Annual Report 1 2014-2015 Annual Report 2014 - 2015 Message from the President & the CEO Our Results Our Results Our Results Our Results 2 T Stephen Rotstein Board President he Four Villages Community Health Centre continues to further its mandate to deliver inter-professional primary health care services and health promotion programs to West Toronto - in particular to residents most in need of care. While proud of our history, there is a need to evolve to address the challenges of an aging and increasingly complex population. Our new Strategic Plan is thus about contributing to improved local system Triple Aim performance and influencing the direction of change in our health care system. Our Three Strategic Priorities will: 1. Enable Better Access to Primary Health Care Services 2. Drive Health Promotion Programs to Improve Population Health 3. Expand Collaborations to Enable Local Health System Evolution Recognizing that achievement of these priorities is critically dependent upon the people who work at Four Villages and our many volunteers, our key strategic enabler is to: Tariq Asmi Chief Executive Officer • Engage and Support Our People to Advance Our Mission While only recently articulating these strategic priorities, we are pleased that Four Villages has already begun to execute our strategy in meaningful ways. 95% of clients surveyed agreed that Four Villages has a positive impact on the community In terms of BETTER ACCESS: • By actively engaging and supporting our primary care providers, as well as streamlining client care processes, we were able to increase the number of clients we care for by 13%. • A joint proposal to the Ministry of Health and Long-Term Care resulted in additional funding for physiotherapy services. Now working with 11 other Community Health Centres (CHCs) in Toronto, we are implementing a new approach for rehabilitation in primary care. • Through new funding from the Toronto Central Local Health Integration Network (TCLHIN), we expanded access to foot care services to prevent common foot problems associated with diabetes and to maintain the mobility of our clients. In terms of DRIVING HEALTH PROMOTION PROGRAMS: • With the West End Urban Health Alliance, a grant received from The Ontario Trillium Foundation has expanded the “Guys Can Cook” program, helping male youth learn about nutrition and develop culinary skills for employment. • We continue to enable older adults to lead healthy, independent lives. In partnership with West To r o n t o S u p p o r t S e r v i c e s, we recently launched “Strong and Steady”, a new evidencebased falls prevention program. • With a focus on best practices, we introduced new mental health promotion programs that offer Cognitive Behavioural Therapy (CBT), Dialectic Behavioural Therapy (DBT) and Mindfulness services for our clients with mental health needs. In terms of ENABLING SYSTEM EVOLUTION: • Participating in the West Toronto Health Link, we are working with other health service providers to better meet the needs of residents with complex health and social issues. • Together with four other CHCs, we are investigating opportunities to share back-office resources to improve administrative capacity and better support our teams. The above successes are all about the people at Four Villages. Their ideas, efforts and hard work translate into direct benefits to our clients and help build healthy, sustainable and inclusive communities across West Toronto. And last, but not least, our commitment to quality was re-affirmed as we again received full accreditation through the Canadian Centre for Accreditation. Congratulations to the staff at Four Villages for again making clear what high quality care and supports they provide! After almost 25 years, our goal remains clear – to improve the total population health of the diverse communities in West Toronto. 