AGENDA - aphasia.ca … · AGENDA Date: November 02,2015 Time: 18:00-20:00 Meeting Chair: Jane...

AGENDA Date: November 02, 2015 Time: 18:00-20:00 Meeting Chair: Jane Brenneman Gibson

Meeting Location: Aphasia Institute, Teleconference Line: 416-343-2655, ID# 3767334

Agenda Item Details

1. Call to Order

2. Welcome Welcome

3. Approval of the Agenda Motion Required

4. Approval of the Minutes of Previous Meeting

Motion required approving minutes for June 22, 2015, and September 28, 2015

5. Business Arising from Previous Minutes

Review of the Action Items from June and September Board Meetings:

• Tamara to forward the Financial Metric’s and Reserve Guidelines to the Board – included in package

• Caryl to send reminder to Members who were not present to complete the consent forms and pay the fee – completed

• Jane to send an invitation to Gary Ryan to join the new Advisory Committee to the Board – completed

• Tamara and Carrie to get in touch with Janine Purves regarding Board position – review current skills matrix prior to outreach of Janine Purves

• Patricia to distribute the skills matrix to the Board - completed

6. Governance and Nominations Committee

Committee update

7. Quality, Research and Ethics To be carried forward

8. Fund Development Committee Jane report on Fund Development Committee and Strategies Carrie – ICARE Carrie/Aura - Annual Appeal

9. Executive Report Motion Required: To approve Executive Report

10. Finance Report Motion Required: Approval of Q2 financial results for submission to Central LHIN

Motion Required: Approve 2016 – 17 Budget for submission to the Central LHIN

Founder Patricia Arato Charitable Reg No. 13306 5227 RR0001

AGENDA Date: November 02, 2015 Time: 18:00-20:00 Meeting Chair: Jane Brenneman Gibson

Meeting Location: Aphasia Institute, Teleconference Line: 416-343-2655, ID# 3767334

Motion Required: Approve Revised Investment Policy

Motion Required: To collapse Sustainability Fund

Motion Required: Approve Policy – Aphasia Institute Research and Educational Endowment Fund – Withdrawal of Capital

Motion Required: Policy – Aphasia Institute General Guidelines on Reserves

11. Other Business

12. In Camera Session

13. Meeting termination Motion Required

14. Date of the next meeting Dec 14, 2015 @ 18:00

Items included in this Package Agenda Minutes for June 22 and September 28, 2015 Executive Report AI Financial Report for September LHIN Budget will be distributed at the Board Meeting Revised Investment Policy AI Research and Educational Endowment Fund – Withdrawal of Capital AI General Guidelines on Reserves Financial Metrics Organization Chart Q2 Report

Founder Patricia Arato Charitable Reg No. 13306 5227 RR0001

Minutes of the Board of Directors Meeting Of the Aphasia Institute Monday, June 22, 2015

Present Lisa Chicules Maria Huijbregts Ky Pruesse Jane Brenneman Gibson Patricia DiNicolantonio Tamara Jones Valerie Chavossy Martin Gangadeen Gary Ryan

Regrets: Special Guests Esther Zdolec Camilla Todesco Jeff Brown Silvia Gomes Staff Carrie Harrison Aura Kagan Catherine Brookman

Topic Discussed Outcome/Action 1. Call to Order Lisa called the meeting to order at 6:09 p.m.

2. Approval of

Agenda Motion to approve the agenda

Moved: Ky Pruesse Seconded: Martin Gangadeen

Carried

3. Approval of the

Minutes of Previous Meeting

Motion to approve minutes of April 27, 2015, meeting

Moved: Valerie Chavossy Seconded: Tamara Jones

Carried

4. Business Arising from Previous Minutes

All Business arising from previous minutes have been completed.

.

Action: Tamara to forward the Financial Metric’s and Reserve Guidelines to the Board

5. Governance and Nominations Committee Update

Motion to approve the amendment of By-Law No. 1 adding Section 2.1 – Advisor to the Board of Directors

Moved: Maria Huijbregts Seconded: Lisa Chicules

Carried

6. Quality Research

and Ethics (QRE) Committee Update

Maria provided update of the Q4 Quaility Report to the Board

Action: Carrie to provide legend of colour coding on the M-SAA chart

7. Fund Development Committee Update

Carrie provided an update on WTR

Page 1 of 3

Topic Discussed Outcome/Action 8. Executive Report Executive Report was presented, Aura

highlighted the Minister’s visit. Both Aura and Ky felt we were very lucky to meet with the Minister. The meeting lasted 1.5 hours.

Aura drafted a letter to go to the Minister. Within the letter she asked for the following:

• Raise the profile in Ontario in terms of innovation and what the Aphasia Institute does via On-line training platform and apps ($500K)

• Multi-year grant ($250K) • Connect us to the Ministry of Trade

Motion to approve the Executive Report

Moved: Jane Brenneman Gibson Seconded: Ky Pruesse

Carried

9. Finance Report Tamara presented the audited Financial

Statements noting the following:

• Audit has been completed and there are no issues

• Some small accounting adjustments were made which left us with a surplus of $11K

• New this year is our Endowment on the Balance Sheet of $1M and Note 9 Endowment Fund

Motion to approve the 2014/15 Financial Statements

Motion to approve submission of the 2014/15 Year End Results and Financial Statements to the Central LHIN

Motion to approve the Declaration of Compliance Schedule G

Moved: Jane Brenneman Gibson Seconded: Maria Huijbregts

Carried

Moved: Jane Brenneman Gibson Seconded: Maria Huijbregts

Carried

Moved: Ky Pruesse Seconded: Valerie Chavossy

Carried

10. Other Business The Board had an informal discussion on “Going for Great: Critical components of our

Page 2 of 3

Topic Discussed Outcome/Action agency culture”

11. Next Meeting Date Sept 28, 2015 – Short meeting after AGM

Oct 26, 2015 – Full board meeting

12. In-Camera Session No in camera session

Meeting Termination The meeting was terminated at 7:15 p.m.

By my signature, I hereby confirm that these minutes accurately reflect the business conducted at the 22 June 2015 Aphasia Institute Board Meeting.

Page 3 of 3

Minutes of the Board of Directors Meeting Of the Aphasia Institute

Monday, September 28, 2015

Present Teleconference Jane Brenneman Gibson Tamara Jones Ky Pruesse Patricia DiNicolantonio Valerie Chavossy Camilla Todesco

Regrets: Silvia Gomes Aura Kagan Staff Carrie Harrison Caryl Pereria

Topic Discussed Outcome/Action 1. Call to Order Jane called the meeting to order at

11:55 a.m.

