (NP) Stat Program on the 15th of the following month. (See Schedule C – Reporting Requirements). 3. Alternate Level of Care (ALC) Avoidance [monitoring indicator] The HSP is responsible to accept, 2020 support and should be submitted using enable transitions from the subject line: 2019-20 Indigenous Cultural Awareness Report hospital, once deemed medical stable, back to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇the resident’s home (LTCH). An updated/revised reporting template The HSP will be forwarded responsive to all HSPs at the Alternate Level of Care (ALC) Rate as per the 2018/19 Ministry-LHIN Accountability Agreement target and will work in collaboration with hospitals and community providers in a later datetimely, safe, effective, efficient manner incorporating a patient-centred approach. HSPs Definition: Alternate Level of Care (ALC) Rate; This indicator is defined as the proportion of inpatient days in acute and post-acute care settings that have multiple accountability agreements with are spent as ALC in a specific time period. Calculation: Total number of ALC days in a given time period (WTIS) x 100 Total number of patient days in the same time period (Bed Census Summary (BCS))/Wait Time Information System (WTIS) Ministry LHIN Accountability Agreement (“MLAA”) 2015-18 ALC Rate 12.7% 4. Quality Improvement Plan The HSP will meet Quality Improvement Plan (QIP) targets as set out in QIP submitted annually to Health Quality Ontario (HQO). This plan would be available to the LHIN should provide one aggregated report for the corporation. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors of the (the “LHIN”). Attn: Board Chairupon request.

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 ≥1 Total Margin (P) 0 ™0 ≥0 Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (M) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator Percentage of Residents Who Fell in the Last 30 days (M) 2019/20 PERFORMANCE Percentage of Residents Whose Pressure Ulcer Worsened (M) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (M) n/a n/a Percentage of Residents in Daily Physical Restraints (M) n/a n/a 1. Develop a Indigenous Cultural Awareness: The quality improvement plan for 2019-20 and submit a copy of the plan to the HNHB LHIN by June 1, 2019. 2. Patient/client reported feedback is an important component of measuring and improving the patient/client experience. Health Service Provider Providers (HSPHSPs) are required to report patient experience indicators for fiscal year 2019-20 by June 1, 2020. Reporting will reflect two elements of the patient/client reported experience: overall patient/client satisfaction and the involvement in decisions about care. HSPs should report on the activities it has undertaken during the fiscal year to increase the Indigenous cultural awareness and sensitivity of its staff, physicians and volunteers (including Board members) throughout the organization. In order to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is due questions that are most similar to the LHIN following: a. Overall satisfaction: “Overall, how would you rate the care and services you received?” b. Involvement in decisions about care: “Were you involved in decisions about your care as much as you wanted to be? Health Service Providers are also required to submit a brief narrative by April 30June 1, 2020 outlining their organization’s engagement and should be submitted using partnership with patient and family advisors. 3. Health Service Providers (HSPs) will actively strive to meet the subject line: 2019targets for health system performance indicators; engage in activities that include LHIN-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇. An updated/revised reporting template will be forwarded to all HSPs at a later date. HSPs that have multiple accountability agreements wide initiatives, which result in the demonstrated improving performance trends on relevant system-level indicators; and separately and in conjunction with the LHIN should and other HSPs, identify opportunities to integrate the services of the local health system to provide one aggregated report for the corporationappropriate, co-coordinated, effective and efficient services. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors of the (the “LHIN”). Attn: Board Chair.