93% of clients surveyed agreed that Four Villages helped improve their health and wellbeing The Four Villages Community Health Centre Four Villages 2014-2017 Strategy Roadmap 3 Delivering on Our Vision To be a leader in building an inclusive, sustainable and healthy community. Through Our Focus on Three Strategic Priorities Enabling Better Access to Primary Care Driving Programs to Improve Population Health Collaborating to Enable Local Health System Evolution ∙∙ Ensuring access to the most vulnerable ∙∙ Adopting a population health framework to meet the needs of our priority populations ∙∙ Partnering to innovatively meet critical needs in the community ∙∙ Increasing access for those without a primary care provider ∙∙ Enhancing capacity by streamlining how we work ∙∙ Establishing internal continuums of care by aligning services and programs ∙∙ Increasing focus on client care transitions ∙∙ Creating programs to support clients with intensive service needs ∙∙ Optimizing use of space at both sites ∙∙ Investing strategically in community initiatives ∙∙ Better addressing the needs of Youth in West Toronto ∙∙ Enhancing the broader care continuum for seniors, families with young children - in particular newcomers, and youth ∙∙ Expand collaborations and contributions to enable local health system evolution Supported by the Key Enabler Engaging & Supporting Our People to Advance Our Mission ∙∙ Investing and building greater capacity and skills of staff ∙∙ Strengthening inter-professional collaboration reflected in a team approach to care ∙∙ Increasing transparency through enhanced communication and engagement ∙∙ Demonstrating impact through enhanced ability to measure and report Guided By Triple Aim Our Values Our Clients’ Needs ∙∙ Enhance Patient Experience ∙∙ Collaboration ∙∙ Seniors ∙∙ Improve Population Health ∙∙ Respect ∙∙ Demonstrate Value for Money ∙∙ Empowerment ∙∙ Families with Young Children - in particular Newcomers ∙∙ Excellence ∙∙ Diversity ∙∙ Youth ∙∙ Persons with Chronic Diseases ∙∙ Persons with Mental Health and Addictions Issues To Deliver On Our Mission Committed to the social determinants of health, The Four Villages Community Health Centre provides accessible, interdisciplinary primary health care, improving individual and community health. As an accredited, community based, publicly funded organization, we lead, advocate and engage in innovative collaborative approaches and partnerships. Annual Report 2014 - 2015 Four Villages’ 2014 -2015 Quality Improvement Plan (QIP) Our Results Our Results Our Results Our Results 4 Improving quality of care has The six objectives of our 20142015 QIP are outlined below. As in previous years, measures of client experience and satisfaction remain very high. Additionally, new protocols have helped ensure the safety of staff working off-site. We continue to focus on improving our internal processes to increase timely access to primary care, thus preventing unnecessary visits to the emergency department. We look forward to the challenge of pursuing our quality improvement journey over the next year. always been and continues to be a central theme at Four Villages. Each day, at each appointment and program, we strive to provide the best possible care to our clients. However, we also recognize that quality is not just about individual interactions with health service providers. Our quality improvement efforts are designed to enhance the systems and processes required to deliver seamless client care, make the best use of health care dollars and ultimately create a healthier community. Four Villages’ 2014 - 2 0 15 Quality Improvement Plan How It’s Measured Objective Timely access to primary care, when needed • Percent of medical clients who report they can get an appointment, when needed • Percent of medical clients who report they were able to see a doctor or nurse practitioner the same day or next day, when needed Improve client experience and satisfaction Percent of clients that report health centre staff: • Explain things in a way that is easy to understand • Tell them about treatment options and involve them in decisions about the best treatment • Spend enough time with them during an appointment Target for 2014-2015 Results for 2014-2015 90% 47% 80% 39% 93% 92% 93% 90% 90% 94% Reduce influenza rates in older adults by increasing access to the flu vaccine Percent of medical clients ages 65 and older who receive a flu shot 64% 40% Improve staff safety when