2. Approval of Agenda

An additional item was added to the agenda:

To approve an invitation to Gary Ryan to sit on the Board as an Advisor

Motion to approve the agenda

Moved: Patricia DiNicolantonio Seconded: Ky Pruesse

Carried

3. New Business Consent to serve on Board

The following individuals were approved to sit on the Board

Chair – Jane Brenneman Gibson

Treasurer – Tamara Jones

Secretary and Vice Chair – Patricia DiNicolantonio

Ky Pruesse

Valerie Chavossy

Silvia Gomes

Camilla Todesco

Valerie suggested that the names for the executive positions should be put forward to the full Board at the June Board meeting

Motion to approve executive positions

Action: Caryl to send reminder to Members who were not present to complete the consent forms and pay the fee

Action: Caryl to include names put forward in the 2016 June Board meeting

Moved: Valerie Chavossy Seconded: Ky Pruesse

Carried

Page 1 of 2

Topic Discussed Outcome/Action 4. Governance and

Nominations Committee Update

Jane asked for approval to issue an invitation to Gary Ryan to be an Advisor to the Board

Moved: Patricia DiNicolantonio Seconded: Tamara Jones

Carried

Action: Jane to send an invitation to Gary Ryan to join the new Advisory Committee to the Board

5. Other Business Tamara and Carrie will talk to Janine Purves to see if she interested in a Board position.

The skills matrix will be distributed to members

Action: Tamara and Carrie will touch base with Janine at the next Investment Committee meeting. Action: Patricia to distribute the skills matrix before the October meeting

6. Next Meeting Date Nov 2, 2015 at 6:00 p.m.

7. In-Camera Session No in camera session

Meeting Termination The meeting was terminated at 12:05 p.m.

By my signature, I hereby confirm that these minutes accurately reflect the business conducted at the 28 September 2015 Aphasia Institute Board Meeting.

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Executive Report to the Aphasia Institute Board of Directors – October 2015 Vision Statement There are no barriers to living successfully with aphasia Mission Statement Give hope to people with aphasia and their families by developing and sharing innovative solutions that reduce language barriers to full life participation

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Executive Report:October 2015

Acronyms A list of acronyms to assist you as you navigate this report: AAH Aging At Home ALC CAMS

Alternate Level of Care Communicative Access Measures for Stroke

CAPS Community Accountability Planning Submission CCAC Community Care Access Centre Central LHIN COLA

Central Local Health Integration Network Cost of Living Allowance

CSS Community Support Service CSS Network HRDC

Community Support Service Network Human Resource Development Canada

H-SAA Hospital Service Accountability Agreements H-SIP Health System Improvement Pre-Proposals

Health System Improvement Project IHN Important Health Notice IHSP Integrated Health Service Plan M-SAA Multi-Sector Accountability Agreement MOHLTC Ministry of Health and Long-Term Care OAHPP Ontario Agency for Health Protection and Promotion OCSA Ontario Community Support Association OHA Ontario Hospital Association OHRS/MIS Ontario Healthcare Reporting Standards / Management Information

System OSN OSS OTF

Ontario Stroke Network Ontario Stroke System Ontario Trillium Foundation

OTN The Ontario Telemedicine Network SCA™ Supported Conversation for Adults with Aphasia SHKN Seniors Health Knowledge Network SNAGA Health Service Needs Assessment and Gap Analysis WERS WTR

Web Enabled Reporting System Walk Talk ‘n’ Roll

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The Executive Team respectfully submits this report:

Aura Kagan, Executive Director and Director of Education and Applied Research Catherine Brookman, Consultant Executive Leadership, Research and Program Innovation Carrie Harrison, Director of Finance and Operations Rochelle Cohen-Schneider, Director of Clinical and Educational Services

Prepared with administrative support from Caryl Pereria.

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Updates related to:

Strategy

Operational Plan

• The status of the annual operational deliverables arising from the strategic plan for Q2 is included in this Board Package

Case for Support • We continue to make use of our new positioning with the most notable example being

the recent Annual Report Finance and Operations (including agency related –LHIN, human resources) Finance • Please refer to the Financial Package included in this Board Package Operations • Please find the Aphasia Institute Organization Chart attached to Board Package • Staff performance appraisals will be completed by the end of November, using the

new framework developed External Relationships

Ministry/CLHIN

• We have been in touch with the office of Minister Dipika Damerla, Associate Minister of Health, after her June visit. Because the political level does not get involved with actual allocation of money, the plan is to arrange a meeting at the bureaucrat level but this has not yet materialized

Heart and Stroke Foundation (HSF)

• The HSF’s Mary Elizabeth Harriman invited Aura to make a presentation to Stroke Advisory Group prior to the recent Canadian Stroke Congress. We have received some requests for training and resources post this presentation

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Canadian Partnership for Stroke Recovery

• Aura has been invited to sit on the Knowledge Translation Advisory Committee for Canadian Partnership for Stroke Recovery after a meeting at the conference mentioned above

Communications • Our donor cultivation newsletter, Building Bridges was completed on schedule. This

communication tool is timed to go out a few months prior to our Annual Appeal Revenue Generation/Fund Development (including fundraising, donor cultivation)

• Our Walk Talk ‘n Roll event was a success considering we lost a family who normally

raise $10K for our Walk Talk ‘n Roll campaign. The family could not participate because of personal circumstances. Our Walk Talk ‘n Roll raised over $68K

• We are working with Public Inc. to assist us in development of our Annual Appeal strategy and communication piece

• ICARE kick off was the week of October 12th. ICARE is an internal “community” event that raises money to assist with program needs, through bake sales, having a pizza party at someone’s home, etc. This year the Aphasia Institute has support from our clients, staff and volunteers to raise funds to support our Acute Care Project

• We held our first ‘Behind the Scenes’ donor cultivation event on October 21st. Twelve donors attended and observed the Family Night component of our Introductory Program followed by a discussion facilitated by board member Ky Pruesse along with Aura

• Executive Staff are working with Public Inc. to develop a funding proposal that supports our strategic direction. The current focus is the development of an e-learning platform and “taking the show” on the road to support more external education. Budget information is being gathered in relation to technology, human resource requirements and marketing. We expect to be approaching a Foundation(s) with one or more projects over the next few months

• Our submission to the Ministry of Health in response to the Healthy Communities Fund call this past summer, a proposal to update our Diabetes Pictographic Booklet and create a training video to accompany its usage by both staff and volunteers was unsuccessful. We will continue to monitor future opportunities to support the funding of this type of project

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Training and Education • Working with the West GTA Stroke Region, we offered an exclusive training for non-

Speech Language Pathologist’s in August, with 20 trainees in attendance. This training will assist the West GTA Stroke Region to comply with the Best Practice Recommendations for Stroke. This is the first time we have had a single stroke region send so many staff

• Lisa Samson and Lee-Ann Kant traveled to McGill University last month to teach a Three-Day Core Training workshop to Speech Language Pathologists from the province of Quebec and beyond

• Lisa Samson presented her research findings at the Canadian Stroke Congress, which was held in Toronto this year. This research was conducted in partnership with Joanne DeLuzio of the University of Toronto who was a co-author on this presentation

• Aura Kagan co-presented a workshop at the above conference in collaboration with a colleague from the Rehabilitation Center of Chicago. She also presented in a session called ‘Brag ‘n Steal’ on behalf of staff co-authors Rochelle and Melodie

• Our 2nd webinar in our series called Stroke update on neuroimaging and recent clinical trial was held on October 14th. Approximately 70 people registered. This webinar focused on updates in the field of neuroimaging relevant for aphasia professionals

• Our last International Training Institute took place in the week of October 19th. We had a record attendance (24 healthcare professionals/SLPs from Canada, USA, Australia, New Zealand, Denmark, Ireland, the Netherlands, Finland)

• Aura will be involved in three presentations at the upcoming ASHA Convention in the USA

o An invited talk as part of a panel on the Life Participation Approach to Aphasia

o A presentation called ‘Measuring what Matters’ with co-author Dr. Nina Simmons-Mackie

o A health economics poster • We are training one more staff person to be able to be an SCA trainer in our On-site

and Off-site roster of trainers. We are building capacity and resilience both for the agency and providing a growth opportunity for the staff person

Direct Service General • We said goodbye to Eavan Sinden, a Speech Language Pathologist, this past summer.