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 ≥1 Total Margin (P) 0 ™0 ≥0 Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (M) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE TARGET STANDARD Quality and Resident Safety Indicators Percentage of Residents Who Fell in the Last 30 days (M) 2019/20 PERFORMANCE n/a n/a Percentage of Residents Whose Pressure Ulcer Worsened (M) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (M) n/a n/a Percentage of Residents in Daily Physical Restraints (M) n/a n/a 1. Develop a Indigenous Cultural Awareness: The quality improvement plan for 2019-20 and submit a copy of the plan to the HNHB LHIN by June 1, 2019. 2. Patient/client reported feedback is an important component of measuring and improving the patient/client experience. Health Service Provider Providers (HSPHSPs) are required to report patient experience indicators for fiscal year 2019-20 by June 1, 2020. Reporting will reflect two elements of the patient/client reported experience: overall patient/client satisfaction and the involvement in decisions about care. HSPs should report on the activities it has undertaken during the fiscal year to increase the Indigenous cultural awareness and sensitivity of its staff, physicians and volunteers (including Board members) throughout the organization. In order to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is due questions that are most similar to the LHIN following: a. Overall satisfaction: “Overall, how would you rate the care and services you received?” b. Involvement in decisions about care: “Were you involved in decisions about your care as much as you wanted to be? Health Service Providers are also required to submit a brief narrative by April 30June 1, 2020 outlining their organization’s engagement and should be submitted using partnership with patient and family advisors. 3. Health Service Providers (HSPs) will actively strive to meet the subject line: 2019targets for health system performance indicators; engage in activities that include LHIN-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇. An updated/revised reporting template will be forwarded to all HSPs at a later date. HSPs that have multiple accountability agreements wide initiatives, which result in the demonstrated improving performance trends on relevant system-level indicators; and separately and in conjunction with the LHIN should and other HSPs, identify opportunities to integrate the services of the local health system to provide one aggregated report for the corporationappropriate, co-coordinated, effective and efficient services. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors of the (the “[Insert Name of LHIN”). Attn: Board Chair.]

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 ≥1 Total Margin (P) 0 ™0 ≥0 Please indicate here if you wish to have your DSCR calculated at a corporate level Coordination and Access Indicators Percent Resident Days – Long Average Long-Stay Occupancy / Average Long-Stay Utilization (E) n/a n/a Wait Time from LHIN CCAC Determination of Eligibility to LTC Home Response (ME) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator Percentage of Residents Who Fell in the Last 30 days (ME) 2019/20 PERFORMANCE n/a n/a Percentage of Residents Whose Pressure Ulcer Worsened (ME) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (ME) n/a n/a Percentage of Residents in Daily Physical Restraints (ME) n/a n/a Indigenous Cultural Awareness: The Health Service Provider (HSP) will report on In-home BSO Liaison To assist in the activities it has undertaken during the fiscal year to increase the Indigenous cultural awareness development and sensitivity sustainability of its staffcapacity in each LTC home, physicians and volunteers (including Board members) throughout the organization. In order to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs each home will be provided required to designate at least one (1) LTC staff member to act as a liaison with the BSO team. This staff member will work with the BSO team (MRT, PRC, GOC, psychiatry) to help develop capacity in each home. This liaison will work to establish a list team/group within their home who deals specifically with complex residents with challenging behaviours. This does not have to be a new/separate team – we recognize that many LTC homes have groups/teams that deal specifically with complex residents with palliative care or high-intensity needs ▪ Identification of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to Liaison ▪ Progress made in the development of behavioral support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template capacity within the LTCH home Template to be provided by the LHINLHIN Reporting requirements will be of an explanatory nature. ▪ Q2 & Q4 – Narrative report outlining the progress that has been made to date in the development of behavioral support capacity within the LTCH home. Achievement of Provincial HQO Targets To ensure consistency of care in each LTC home, is due each home will be required to meet Provincial HQO targets over the course of three years. The LHIN will work with each home to develop goals and target setting to achieve each of the HQO indicators. · Recent Fall % · Worsening Bladder Control % · Pressure Ulcer % · Physically Restrained % Added in 2017-18 - Chemical Restraint % ▪ 2016/2017 – evaluation and target achievement goal setting for the first year ▪ 2017/2018 – evaluation of progression towards achievement of goals (meeting or above the Provincial Average) ▪ 2018/2019 – achievement of goals (meeting or above the Provincial Average) Template to be provided by the LHIN by April 30Reporting requirements in 2016/2017. • If existing LTC home is not meeting Provincial Averages, 2020 a plan with goals will be put in place to achieve the provincial minimum standards over a three year time period. • If existing LTC home is not meeting the Provincial targets – a review of utilized resources will be conducted, including utilization of NLOT teams, the BSO MRT teams and should other resources • LTC homes will be submitted using required to fill out the subject line: 2019-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇template indicating the plan for achievement of targets over a three year period. Reporting requirements in 2017/2018 • An updated/revised reporting evaluation of progression towards the achievement of Provincial Averages will be conducted utilizing template. • Submission of template will be forwarded required in Q2 and Q4 • A review of the utilization of current resources will be conducted including NLOT teams, BSO MRT and other resources. Reporting requirements in 2018/2019 • LTC homes required to all HSPs achieve Provincial HQO Averages in year three. • An evaluation of achievement utilizing the submitted templates in Q2 and Q4 will be conducted A review of the utilization of current resources will be conducted including NLOT teams, BSO MRT and other resources. In-home Palliative End- of-Life Care Liaison To assist in the development and sustainability of quality palliative end-of-life care in each LTC home, each home will be required to designate at least one (1) LTC staff member to act as a later date. HSPs that have multiple accountability agreements liaison with the Hospice Palliative Care Planner at the South East LHIN. This does not have to be a member of a new/separate team – we recognize that many LTC homes have groups/teams that deal specifically wih palliative end-of-life care. ▪ Identification of Liaison. ▪ Progress made in the development and sustainability of quality palliative end-of-life care within the LTCH home. Template provided by the LHIN should provide one aggregated Template to be provided by the LHIN Reporting requirements will be of an explanatory nature. Q2 and Q4 – Narrative report for outlining the corporation. Issued pursuant progress that has been made to date in the Long Term Care Service Accountability Agreement‌ To: The Board development of Directors of quality palliative end-of-life care within the (the “LHIN”). Attn: Board ChairLTCH home.