working off-site Compliance with off-site safety protocols 100% 100% Reduce unnecessary visits to the emergency department Percent of medical clients who visited the emergency department for conditions “best managed elsewhere” (e.g. common cold, ear infection, eye infection) < 9%* Timely access to primary care appointments post discharge through coordination with hospital Percent of medical clients who see a doctor or nurse practitioner within 7 days after leaving the hospital 30%* Unable to pursue due to challenges with system data * Target based on 2013 Institute for Clinical Evaluative Sciences (ICES) Practice Profile 1,336 new clients 7,381 active clients (seen in the last 3 years) The Four Villages Community Health Centre Four Villages’ 2014 -2015 Multi-Sector Service Accountability Agreement (M-SAA) Performance Ontario’s Local Health System Integration Act, 2006, requires that health service providers (including CHCs) enter into a formal agreement with their Local Health Integration Network (LHIN). These agreements are designed to improve access to high quality, coordinated health services and promote an efficiently managed, cost-effective health care system in Ontario. Four Villages’ agreement (M-SAA) outlines our public accountability for the funds we receive from our LHIN and the services we pro- 5 Network (TCLHIN). The performance corridor indicates acceptable variation in results from the set target. All of our results are within the performance corridor and over the past year we have shown improvement on five of the seven measures, while maintaining performance on two. We look forward to reporting further progress in next year’s annual report. vide to our communities. The M-SAA also contains several performance indicators that further contribute to Four Villages’ public accountability for improving access to care, enhancing the population health of our communities and ensuring value for money. Below are seven performance indicators for 2014 -2015 that Four Villages is required to report on to our LHIN. These clinical performance targets are negotiated between Four Villages and our funder, the Toronto Central Local Health Integration Four Villages’ 2014-2015 Multi-Sector Service Accountability Agreement Performance Performance Target Performance Indicator (Performance Corridor) Cervical Cancer Screening Rate: % of eligible female medical clients ages 21 to 69 years who have had a Pap test in the last three years 66 - 100% Colorectal Cancer Screening Rate: % of medical clients ages 54 to 74 who have had a fecal occult blood test (FOBT) in the last two years 46 - 70% Inter-professional Diabetes Care Rate: % of medical clients with Type 2 diabetes who are involved with two or more provider types (other than physicians or nurse practitioners) or are attending a diabetes related group program 83% 58% 98% 24 - 36% Breast Cancer Screening Rate: % of recommended female medical clients aged 50-69 who received or were offered a mammogram in the previous two years 43 - 65 % 30% Access to Primary Care: Number of clients seen by a doctor or nurse practitioner in the previous two years as a percentage of “expected” total clients served based on staff capacity 4,227 clients seen for appointments 67% 66% 87% 79 - 100% Influenza Vaccination Rate: % of medical clients over 6 months old who received a flu shot in the previous year Vacancy Rate (Nurse Practitioners and Doctors): % of doctor and nurse practitioner positions that are unoccupied Results for 2014-2015 54% 0% 29% 63% 0% 0% 75% 69% 67 - 83% 622 home visits performed Annual Report 2014 - 2015 Our Donors 2014 - 2015 Thank you for being there for us. 6 E very year we take this opportunity to thank all our donors for their generous support. As a registered charity, Four Villages receives donations from many individuals, groups, community agencies and local businesses that share our vision for an inclusive, sustainable and healthy community. We value and appreciate every single donation - from financial gifts, to program supplies, to necessities like food, clothing, and toiletries. Once again, to all our donors and partners, “Thank you for being there