Eavan made a meaningful contribution to our work in the three years that she was with us. We are pleased to announce that we have hired Catherine Low as a full-time Speech Language Pathologist. Catherine has worked with us before as a Communication Disorders Assistant and then as a project Speech Language Pathologist. We are delighted to have Catherine back as part of our team

• A new Introductory Program has started. It is a large and robust program

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Students • We have had a number of students this summer including a Speech Language

Pathologist student from a program in Scotland. We currently have three students from Australia

• As part of taking students from the University of Toronto, we get a small “stipend” in recognition of the time we take to train students in their clinical placement. This year we have spent the money on the following:

o Staff education - we had two sessions with an ethicist o We “bought” a full set of our resources for our students to use when they are

doing their placement on site. Also, we give a resource to each student from University of Toronto when they complete their placement

Volunteers • A small focus group of volunteers and staff have begun reviewing our volunteer

onboarding and orientation process, with the following goals: o Reviewing content to ensure it is still relevant o Identifying gaps o Assessing whether or not there is a better way to deliver some of the content,

e.g. videos, online o Improving the experience of the new volunteers based on their feedback

Shannon, our Volunteer Coordinator, has worked well with this group, and we look forward to their recommendations. Research and Project Updates

Communicative Access Measures for Stroke (CAMS) • The Aphasia Institute is working with Shore Consulting on the final stage of this

online tool; CAMS can be used by groups and/or institutions to measure the status of communicative access and identify gaps. We hope to begin beta-testing the site by December 2015

Ontario Trillium Foundation (OTF) Grant • Although funding for this project officially ended in June, the final report is due in

December. We are meeting with our Trillium project manager in November to demonstrate what the project has achieved. It is worth noting that to date, we have digitized approximately 1,800 pictographs

• On Friday, June 26th, ParticiPics launched a virtual tour and webinar that was attended by over 60 individuals. This enabled us to show off the changes made to the ParticiPics site and the newly launched site this past June. For those who were unable to attend the virtual tour and webinar, another one has been scheduled for Nov. 9th at noon. To date (from June – Sept) we have had over 157 individuals

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registered on the site and each month we are experiencing an average of 29 new individuals registering. With each ParticiPics webinar advertisement, new and more traffic is brought to the Aphasia website. We are selling bundles of ParticiPics images and have sold 6 to date. While not a targeted “money maker” the ParticiPics bundles are a “value add” to our Pictographic resource booklets with over 1,800 images indexed and up loaded for use by the consumer

SCA ACUTE Project • This self-funded project was approved in principle by the Quality Research and

Education Committee (QRE). Three principal investigators, many co-investigators, and a local stroke systems advisor have agreed to support the project. In the coming months, we will work on putting structural planning in place with local supporters, and provide further details to QRE Committee

Institute for Clinical and Evaluative Sciences (ICES) • We recently resubmitted our funding request Health Economics project related to aphasia • Aura presented our Health Economics research poster at the recent Canadian Stroke

Congress and will also be presenting it at ASHA Convention in November • Dr. David Whitehurst is planning to use some of his grant funding to visit Toronto

and meet with Aura and Dr. Jeffrey Hoch, Associate Professor with the Centre for Research on Inner City Health, St. Michael's Hospital in early December

External Student Researchers

• Thomas Huijbregts completed his study testing an iPad app “Talking Tiles” with members. Thomas’ article was accepted for publication by the Association for Computing Machinery (ACM) International Conference on Interactive Tabletops and Surfaces. He will be visiting the Aphasia Institute in late October to share findings, and to help members who participated in his study to update their “TalkingTiles” app

• Brent Archer, Ph.D. Candidate at the University of Louisiana at Lafayette visited the Aphasia Institute in August. His research is on the topic of conversation, and we helped facilitate videos of five conversation groups. He is continuing his data collection at a 3rd site. He aims to complete his dissertation by March 2016. Copies of the dissertation and subsequent articles will be shared with Aphasia Institute for input, and Brent suggested arranging a feedback session to share findings later

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Basic Outcome Measurement for Protocol for Aphasia (BOMPA) • We are in the process of developing a brief 7-minute assessment that we will be able

to use to track the progress of our members over time. This tool will be useful for any speech-language pathologist working in a similar context to the Aphasia Institute. Aura will speak about the BOMPA at the Ontario Aphasia Centres Interest Group (OACIG) meeting at the end of October. Once developed, we will need to do a study to evaluate the reliability of the tool

Upcoming Events

Month Board Meeting Board Education Events to attend

November 2015 Board Meeting Nov 2

Craft & Bake Sale Nov 17 & 18 Town Hall Nov 25 9:45 – 11:00 a.m.

December 2015 Board Meeting Dec 14

Holiday Party Dec 12 6 – 8:30 p.m.

January 2016 Board Meeting Jan 25

February 2016

March 2016 Board Meeting TBD

Family Night Mar 9 7:00 – 9:00 p.m.

April 2016 Board Meeting April 25

May 2016

June 2016 Board Meeting TBD

Walk, Talk ‘n Roll TDB

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For management use only

Financial Report

Aphasia InstituteFor the period ended September 30, 2015

Prepared by

Carrie Harrison

Prepared on

October 7, 2015

of 8

Table of Contents

Financial Executive Summary .........................................................................................................................3

Balance Sheet .................................................................................................................................................5

Budgets vs. Actuals for Q2 .............................................................................................................................8

Aphasia Institute Page 3 of 8

Financial Executive Summary

2015/16 Budget (History)The 2015/16 Budget was prepared using an 80% certainty factor as it is difficult to predict unexpected revenue e.g. major donation or mitigation strategies. The -$163K deficit was presented to the Board with the understanding that the Aphasia Institute had several mitigation strategies in the works, but could not predict the revenue or expenditures that would be forthcoming from these mitigation strategies. The Board approved the $-163K deficit budget for 2015/16.

2015/16 Current StatusOur current financial position leaves us in a deficit position of -$38K a positive variance to budget (B=-$134K) of $96K.Although our financial position is not positive, we have made significant progress with mitigation strategies and receiving unexpected donations. In November we expect to withdraw $50K from our investments to ensure we have enough of a cash flow to cover off expenditures. (We have a payroll leap year this year which is a timing difference but means an additional pay period in this fiscal year.) There is no significant impact or penalties in withdrawing these funds and we will replenish our investments once our cash flow is sufficient. (The last time me needed to withdraw from our investments was Jan 2010 - $80K and replenished back into investments in 2011.)