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = P=Performance Indicator E = E=Explanatory Indicator M = M=Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 n/a n/a Total Margin (P) 0 ™0 n/a n/a Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (M) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator Percentage of Residents Who Fell in the Last 30 days (M) 2019/20 PERFORMANCE n/a n/a Percentage of Residents Whose Pressure Ulcer Worsened (M) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (M) n/a n/a Percentage of Residents in Daily Physical Restraints (M) n/a n/a Indigenous Cultural Awarenessa 1. BSO Indicators: All LTCH are required to comply with the reporting requirements established for the provincial BSO program. N/A N/A As required. 2. Response Time to Application: The Health Service Provider LTCH will ensure that the 162 (HSP3) of Ontario Regulation CELHIN response time to application is within the legislated time frame in 79/10 of the Long-Term Care CELHIN will report on the activities it has undertaken during the fiscal year to increase the Indigenous cultural awareness and sensitivity of its staff, physicians and volunteers (including Board members) throughout the organization. In review data order to support efficient system flow and placement. Homes Act, 2007, the LHIN’s goal of improving access licensee will respond to health services and health outcomes a request for Indigenous people, placement made by a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting periodPlacement Coordinator within 5 business days. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over timequarterly. HSPs Chronic performance issues will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is due to the LHIN by April 30, 2020 and should be submitted using the subject line: 2019-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇. An updated/revised reporting template will be forwarded to all HSPs at a later date. HSPs that have multiple accountability agreements addressed with the LHIN should provide one aggregated report for the corporation. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors of the (the “LHIN”). Attn: Board ChairLTCH.

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 c1 Total Margin (P) 0 ™0 c0 Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (M) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator Percentage of Residents Who Fell in the Last 30 days (M) 2019/20 PERFORMANCE Percentage of Residents Whose Pressure Ulcer Worsened (M) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (M) n/a n/a Percentage of Residents in Daily Physical Restraints (M) n/a n/a Indigenous Cultural Awareness: The Health Service Provider (HSP) will report on the activities it has undertaken during the fiscal year to increase the Indigenous cultural awareness and sensitivity of its staff, physicians and volunteers (including Board members) throughout the organization. In order to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is due to the LHIN by April 30, 2020 and should be submitted using the subject line: 2019-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇. An updated/revised reporting template will be forwarded to all HSPs at a later date. HSPs that have multiple accountability agreements with the LHIN should provide one aggregated report for the corporation. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors of the (the “[Insert Name of LHIN”). Attn: Board Chair.]