for us”. A special recognition goes to those who donated or provided in-kind goods and services valued at $100 or more during the 2014-2015 fiscal year: • Tariq Asmi • Karine Baser • Bloor West Winery • Jay Campbell • The Campbell Family • Rupita Chandra • J.D. Considine • The Cookery • Leonard Cooper • Cornerstone Home Interiors • Couples Resort, Algonquin Park • CP24 CHUM Christmas Wish • Diaper-eez • Carol Dukoff • Donna Evans • Fluevog Shoes • Four Villages Knitting Group • Fresh Collective • Frontier College • Future Shop • Don Galbraith • Gandy Charitable Foundation • GMCR Canada Holding Inc. • Marilyn Joyce Hare • Humber Cinemas • Humberside Collegiate Institute • Grace Hurland • Isekko Design • Jacobs and Co. Steakhouse • James Culnan Catholic School • JC Salons • Junction Farmers Market • Richard Kruse • Simon Howard Leigh • Malcolm Levin • Lynette Funeral Home • Liz McInnis • Medical Mart • New Mom Project • Nordixx Canada • Orange Crate Quiltery • Graham Orwin • Putney’s Wooden Bits • Almerinda Rebelo • The Redwood • Retrofit Pilates • Rexall PharmaPlus Keele/St. Clair • Sally Sharpe • Shoppers Drug Mart – Dundas & Runnymede • Melissa Smeets • Gordon Smith • St. John’s Anglican Church, West Toronto • Toronto Power Group • Toronto Star Santa Claus Fund • Willo’ Wind Farm • WDW Community Relations • Zoe Unger The Four Villages Community Health Centre Financial Highlights Statement of Operations Year ended March 31, 2015 7 20152014 Revenues Toronto Central LHIN Program Funding $ 6,033,889 $5,829,024 Interest and sundry income 21,48624,371 Other projects and grants 158,088103,612 Expenses Salaries 3,633,9863,615,412 Benefits and relief 956,576953,381 General and operating 883,147693,366 Rent and maintenance 566,162585,113 Projects and grant expenses 158,088103,612 6,197,9595,950,884 Excess of revenues over expenses for the year $ 15,504 $6,123 Annual Report 2014 - 2015 Our Team 2014 - 2015 Our Results Our Results Our Results Our Results 8 Tariq Asmi / CEO Administration Daisy Chan** / Finance Manager Rupita Chandra / Office Manager - Facilities Jo Jo Cheung / Human Resources Administrator Bojan Cosovic / IT Coordinator Linda Huynh** / Office Manager Administration, Human Resources and Records Reem Khan / Executive Assistant Ahana Sarkar / Data Manager/Health Planner Marina Solakhyan** / Administrative Assistant Nayan Thaker / Director, Operations and Systems Management Kristy Williams / Communications and Community Engagement Coordinator Clinical and Program Service Team Tarikua Abebe / Medical Secretary Sandra Almeida / Director, Programs and Community Initiatives Shairool Bacchus / Receptionist/Secretary Rowena Baria / Receptionist/Secretary Devika Beharry / Receptionist/Secretary Chantal Bombardier / Social Worker Jane Boudebab / Nurse Practitioner Gayle Bowen / Community Health Worker Deirdre Callery / Chiropodist Kassandra Clayton / Receptionist/Secretary Jessica Connor / Nurse Anne Czemerynski / Physician Amir Douglas / Community Health Worker Donna Evans / Nurse Practitioner Cristina Fayet / Physician Kasia Filaber / Director, Clinical Services Wendy Fraser / Receptionist/Secretary Kathy Friedman** / Evening Receptionist Imelda Frilles** / Receptionist/Secretary Camilla George / Community Health Worker John Gibson / Physician Karen Haberman** / Physiotherapist Martha Hernandez / Social Worker Katherine Hortobagyi / Dietitian Maryvic Irula / Receptionist/Secretary 84 group programs offered 16,996 group program participation The Four Villages Community Health Centre Our Team 2014 - 2015 9 Salma Jaffer / Community Health Worker Kavipreya Kanthavel / Chiropodist Caroline Klemens / Dietitian Marguerite Kopaniak / Physician Kristine Laing** / Dietitian Krystyna Lewicki / Dietitian Ruth MacLeod** / Nurse Leah Marquez / Nurse Kathryn Marsh / Nurse Practitioner Franca McKenzie** / Chiropodist Junko Mifune / Community Health Worker Marlies Nanninga / Physiotherapist Barry Neville / Nurse Michelle Nicholls / Social Worker Sulana Perelman** / Dietitian Elzbieta Rozkowska / Therapist Selochni Seepersaud / Medical Secretary Sally Sharpe / Physician Jennifer Shin / Occupational Therapist Kiara Smith / Physician