Financial Current Position Summary:

Revenue Highlights· Fund Development- exceeds our budget by $31K – primarily related to $25K bequest and a $5K multi-year gift. (Note: WTR actual and budget are prorated and recognized on a monthly basis)· Social Enterprise – Resource product exceeds our budget by $2K, while Professional Training exceeds our budget by $34K. Professional training is exceeding budget because of a larger number of participants taking our in house training, specialized training for West GTA Stroke Network, and “show on the road” training in Montreal.· Our Board Executive agreed to offset the Endowment Management Fees with a portion of the Deferred Endowment Interest. To date we have recognized $9K in Endowment Interest Income that was un-budget for and have accrued $9K in management expenditures that was budget for.

Expenditure Highlights

· There is a positive variance to the budget of $25K in expenditures, the positive variance are primarily

timing variances.

Forecast Status as of March 31, 2016With the various mitigation strategies put into place and unexpected receipt of donations (bequest and multi-year),and a $20K budgeting error in rent (anticipated a rental increase this fiscal, it occurs next fiscal), we are 80% certain the expected forecast deficit to be $-85K . $78K better than our approved budget. The forecast deficit could be further reduced based on additional mitigation strategies (Resource Sales, Translations, Professional Training “show on the road”, Giving Tuesday) or we could see the deficit increase because of volatility in the investment market that we have no control of.


Endowment InvestmentYou will note on our balance sheet our Endowment Investment is recognized as $1M, this represents Book Value and not Fair Market Value.The fair market value as of September 30, 2015 was $937,952, however in October we have seen gains within our investment portfolio with a market value as of October 23, of $986,220. There has been some volatility in the market, and in turn the value of our endowment portfolio, over the past few months. Our portfolio is structured to generate annual investment returns through interest and dividends (prior to investment fees of approximately $13,000 per year.) We have an investment committee that meets with the investment manager of the Endowment Fund semi-annually to review the performance of these assets.


Balance SheetAs of September 30, 2015

Total

ASSETS

Current Assets

12110 Undeposited Funds-1 1,384.17

12220 Investments-RBC 461,092.23

12155 Cash with broker 5,114.59

12221 Investments-RBC Sustainability 12,206.88

12222 Investments-RBC Endowment 1,004,753.54

Total 12220 Investments-RBC 1,483,167.24

12350 Allowance for Doubtful Accounts -4,406.00

12600 Prepaids 0.00

12650 Prepaid Walk & Roll 1,575.45

12690 Prepaid Expense - General 6,975.61

Total 12600 Prepaids 8,551.06

Cash and cash equivalents

12100 Bank/Asset

12120 Petty Cash 1,361.89

12150 ING Direct Savings 569.49

12190 Bank - Scotia 86,188.40

12197 Petty cash US$ 90.00

Total 12100 Bank/Asset 88,209.78

Total Cash and cash equivalents 88,209.78

Accounts receivable (A/R)

12300 Accounts Receivable 18,223.62

12301 CAP Fee 6,416.31

Total 12300 Accounts Receivable 24,639.93

Total Accounts receivable (A/R) 24,639.93

Total Current Assets 1,601,546.18

Non-current Assets

Property, plant and equipment:

32800 Fixed Assets 0.00

32850 Furn & Equip 65,587.55

32850a New Workstations 12,951.59

Total 32850 Furn & Equip 78,539.14

32851 Accum. Amort. - F & E -56,110.54

32859 Computer 09/10 18,454.00

32861 Computer Purchases (11/12) 15,817.50

32862 Computer Purchases (12/13) 10,606.00


Total

Total 32859 Computer 09/10 44,877.50

32860 Acc.Amort Computer -46,779.79

32865 Leasehold Improvements 8,426.49

32685a Leaseholds Cabling and Electric 11,167.43

Total 32865 Leasehold Improvements 19,593.92

32866 Accum. Amort. Leasehold Improv. -7,400.14

32882 CAMS Web 10,361.27

32885 Website Infrastructure 39,254.18

32886 Acc.Amort Website -46,716.20

Total 32800 Fixed Assets 35,619.34

Total Property, plant and equipment: 35,619.34

Total Non-current Assets 35,619.34

Total Assets $1,637,165.52

LIABILITIES AND EQUITY

Current Liabilities

42370 GST/HST Payable -11,271.33

42390 Accrued Liabilities 3,000.00

42400 Other Liabilites

42498 Social Fund 889.64

Total 42400 Other Liabilites 889.64

42510 Payroll Liabilities 17,328.33

42510a RRSP and Benefits Accrual 4,176.83

42800 Deferred 0.00

2000D Deferred Donations 0.00

42846 Deferred Donations iCare 12,416.30

42846E Endowment 9,030.05

42846MY Deferred Donation Multi Year Gf (deleted) 25,000.00

42846w Deferred WTR donations 34,419.83

42846x Def. iCare 2015-16 2,017.90

Total 2000D Deferred Donations 82,884.08

2000e Deferred Contributions 2,792.00

42856a Deferred Rev.-New Horizon Grant 7,287.00

42856f CIMSHR 1,768.34

Total 2000e Deferred Contributions 11,847.34

2000G Deferred Grants

42856 Deferred rev.-Ont. Trillium Fdn 21,972.21

42856c Def Rev-City of Tor CSP Grant 9,747.80

42866 Deferred Grant 1,599.37

Total 2000G Deferred Grants 33,319.38


Total

42840b Deferred- Training Income 42,127.45

42846a Deferred Program Fees 10,737.51

Total 42800 Deferred 180,915.76

Payroll Exp. Clearing 26,386.73

Accounts Payable

42330 Accounts Payable 22,992.16

Total Accounts Payable 22,992.16

Credit Cards

Scotiavisa 2,510.64

Total Credit Cards 2,510.64

Total Current Liabilities 246,928.76

Equity

62140 Research, Develop. & Tech. Fund 170,000.00

62150 Endowment Fund 1,000,000.00

62200 General Fund 209,388.06

62200a Sustainability Fund 12,575.17

62200d Invested in Capital Assets 36,002.43

Profit for the year -37,728.90

Total Equity 1,390,236.76

Total Liabilities and Equity $1,637,165.52


Budgets vs. Actuals for Q2April - September, 2015

Total

Actual Budget over Budget

INCOME

11006 Funding LHIN 456,808 456,804 4

11030 HRDC Grant 2,640 1,543 1,097

11040 City of Toronto (CSG Grant) 12,152 10,491 1,661

11090 Program Fees 24,999 24,998 1

14070 Other Donation 110,046 78,317 31,729

16010 Investment Income 3,168 6,502 -3,334

19000 OTHER REVENUE 73,489 42,312 31,177

Trillium Digi Grant 36,645 27,588 9,057

Total Income 719,946 648,555 71,391

GROSS PROFIT 719,946 648,555 71,391

EXPENSES

3****0 Salaries & Wages 386,412 382,706 3,706

31*** Benefits 52,478 52,958 -481

4**** Supplies 37,452 38,444 -992

6**** Sundry 119,223 138,943 -19,720

7**** Equipment 14,140 19,904 -5,764

75000 Amortization Exp 12,231 14,498 -2,267

82555 Contracted Out Services 2,168 1,500 668

9**** Building & Grounds 133,572 133,306 266

Total Expenses 757,675 782,259 -24,584

NET OPERATING INCOME -37,729 -133,704 95,975

NET INCOME $ -37,729 $ -133,704 $95,975

Aphasia Institute – Financial Policies Policy # F106

Policy: Investment Policy – Endowment Fund Assets Board Approval: Policy Updated: October 9, 2015 1. GENERAL Purpose: This Investment Policy Statement (the “Statement”) applies to the investment assets of the Endowment Funds (the “Assets”) held by the Aphasia Institute (the “Institute”). The purpose of this Statement is to outline the procedures and policies to effectively manage and monitor these Assets. The Assets will be managed in accordance with this Statement and all applicable legal and regulatory requirements.