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 ≥1 Total Margin (P) 0 ™0 ≥0 Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (M) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE TARGET STANDARD Quality and Resident Safety Indicators Percentage of Residents Who Fell in the Last 30 days (M) 2019/20 PERFORMANCE n/a n/a Percentage of Residents Whose Pressure Ulcer Worsened (M) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (M) n/a n/a Percentage of Residents in Daily Physical Restraints (M) n/a n/a Indigenous Cultural Awareness3/3 Priority Area: The Patient Safety Obligation Type: Compliance Obligation Description, Indicators and Target: HSPs activate Coordinated Care Plans for patients with hospital discharges for: Mental Health Service Provider and Additions; Chronic Disease - Congestive Heart Failure (HSPCHF); Chronic Disease – Chronic Obstructive Pulmonary Disease (COPD); Behaviours of Dementia; Palliative. Performance indicator: Number of individuals living with multiple chronic conditions and/or complex needs who are identified by your organization and have a new coordinated care plan (CCP) will report on developed through the activities it has undertaken during the fiscal year Health Links approach to increase the Indigenous cultural awareness and sensitivity of its staff, physicians and volunteers (including Board members) throughout the organizationcare. In order Reporting Requirements: Waterloo Wellington LHIN to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is due to the LHIN by April 30, 2020 and should be submitted using the subject line: 2019-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇. An updated/revised reporting template will be forwarded to all HSPs at a later date. HSPs that have multiple accountability agreements with the LHIN should provide one aggregated report for the corporationtemplate. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors of the (the “[Insert Name of LHIN”). Attn: Board Chair.]

Performance Indicators. The HSP’s delivery of the Services will be measured by the following Indicators, Targets and where applicable Performance Standards. In the following table: indicator for the applicable year. INDICATOR CATEGORY INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator 2019/20 PERFORMANCE Organizational Health and Financial Indicators Debt Service Coverage Ratio (P) 1 ™1 c1 Total Margin (P) 0 ™0 cO Coordination and Access Indicators Percent Resident Days – Long Stay (E) n/a n/a Wait Time from LHIN Determination of Eligibility to LTC Home Response (M) n/a n/a Long-Term Care Home Refusal Rate (E) n/a n/a INDICATOR CATEGORY Quality and Resident Safety Indicators INDICATOR P = Performance Indicator E = Explanatory Indicator M = Monitoring Indicator Percentage of Residents Who Fell in the Last 30 days (M) 2019/20 PERFORMANCE Percentage of Residents Whose Pressure Ulcer Worsened (M) n/a n/a Percentage of Residents on Antipsychotics Without a Diagnosis of Psychosis (M) n/a n/a Percentage of Residents in Daily Physical Restraints (M) n/a n/a Indigenous Cultural Awareness: The Health Service Provider (HSP) will report on the activities it has undertaken during the fiscal year to increase the Indigenous cultural awareness and sensitivity of its staff, physicians and volunteers (including Board members) throughout the organization. In order to support the LHIN’s goal of improving access to health services and health outcomes for Indigenous people, a minimum of 15 per cent of the HSP’s staff will receive Indigenous Cultural Safety training during this reporting period. Meeting this minimum requirement will serve a longer-term goal of involving all HSP staff in this educational initiative over time. HSPs will be provided with a list of training options (e.g. online and face-to-face sessions) and other educational resources for staff to choose from. The LHIN may provide one-time funding through a lead agency to support HSP staff participation in priority training offerings. The Indigenous Cultural Awareness Report, using a template to be provided by the LHIN, is due to the LHIN by April 30, 2020 and should be submitted using the subject line: 2019-20 Indigenous Cultural Awareness Report to ▇▇.▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇▇@▇▇▇▇▇.▇▇.▇▇. An updated/revised reporting template will be forwarded to all HSPs at a later date. HSPs that have multiple accountability agreements with the LHIN should provide one aggregated report for the corporation. Issued pursuant to the Long Term Care Service Accountability Agreement‌ To: The Board of Directors of the (the “[Insert Name of LHIN”). Attn: Board Chair.]