Title: Transition Scope/Boundaries: from identification of ineligibility to discharge Team Executive Sponsor: Mary Jo Dunlop Project Lead/Improvement Advisor: Angela McMillan Team Members: Lori Siemens, Executive Assistant/Intake Leslie Collins, Executive Assistant Adriana Hurst, Team Leader June Carson, Team Leader Justyna Borowiec, Attendant Services Manager Amy Barr, Personal Attendant Tracy Peakman, Personal Attendant Colleen VanOverberghe, Personal Attendant Laurie Van Eindhoven, Assessor Faye Simmons, Consumer Problem Statement: There is an increased risk to staff and consumers in supporting individuals beyond the scope of the program without clear expectations and standards around transitioning off of service. This poses a safety risk to both staff and consumers, a risk to staff and consumer satisfaction, and an organization risk related to reputation, budget and wait list management. Aim Statement: By September 2015 we will reduce transition time from recognition of need for alternate service, to time of actual discharge to within 6 months. Measures: Outcome Measure Reduced transition time (in months) by category Process Measures # individuals with an active transition plan initiated (by category: Behavioural; Hours of Service; No longer eligible) # individuals identified with over/under hours of support % individuals identified with over/under hours of support who are transitioned to an alternate service # behavioural contracts initiated % discharges resulting from breach of behavioural contract # reassessments after 14+ days in hospital % discharges resulting from reassessment % compliance to standard work (audit process) Balancing Measures Consumer satisfaction Staff satisfaction Root Causes of the Problem: Add results of your current state process mapping here Change Ideas: Change ideas should link directly to root causes Anticipated Barriers and Mitigation Strategies: Many of these will come from your current state process map Anticipated Timeline End date is Sept 2015. Note: Advisable to put an actual date eg Sept 30 2015. Key Milestones Resources Required: Signatures: Executive Sponsor: _______________________________ Project Lead: __________________________________

Title: Project Title Scope/Boundaries: Indicate the beginning and end steps and the process being focused on Team List the names and positions for: Executive Sponsor (someone on senior management who will be accountable at a senior level, will remove barriers, ensure adequate resources are provided, etc) Project Lead (Person accountable for accountable for leadership of the project team and accountable for day-to-day project progress) Process Owner (often the same person as the Project Lead; a person who is in a management position and is accountable for the process being improved; Improvement Advisor (Someone who does not necessarily have content expertise, but provides and builds QI expertise in the team; for this Learning Collaborative, the Project Lead will also be the Improvement Advisor, supported by an External Coach. Team Members (Ensure the team includes ndividuals from the front line who are most familiar with the process , and where possible, “suppliers” and “customers” who may be impacted through inputs to or outputs from the process) Aim Statement: Articulate your project aim stating “How much” (amount of improvement – eg 30%) , “by when” (a month and year), “as measured by” (needs to reflect service delivery improvement that will directly impact clients) Problem Statement: . What is the problem and what parts of the organization does it impact/touch? . Why is this important to the organization? Is it linked to a strategic priority? . Is there data or other evidence that helps to highlight the problem? Measures: Include a Family of Measures: . Outcome Measures (at least one) . Process Measures (at least one per change idea) . Balancing Measures (at least one) Root Causes of the Problem: How were they identified? Include any available evidence. Change Ideas: What are they? What is the hypothesized relationship between the root causes and the change ideas? Is there evidence in the literature or elsewhere for the relationship? Anticipated Barriers and Mitigation Strategies: Anticipated Timeline Over how many months will the project be conducted? If possible, specify start date by month and year, and end date by month and year Key Milestones: Identify key points over the project duration at which time you anticipate key deliverables/results Resources Required: Budget, Dedicated Staff Time for Project Lead and for Team members. Signatures: Signals that these individuals have read the Charter and are aware of the project focus, and at minimum, commit to and agree with the design, set up, and resource requirements at the early stages. Executive Sponsor: _______________________________ Project Lead: __________________________________