Any investment manager (the “Manager”) or any other agent or advisor appointed by the Institute to provide services, including without limitation investment, trustee or custodial services, in connection with the Assets must accept and adhere to this Statement, any applicable legal and regulatory requirements, and any other requirements as may be provided by the Institute from time to time. Background: The Institute is a charitable organization with a mission to give hope to people with aphasia and their families by developing and sharing innovative solutions that reduce language barriers to full life participation. The fiscal year end of the Institute is March 31. Amendment of Statement The Statement may be amended from time to time. The amended Statement will be provided to the Manager, the custodian and any advisors or agents within a reasonable period of time. 2. RESPONSIBILITIES Board of Directors The Board of Directors of the Institute (the “Board”) has ultimate responsibility for the governance of the Assets. The Board may delegate the authority to direct the investment of the Assets to the Executive Committee and/or the Manager. The Board assumes responsibility for engaging and discharging external advisors. The Finance Committee of the Board along with the Director of Finance and Operations are charged with the ongoing monitoring of the Assets. Investment Advisory Committee The Investment Advisory Committee (the “Committee”) operates to provide oversight over the Assets. The Committee operates in accordance with the Terms of Reference included in Appendix A.

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Aphasia Institute – Financial Policies Investment Manager The Manager is responsible for managing the assets in a manner that complies with this Statement to meet the Institute’s investment objectives. The Manager will communicate the investment recommendations directly to the custodian, who will execute purchase and sale orders on behalf of the Institute. The Manager will also provide management with regular reporting, at a minimum on a semi-annual basis. The Manager will meet and / or discuss with the Institute any questions and or concerns as required. Custodian A financial institution will be appointed as Custodian to hold the securities for safekeeping. The Custodian is responsible for safeguarding the Assets as well as arranging settlement of any purchases or sales as advised by the Manager and maintaining records of the investment holdings and transactions. On at least a quarterly basis, the Custodian will provide the Institute with an account statement containing the following information:

• Asset holdings at the end of the period, including maturity dates, original costs and current market values, and asset transactions during the period.

3. ASSETS OBJECTIVES Investment Objectives: The overall investment objectives of the Assets are to:

• Preserve capital, in real terms; and • Generate income to support the Institute’s research and education activities in the field of aphasia.

The portfolio return will be assessed against the performance of the same portfolio at the start of the year

on a no-activity basis during the period. The overall risk level is characterized as conservative with a balanced investment portfolio. Cash Requirements and Liquidity The Assets are held as a perpetual endowment fund such that the Institute should not encroach on the

original capital of the fund. Time Horizon The Assets should be managed with a long-term time horizon. 4. AUTHORIZED INVESTMENTS General All guidelines and constraints are to be calculated at market value unless otherwise specified. All securities selected by the Manager must have a readily ascertainable market value. The Assets should be diversified by complying with the percentage constraints set forth below to avoid undue exposure to any single economic sector, industry group, individual security or issuer. Securities lending is permitted at the option of the Manager.

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Aphasia Institute – Financial Policies The Manager will not purchase shares on margin. List of Permitted Investments

(a) Short-term instruments: - cash, demand or term deposits, short-term notes, guaranteed investment certificates, treasury bills and bankers acceptance

(b) Fixed income instruments: - bonds and debentures

(c) Canadian or foreign equities: - common and preferred stocks

Derivatives Derivatives are not expected to be used. The Manager cannot use derivatives for speculative trading or to create a portfolio with excess leverage. Should the Manager recommend the use of derivatives, such as swaps, options, futures and forward contracts, for hedging purposes, to protect against losses from changes in interest rates and market indices, approval must be provided by the Executive Committee to execute on the proposed strategy. Currency risk The investment portfolio could be subject to currency risk through the investment in foreign equities. 5. Risk Guidelines The portfolio will experience positive and negative volatility on its capital. The Manager’s strategy employs the “value” approach to the management of investments and is subject to the investment objectives noted above. The Institute does not have any specific limitation with respect to environmental, social or governance factors. Investment guidelines are included in Appendix B – Portfolio Guideline Summary. The Manager will be responsible for rebalancing the portfolios by month-end if they exceed these

guidelines. 6. PERFORMANCE EXPECTATIONS FOR ASSETS Asset Mix The Asset Mix (Asset Allocation) policy will target a mix of Equities and Fixed Income (Short Term, Bonds & Preferred Shares) as follows: Asset Class Targeted Range Optimal Long Term Asset Mix Cash and short-term assets 0 – 20% 0% Bonds 20 - 80% 50% Equities 20 - 80% 50%

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Aphasia Institute – Financial Policies 7. PROXY VOTING The Manager will vote all proxies on behalf of the Institute. The Institute will arrange with the custodian to provide the Manager with the proxies in a timely manner. 8. WITHDRAWAL OF INCOME AND CAPITAL On a semi-annual basis, the Institute will withdraw the income earned on the Assets to spend on aphasia-related research and educational activities. Withdrawal of capital shall only occur on approval of the Board. Should the Institute determine the need to withdraw investments from the investment portfolio, approval is required by the Executive Committee of the Board of Directors. The Institute shall consider other funding alternatives, such as available lines of credit, in determining whether investments should be withdrawn. 9. MONITORING At least annually, the Manager will meet with the Investment Committee of the Endowment Fund regarding:

• The rate of return achieved by the Manager; • The Manager’s current or future investment strategies; • Any material changes in the organizational or ownership structure of the Manager or in key

personnel or investment professionals; • Any material claims, losses, litigation or other legal proceedings, or any regulatory inquiries or

investigations relating to the Manager; and • Other issues as requested or as the Manager in their reasonable opinion deems relevant.