Farah Tabassum / Physician Eliana Ventura / Clinical Assistant Monica Wright / Advanced Foot Care Nurse Specialist Contract and Relief Staff Ayesha Ashrafi ** / Program Support Worker Mana Bayanzadeh** / Dietitian Jody Bent / Program Support Worker Deborah Brodey / Casual Reception Relief Leesa Dean** / Casual Reception Relief Jennifer Du** / Casual Reception Relief Turkessa Ellis** / Program Support Worker Eufemia Fantetti** / Casual Reception Relief Linda Frater / Medical Secretary Assistant Julia Fursova / Guys Can Cook Project Coordinator Carly Goodman / Occupational Therapist Catherine Hayhoe / Nurse Renee Henderson** / Program Support Worker Kristyn Jewell** / Physician Lyudmila Kukhta / Casual Reception Relief Michelle Lam** / Physician Debra Levy / Foot Care Nurse Sumaiya Matin** / Intake/Trainer Olga Miasnikova / Clinical Assistant 214 Kathryn Miller / Nurse Saida Mohamed / Clinical Helper Nassim Mostafaee / Program Support Worker Jen Quinlan** / Director, Programs and Community Initiatives Shirlene Rhone / Program Support Worker Isiah Robin / Bookkeeper Catarina Rodrigues / Intake/Client Support Worker Kathryn Rutherford / Foot Care Nurse Meagan Shaughnessy** / Office Manager Administration, Human Resources and Records Andrea Thompson / Casual Reception Relief Sherry Zhang** / Dietitian BOARD OF DIRECTORS 2014-2015 Professional Support Team Fedaa Boqaileh / Dietitian, West Toronto Diabetes Education Program Dr. Tara Burra / Psychiatrist, St. Joseph’s Health Centre Morena Carranza / Housing Help Worker, West Toronto Community Legal Services John Foster / Foster’s Shoes and Pedorthics Denise Galbraith** / Nurse, West Toronto Diabetes Education Program Iris Humphray / Housing Help Worker, West Toronto Community Legal Services Dr. Imraan Jeeva, Psychiatrist, Centre for Addiction and Mental Health Martine Lagasse / Nurse, West Toronto Diabetes Education Program Dr. Rod MacLeod / Child Psychiatrist Dr. Colman Nefsky / Psychiatrist, St. Joseph’s Health Centre Vinay Raja / Auditor, Clark Henning LLP Susan Yang / Dietitian, West Toronto Diabetes Education Program Lorri Zagar / Quality Improvement Coach, Association of Ontario Health Centres, Access and Efficiency Initiative Legal Support Team Karin Baqi / Lawyer, South Asian Legal Clinic of Ontario children screened through the Healthy Child Screening Program From left to right: Mark Nakamura (Secretary) Ewa Deszynski (Vice-President) Stephen Rotstein (President) Martha Lowrie Irene Brenner Lisa Dess Andrea Telfer Marilyn White-Campbell Ada Tsang Karine Baser Simon Hagens (Treasurer) Tariq Asmi, CEO (ex-officio) Rob Crawford (not pictured) Nadine Blum / Lawyer, Sack Goldblatt Mitchell LLP James Gildiner / Private Lawyer Shabana Khan / Private Lawyer Macdonald Scott / Immigration Consultant, Carranza LLP Kishore Subramanian / Private Lawyer Patricia Wells / Private Lawyer ** Left during the year 43 locations where programs and services were offered Annual Report 2014 - 2015 Our Volunteers 2014 - 2015 Thank you to all of our volunteers. Our Results Our Results Our Results Our Results 10 97 volunteers (4,978 hours) 50 – 149 hours Leticia Garcia & (5 yr +) &&(10 yr +) &&& (15 yr +) Barbara Johnson Samaya Faiola Deanna McNeil& Lavina Bailey Debique& 300+ hours Nimo Ahmed Mohamed Eleonore Sommer Maryanna Skotni Javel Campbell Cindy Lapage Kajmere Johnson Sheila Munk 150 – 299 hours Imre Szelenyi Maria Butt& Anne Hong& Saida Mohamed& && Catherine Girard Tamica Ferron Solmeltha Gabriel Kelly Noussis Melissa Harpaul Whitney Ingraham Ron Pilecki& && Okomi Joseph Wilma Lynn Torres& Michael Joseph Barbara Wall& & Du-Yi Leu Tionne Walker Shiukumarie Persaud& 10-49 hours Wilhelm Guerrero Chasity Trevena Barbara Figueroa Katherine Weber& Claire Levick Jennifer Wilkson Nasrudin Mumin Vivian Joseph Selena Liu Betty Samson Catie Kim Claudia Otero Martinez Yonna Worku Rehona Zamani Desiree Morris Jennifer Hughson& & Evelyn Butler Diana Morrish Yahiriama Dias Margaret Denese Judson& Omar Singateh Mae Couzens Duffy& Janet Cawley Geoffrey Taiwah Asha Madhok Alice Dookie& Eyob Tsegay Leslie Patterson William Hall Hermon Tsegay Margaret Hawthorn Thakchoe Nadia Woldegiorgis