Page 45 - CEO Orientation

6. OUR SHARED ACCOUNTABILTY: PERFORMANCE REPORTING AND

EVALUATION

The three organizations have strong relationships with the Toronto Central LHIN, Ministry of Health and
Long-Term Care, Health Quality Ontario and Canadian Institute of Health Information. All three also
demonstrate a commitment to quality and safety through regular accreditation by Accreditation
Canada. Through these partnerships and on respective websites, the three organizations publically
report their performance. In keeping with their commitment of being open and transparent, the new
health network will also build a performance measurement framework that will follow a balanced
scorecard approach and examine metrics in areas such as access, quality and patient safety, research
and education, financial sustainability and our people.

Operational savings as a measure of success
All three hospitals have come together recognizing not only the positive patient care impact to
integration but the needed savings to ensure sustainability in the face of declining hospital revenues and
growing fixed expenses.

The financial analysis measured operational savings that could be achieved through integration. This
range of savings will be achieved over the course of three years as the new network transitions to a
steady state. Those savings ($8.8-$14.3 million) will be tracked as a performance measure of the success
for the new network. Moreover, the savings will be reinvested into patient care services to maintain
support for existing programs and priorities – with the expectation that as patient volumes and
complexity is also rising, these savings will serve to mitigate those challenges in order to maintain
current patient care volumes.

Referral patterns as a measure of success
The proposal for voluntary integration is based upon the assumption that all three organizations’ sites
would remain in place and will continue to service each local community. The three organizations intend
to maintain the current level of services and referrals provided to our communities. In particular,
Providence Healthcare will maintain commitments outlined in the Memorandum of Understanding with
each of its five key referral partners. The new health network will continue to monitor referrals to
ensure ongoing, consistent access to services.

TC LHIN reporting
We are also aware of the importance of measuring the impact of the integration itself. In working with
our partners at the TC LHIN, we have identified the following metrics and targets that will be measured
and reported on both publically and to the TC LHIN over the next three years.

Our Shared Purpose: Advancing the Health of Our Patients and Our Urban Communities Page | 37