10. STANDARD OF CARE The Manager will manage the Assets with the degree of care, diligence and skill that a reasonably prudent investment manager would use in similar circumstances and in similar market conditions. All other agents and advisors who provide services relating to the Assets will exercise the degree of care, diligence and skill that other reasonably prudent agents and advisors would exercise in similar circumstances and in similar market conditions and will comply with any other applicable legal and regulatory requirements in this regard. 11. CONFLICT OF INTEREST The Manager and any other advisor or agent shall not knowingly permit his or her interest or that of a related party to conflict with his duty to the Assets. The disclosure of any conflict of interest is to be made to the Director of Finance and Operations and the Treasurer as soon as possible, in any event no longer than five business days after the individual becomes aware of the conflict of interest. The individual disclosing the conflict of interest shall withdraw from any

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Aphasia Institute – Financial Policies discussion of and vote on the issue causing the conflict of interest, unless otherwise directed by the Director of Finance and Operations and the Treasurer. 12. ACKNOWLEDGEMENT OF INVESTMENT POLICY STATEMENT The Director of Finance and Operations shall provide a copy of this Investment Policy Statement to each firm retained to provide investment services to the Assets and each firm shall acknowledge in writing receipt of the document and acceptance of its content. The terms of the Aphasia Institute’s Investment Policy Statement are agreed to. By signing below we acknowledge and agree to our obligation to ensure that the responsibilities of Fairbank Investment Management Limited and RBC Dominion Securities Inc., respectively, as set forth herein are properly discharged. __________________________________ ______________________________ John Watson Date President Fairbank Investment Management Limited __________________________________ ______________________________ Eric Wan Date Investment Advisor RBC Dominion Securities Inc.

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Aphasia Institute – Financial Policies Appendix A – Investment Advisory Committee Terms of Reference Aphasia Institute Investment Advisory Committee Terms of Reference Purpose: To assess the performance of the investment portfolio of the Aphasia Institute’s endowment fund (the “Investment Portfolio”) and to evaluate and measure the services of the investment manager of the Investment Portfolio (the “Investment Manager”). Accountability: Finance Committee of the Board of Directors Responsibilities Investment Portfolio: 1. To monitor the investment policy (“Investment Policy”) for the Investment Portfolio in consultation

with the Investment Manager.

2. To annually assess the performance of the Investment Portfolio.

3. To evaluate and measure the services of the Investment Manager at least annually.

4. To review the Investment Policy as required, at a minimum of every 5 years.

Membership: Voting Members: - Chair: Appointed by the Treasurer of the Board of Directors (“Treasurer”).

- Treasurer, or his/her designate.

- Not more than 5 and not less than 2 Committee members, all who have specific investment expertise or legal expertise or relevant business experience in the area of investment portfolio management.

Non-Voting Members:

- Executive Director

- Director of Finance and Operations

Term: Members are appointed by the Treasurer in consultation with the Chair of the Committee. They are appointed for a minimum term of three years. Their term can be renewed for consecutive three year periods at the discretion of the Treasurer. Meetings: A minimum of two meetings per year to review the Investment Portfolio. Quorum: A quorum shall be 50% of voting members.

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Aphasia Institute – Financial Policies Appendix B - PORTFOLIO GUIDELINE SUMMARY

Methodology: Value approach using a bottom-up, stock selection process with an

emphasis on owning quality companies at attractive valuations.

Mandate: The overall investment objectives of the endowment assets are to preserve capital, in real terms and generate income to support the Institute’s research and education activities in the field of aphasia

Benchmark: The portfolio return will be assessed against the performance of the same portfolio at the start of the year on a no-activity basis during the period.

RESTRICTIONS / LIMITS

Asset Mix: Cash & Short Term 0% - 10%

Equities 20% - 80% Bonds 20-80% Optimal long term asset mix is 50% equities and 50% bonds.

Region: Ratings:

Diversified investment holdings primarily in Canada and the United States plus further global exposure where opportunities are identified. The Manager will seek approval of the Executive Committee for investments below BBB rating. All debt ratings refer to the ratings of the Dominion Bond Rating Service, Standard & Poor’s or Moody’s and are at the time of purchase. Ratings of the Assets should be monitored on a regular basis to identify any deviations from this policy.

Company Holdings: Minimum 30 companies

Maximum company weighting 5% Maximum ownership, lesser of outstanding shares 5%; free float 10%

Other: In unusual circumstances, the Fund may exceed the above

guidelines for short periods of time.

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Policy – Aphasia Institute Research and Educational Endowment Fund – Withdrawal of Capital

Board Approval: Policy Updated: July 7, 2015

Background – Aphasia Institute Research and Educational Endowment Fund

The Aphasia Institute has an Aphasia Institute Research and Educational Endowment Fund (the ‘Fund’).

The Fund is established as a perpetual endowment fund whereby all income earned by the Fund shall be used to support the Aphasia Institute’s research and educational activities in the field of Aphasia.

“Notwithstanding anything else in this Agreement to the contrary, the Institute shall be authorized to expend such portion of the Capitalized Income or to encroach on Original Capital as such encroachment may be permitted under the Income Tax Act (Canada) as may be necessary to meet the Institute’s Disbursement Quota under the Income Tax Act (Canada) in a given year or in order to respond to any extraordinary circumstances as may be determined in the sole direction of the Board of Directors of the Institute”

The funds are externally restricted by the donor as noted above.

Withdrawal of Funds

Withdrawal of original capital of the Funds may be considered necessary under the following circumstances:

i) Funding for a specific Research or Education Project – where additional funding is needed to support specific aphasia related research or education projects, the Board of Directors may consider withdrawing capital from the Funds as the primary purpose of the Funds is to support aphasia related research or education projects; or

ii) Extraordinary circumstances – where the organization remains a going concern but is in need of a cash injection and is expected to continue as a self-sustaining organization, the Board may consider withdrawing capital from the Funds as an extraordinary circumstance,

The Aphasia Institute shall consider all available funding alternatives, such as available lines of credit and other non-restricted investments, in determining whether original capital should be withdrawn.

Restoring the Fund

In any case where original capital of the Funds is removed, the organization should attempt to restore those funds in subsequent years by contributing some or all of any future surpluses to the Fund.

Board Approval

Withdrawal of capital from the Endowment Fund shall only occur on approval of the Board of Directors.

Policy – Aphasia Institute General Guidelines on Reserves

Board Approval:

Policy Updated: July 7, 2015

Net Assets of the Organization

The reserves of the Aphasia Institute are broken down as follows:

i) Net assets invested in capital assets This represents the assets of the organization that are invested in capital assets of the organization such as office furniture and equipment, computer equipment, leasehold improvements and website infrastructure. Such net assets are not readily expendable.

ii) Sustainability Fund The sustainability fund, an internally restricted fund established by the Board of Directors, was created to promote the long-term financial health and sustainability of the organization.

iii) Research Fund A research, development and technology reserve fund was established by the Board of Directors for the internally restricted purpose of funding aphasia-related research and development activities.

iv) General Fund The general unrestricted reserve represents the accumulated excess of unrestricted revenues over expenditures since the organization’s inception.

v) Endowment Fund

The Aphasia Institute has an Aphasia Research and Educational Endowment Fund. This Fund was established as a perpetual endowment fund whereby all income earned by the Fund shall be used to support the Aphasia Institute’s research and educational activities in the field of Aphasia. These funds are externally restricted and must be used for its restricted purpose.

General Guidance As a not-for-profit organization, the Aphasia Institute does not intend to retain significant reserves. While there is no strict criteria or rule, Canada Revenue Agency (CRA) has generally accepted reserves at 3 to 6 months of expenditures as being acceptable to retain on the basis that an organization should be able to meet its short-term operating commitments should its expected funding or sources of revenue be delayed or discontinued. CRA has also been understanding of the fact that charities can be the beneficiary of significant amounts from individuals’ estates upon their death. Such donations cannot be budgeted for, and it is reasonable to expect an organization to take some time to determine the priority for such funds. Accumulated surpluses can be expected to be higher than usual at year-end when funds from estates are received.