Meana Ali Susan Fernando Susan Amibor Desmond Brathwaite Larissa Ngwe Merton Baird& Tatyana Buntin Danuta Walewska Denry Simester Aidan Fraser Lisa Bletcher Ilhan Haji-Dirie Shawnee Gillis Eva Brummer& Laura Johnson Mikaela Hendrickson Eugene Sziraky& Emily Paredes Martin Moraleja Katarina Liptak& & Linda Bowen& Fan-Hsia Mang Joyce Sly& Tenzin Dolker Tyrah Turner Solange Alexander Helena Wegrzyn& & Maria DiMaulo Diana Chang Marvin Hernandez Keya Gaglani Ahmed Kalifa Vijay Madhok 158 clients seen through the Diabetic Foot Care Program 84 21 clients seen through the Legal Clinic students placed at Four Villages The Four Villages Community Health Centre Our Partners 2014 - 2015 Thank you to all of our partners for your continued support to ensure seamless service and program delivery to our clients. 11 100 High Park Residents 4CATS (Four Villages and Committed Action Team for Seniors) Annette Public School Canadian Association of Wound Care Canadian Diabetes Association Canadian Mental Health Association Carleton Village Junior and Senior Sports and Wellness Academy Carranza LLP Casthoory Viswanathan, Optometrist Centre for Addiction and Mental Health CHC Food Security Network Child Development Institute City of Toronto, Employment and Social Services Claire Levick, Yoga Instructor College Montrose Children’s Place Community Action Resource Centre Community Living Toronto, Community Junction Copernicus Lodge Creating Together Family Resource Centre Daily Bread Food Bank Davenport Ontario Early Years Centre Davenport Perth Neighbourhood and Community Health Centre Etobicoke Services for Seniors FoodShare Toronto Foster’s Shoes and Pedorthics FreshCo – Dundas and Runnymede General Mercer Public School George Brown College Gooch Residents Health Links (West Toronto, Central West Toronto, South Toronto) Hear For You HearSafe High Park Alternative School Humberside Collegiate Institute James Culnan Catholic School Junction Commons Project Junction Farmers Market Kelly Ptashnik, Chef Lambton Park Community School LAMP Community Health Centre LensCrafters Laurentian University Macaulay Child Development Centre McGill University McMaster University The Michener Institute Mohawk College More Than Child’s Play Family Resource Centre Nordixx Canada Norris Lam, Optometrist Ontario Trillium Foundation Parkdale Community Health Centre Parkdale Intercultural Association Parkdale Parenting and Family Literacy Centre Parkdale Junior and Senior Public School Parkdale-High Park Ontario Early Years Centre Pauline Public School Perth Avenue Public School Planned Parenthood Toronto Polycultural Immigrant and Community Services Pro Bono Law Ontario Queen Victoria Parenting and Family Literacy Centre Queen Victoria Partners for Early Learning Project Queen Victoria Public School Ready for School Connects Reconnect Mental Health Services Regeneration Community Services Rights of Non-Status Women Network Romero House Runnymede Collegiate Institute Ryerson University Sack Goldblatt Mitchell LLP Sacred Mountain Yoga Salvation Army, Evangeline Residence Shoppers Drug Mart South Asian Legal Clinic of Ontario St. James Catholic School St. Joseph’s Health Centre Swansea Public School Swansea Town Hall Syme 55+ Centre TIFF Special Delivery Toronto Central Community Care Access Centre Toronto Central Self-Management Program Toronto College of Dental Hygiene and Auxiliaries Toronto Community Housing Corporation Toronto District School Board Toronto Oral Health Coalition Toronto Public Health University Health Network University of Toronto Vilnius Manor Warren Park Junior Public School West End Urban Health Alliance West Neighbourhood House West Toronto Community Legal Services West Toronto Diabetes Education Program West Toronto Support Services Woman Abuse Council of Toronto Workers’ Action Centre Working Women Community Centre YMCA of Greater Toronto Yoga with Diana Yoga Therapy Toronto York University Youth Employment Services 46 97% 84% clients seen through the Mobile Dental Clinic of clients surveyed would refer family or friends to Four Villages of clients surveyed rated the care and services they received as very good or excellent