Furthermore, the Aphasia Institute estimates that approximately $135 – 150k in payroll reserves would be required to payout working notice, not including vacation accrual.

Guidelines on Reserves To the extent that the Aphasia Institute’s general fund exceeds $250k, which provides a working capital buffer beyond the estimated working notice payout, allocation of surpluses is recommended as follows:

• Endowment Fund – 10-25% - to enable growth in the Endowment Fund capital to generate further income to support aphasia-related research and education activities;

• Research Fund – 25-50% - to support Research projects in subsequent periods; • Other – 0-50% - to set aside internally designated funds for other projects identified as a

priority for the organization. Note: internally restricted funds can, at a future date, be rolled back into the general fund upon resolution of the Board.

Aphasia Institute Financial Metrics – Strategic Plan

Background – Strategic Plan

The Aphasia Institute’s current strategic plan covers the fiscal years 2014/2015 through to 2016/2017 with a possible extension for a fourth year.

The strategic plan focuses on 1) Engaging with the Stroke Community to Improve Stroke and Aphasia Services, 2) Expanding Knowledge Exchange to Promote Quality and Accelerate Learning, Reach and Impact and 3) Developing a Mission-Related Social Enterprise Program to Contribute to Sustainability and Growth. Enabling goals are 1) Developing our Quality Staff and Volunteers in a Team Learning Environment, 2) Strategically Communicating and Marketing the Institute, 3) Increasing and Diversifying Revenue and 4) Developing Efficient and Effective Information Management and Technology through the synergy of direct service, research and education and training.

Financial Metrics

Objectives for each goal are outlined in the strategic plan. In addition to evaluating the social impact, the financial outcomes must also be measured to ensure the sustainability of the organization. In addition to the financial metrics below, it is recommended that the Aphasia Institute should maintain a minimum reserve balance of $150,000.

Year 1 2014/2015

Year 2 2015/2016

Year 3 2016/2017

Year 4 2017/2018

Goal Investment year

Investment year and beginning to see positive results

Continue to see positive results

Self-sustaining financial metrics

Financial Metrics - Targeted

reserve - Budgeted

deficit - Targeted

surplus/deficit

$300 – 385k $60k deficit Maximum $90K deficit

$300 – 385k $163k deficit Maximum $60k deficit

$250-325k TBD Maximum $30k deficit

$225-325k TBD Nil surplus/deficit

*consists of the general, research and sustainability funds; excludes the endowment fund – refer to ‘Aphasia Institute Research and Educational Endowment Fund – Withdrawal of Capital’

Timeline for Evaluation

Historically the Aphasia Institute has seen significant financial improvements in the fourth quarter of the fiscal year, with numerous factors outside of the Institute’s control. These include

bequests, donations, training revenue, resource sales and changes in the fair value of the investment portfolio.

The Board will assess the financial measures of the strategic plan on a semi-annual basis.

It is important that such evaluation takes a long term perspective and not focus on short-term cost cutting which could sacrifice the programming, research and education opportunities at the Institute.

October 26, 2015

Aphasia Institute Organizational Chart 2015

Board of Directors

Governance and Nominations Committee

Fund Development Committee

Quality and Research

Committee

Finance Committee

Aura Kagan Executive Director

1 FTE

Carrie HarrisonDirector of Finance

and Operations1 FTE

Fund Development Coordinator

1 FTE

Consultants

Rochelle Cohen-SchneiderDirector of Clinical Services

and Education.8 FTE

Manager of Client Services

1 FTE

Education & Learning

Coordinator .8 FTE

Coordinator of Volunteer Services

1 FTE

Speech Language Pathologist -Training

and Resources1 FTE

Speech Language Pathologist-Client

Services & Program Development

1 FTE

Speech Language Pathologist -Clinical

Mentor .4 FTE

Social Worker-Family Services &

Outreach.6 FTE

Art Instructor -Therapist.17 FTE

Team Assistant, Client Services

1 FTE

Coordinator of Research and Development

1FTE

Administrative Assistant

1 FTE

Coordinator of Recreation and

Community Integration

1 FTE

Investment Committee

Scorecard on Operational Deliverables for 2015/16

Area One Target Area Outcome Indicators (based on metrics

attached to operational goals)

Q2 Comments

Area 1: Build on strategic approach to revenue generation developed jointly by Executive Team and Board

Significantly reduce our “worst case” budget deficit projection in line with mitigation strategies discussed with the Board

$76,000 recognized as revenue on our profit and loss statement for Q2 see

comments

Unbudgeted Revenue -exceeding budgeted amount (Mitigation Strategies)

Fund Development+31K Bequests, a new multi-year gift of $5K, and better than expected donations from Golf Tournament)

Additional Professional Training $34K Additional Resource Product sales $2K $9K recognized as endowment interest to

offset the management fee expenditure Fundraising (target $116.5K):

o WTR -$80K o Annual Appeal -$26K o Golf Tournament - $3500 o I Care - $7,000

WTR to date $68K –We fall short on our budget by $12K (one family who traditionally raised $10K could not attend this year)

Annual appeal results in Q4

Golf tournament -see comments from Q1

To date have raised $2K

+68K

Results in Q4

+6K

See comments Social Enterprise (target $135K):

o Education and Training -$92K o Pictographic Resource Products -

$43K

Exceeding budget by $34K Social Enterprise exceeding budget by $36K –due to additional professional trainings offered and larger class participants

Exceeding budget by $2k

Donor Cultivation: o Provide evidence of

identification and outreach to current donors

See comments

12 donors attended a special donor cultivation event Oct 21.

Follow-up of the specific donors from the event will occur in the next few months

Strategies will be developed for a donor cultivation event in 2016 for a different donor audience (volunteers, clients and family members)

Hosted a memorial event at Toastmasters The events mentioned above brought in

$55K in Oct ($50K towards our endowment fund and $5K to the Annual Appeal)

Q2 Results – Prepared by Executive Team as of October 23, 2015


Area One Target Area Outcome Indicators (based on metrics


Q2 Comments

Area 1: Build on strategic approach to revenue generation developed jointly by Executive Team and Board

Foundations o Approach at least one

Foundation to sponsor our social enterprise (education, training and products) – potential areas might include support, education and resources for families and/or healthcare providers

See Comments

On- going meetings with Public Inc. to create two to three offerings that might interest a potential sponsor

See Area Two –Next Page



Area Two Target Area Outcome Indicators (based on metrics

attached to operational goals) Q2 Comments

Align knowledge exchange (KE) activities with stroke priorities

where possible

Partner with provincial and/or national stroked organization(s) regarding KE activities related to Best Practice Recommendations for Stroke and Aphasia

o Submit proposal for a pre-conference training in SCA at Stroke Congress in Toronto Sept 2015

Completed

Please see comments from Q1 to additional KE Best Practice recommendations

Due to reorganization at Heart and Stroke, they were unable to support the marketing of the pre-conference training in SCA. We withdrew from this event, as there were not enough registrants to make it worthwhile

Target Aphasia and Speech-Language pathology conferences

o Submit to at least two-conferences

o At least two peer-reviewed posters submitted

o At least two-peer reviewed presentations submitted

Completed

All submissions have been successful

Aura presented to the Canadian Stroke Congress and to the Canadian Stroke Congress, Clinical Aphasiology Conference. She will be presenting to the American Speech Language Hearing Association in November

In addition to the presentations above, we have had staff also present to the Geriatric Refresher Day, Stroke Rehabilitation and Beyond Conference and the Canadian Stroke Congress

Completed

Completed

Submit at least one article to peer-reviewed journal 50%

Completed

Lisa Samson has submitted an article on Creating a Communicatively Accessible Hearing Screening

2nd article is in progress on CAMS Maintain focus on increasing knowledge exchange opportunities via online/distance education

o Two online series with four speakers per series

See Comments

Online Speaker Series began in Sept with 84 registrants

Additional ParticiPics Online Webinar will be offered in November

Second Online Speaker Series will begin in February 2016



Area Two Target Area Outcome Indicators (based on

metrics attached to operational goals)

Q2 Comments

Align knowledge exchange (KE) activities with stroke priorities where

possible

Launch Aphasia Reference Collection (ARC)

See Comments Working towards release -identifying what our business requirements are and working with SHORE to develop the software tool

Launch CAMS (Communicative Access Measures for Stroke)

See Comments Have identified our business requirements

Shore is implementing suggested recommendations to the software

Intend to beta test by end of November

See Area Three – Next page



Area Three

Target Area Outcome Indicators (based on metrics attached to operational goals)

Q2 Comments

Maintain high standards of direct services and continue to align this with agency synergy related to research and education

Pursue our Health Quality agenda in preparation for the Excellence Care for All Act:

o Pilot systematic outcome data collection via our new tool – Basic Outcome Measure Protocol for Aphasia (BOMPA)

o Review phase one of implementation on reducing client wait times by June

o Provide a report to Quality, Research and Ethics Committee on Quality Initiative by September

o Conduct internal needs assessment in relation to younger clientele by August

See Comments

Our tool is being revised. Next step will be a research study to establish whether or not it is reliable and valid

Data extraction is complete, however analysis of the data has been delayed because of LHIN budgetary focus

Completed

Delayed

Completed

Hold at least two research meetings with clinical program staff

o First set of pilot data using BOMPA (Basic Outcome Measurement Protocol for Aphasia)

Completed

We have had two research meetings: Aug 19 with Brent Archer and October 22 with Thomas Huijbregts presenting his research project and Aura presenting her research project

Staff are kept up to date on BOMPA project

Create and implement Knowledge Exchange plan for the year with clinical program staff

o Provide evidence of staff participation in education and training activities by year end

50% Complete

Dr. Steven Abdool provided ethics education to 11 staff

Cognitive Communication –to be scheduled



Area Three

Target Area Outcome Indicators (based on metrics attached to operational goals)

Q2 Comments

Submit a proposal to develop a standardized aphasia-friendly version of the provincial program called “No barriers to Evaluating Client Experience”. The proposal includes funding request to develop a pictographic resource and training video. By April

See comments See Q1 for comments

See Area Four – Next page



Area Four Target Area Outcome Indicators (based on metrics


Q2

Comments

Focus research and evaluation on demonstrating the value and quality

of our services (clinical, training, products) and on stroke and aphasia

patient experience

Develop a research agenda for the year with input from Quality, Research and Ethics Committee (QRE)

o Draft plan submitted to QRE Chair –By May

Completed

Continue to work on sustainability of our research agenda

o Explore potential MoU with partner organization

o Draft MoU submitted to the Board (no timeline)

Ongoing

Preliminary Draft MoU has been created and is under review by TRI

Reframe our ‘Acute Care –SCA’ research project as a quality improvement pilot project focused on patient experience for resubmission as a full research project at a later stage.

o Updates provided on responses to requests for funding to the LHIN and elsewhere

Ongoing

Executive/Finance Board made an internal decision to allocate a small amount of funds to this project, in line with the purpose of the Endowment (Research and Education)

LHIN has been contacted with no progress to date

SPOR (Strategy for Patient-Oriented Research) meeting has been held

Our “community” volunteers , clients and staff support the SCA Acute Care Project and will contribute the ICARE money raised this year to this project

Develop research strategy to utilize systematically collected outcome data as per Area 3 above

o Pre-post intervention data analyzed and used as pilot information for presentations and projects by year end

Ongoing

Collecting outcome data This deliverable has been delayed because of

changes being made to the new measurement tool



Area Four Target Area Outcome Indicators (based on metrics


Q2

Comments

Facilitate completion of internal and external research projects that have been approved by our Quality, Research and Ethics Committee

o Reports on completed project available (ongoing)

Ongoing

Completion of two external research projects: Ben Archer and Thomas Huijbregts

See Area Five – Next Page



Area Five Target Area Outcome Indicators Q4

Comments

Prioritize increasing the efficiency and effectiveness of internal systems that relate to the above (in relation to ‘enabling goals’ in the strategic plan

Develop our staff and volunteers in a team learning environment

o Create a Volunteer Committee to work with staff on our quality agenda including communication with volunteers on strategic and policy issues (initiated June)

o Build organizational capacity by re-aligning key administrative staff job descriptions to including ‘cross-training’ that will take into account our focus on fund development and social enterprise by May

o Two staff members knowledgeable about administration of resource orders

o Two staff members knowledgeable about administration and tax receipts

See comments Volunteer Working Committee has met throughout the summer and has provided recommendations to further enhance the on-boarding experience of the volunteer. The Volunteer Coordinator will meet with the committee to discuss next steps.

See comments from Q1

Completed

Completed

Cross-training is ongoing

Develop additional social enterprise expertise and capacity in staff

o Staff trained in area of pictographic resource development and management ( On-going )

o Staff to work with others e.g. Board members/external experts as learning experiences ( On-going)

o At least two clinical staff attached to each training workshop so that we have back-up (On-going)

Ongoing

One individual trained to support the graphic technical needs for images.

Two trained staff can support the technical aspects of aphasia.ca website.

Executive Team met has had ad-hoc meetings with various Board Members to discuss Communication Strategies for our Annual Report, Annual Appeal, Building Bridges and Donor Cultivation.

Ongoing

Completed



Financial Metrics Description Actual Net Income (+)/Net

Loss(-) Budgeted Net Income/Net

Loss Variance Rationale

Q1 Results -$38K -$133K +$96K positive variance Revenue +$76K –revenue

mitigation strategies –see above area one

$20K-in timing variances i.e.(Trillium, consultants)

Year-End Forecast based on 80% certainty

-$85K -$163K +$78K positive Variance +$ revenue mitigation and budgeting error in rent

Reserve Draw-Down A B =A-B C =A-C

Reserves as of April 01, 2015 Forecast Loss 2015/2016 Forecasted Reserve Balance as of April 01, 2016

Approved Budget Loss 2015/16

Budgeted Reserve Balance as of April 01, 2016

+$392K $-85K +$307K -$163K +$229K


AGENDA - aphasia.ca … · AGENDA Date: November 02,2015 Time: 18:00-20:00 Meeting Chair: Jane...

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