1. DEFINITION: Program Transfer: A shift in a clinical program between the two organizations (LHSC / SJHC) which results in patients receiving care at a different organization.

2. Definition Milestone 1: An approximate point in time when there is both the program transfers shifting from LHSC/SJHC and services shifting from SSC to WC and UC.

3. PROGRAM TRANSFERS Process: Steering Committee to oversee action steps. Separate Task Force’s will address specific issues and implement actions including: Human Resources Education / Integration / Orientation Communications Equipment & Furnishing Logistics

4. PROGRAM TRANSFERS General Steps: Reaffirm scope of transfer Inpatient cases, pt days, beds, clinic visits, clinical support, OR cases, procedures, physician offices, research staff/space. Identify existing unit(s) resources. Identify resource requirements to operate resultant unit.

5. PROGRAM TRANSFERS Validate budget requirements of resultant unit with responsible VP’s, ELT / SLT. Implement steps including HR plan, communication plan, orientation, etc. Logistics of move. Operating budget adjustments. IS / Capital needs.

6. Past Transfers Complete Program Transfers Mental Health (acute) to LHSC Oncology / Haem to LHSC Rheumatology to SJHC Renal to LHSC Endocrinology/Diabetes to SJHC Cardiac to LHSC Ophthalmology (Phase I/II) to SJHC Vascular / Thoracic to LHSC ENT (Phase 1) to LHSC Adult Rehab to SJHC - Parkwood

7. Cumulative Impact to Date As of March 31, 2002 Funding:Employees: $9,293,222 from SJ84 staff transferred to SJ $8,604,881 to LHSC222 staff transferred to LHSC $ 688,341 to LRCC

8. Cumulative Workload Impact 31,473 clinic visits to SJ 28,224 day / night care visits to LHSC 2,084 (3,590 weighted) cases to LHSC 13,536 patient days to LHSC 31 beds to LHSC

9. Upcoming Transfers Milestone I Transfers Moving from SJHC to LHSC Emergency to LHSC Critical Care to LHSC Medicine (Chest, GI, Gen Internal Med) to LHSC Partial GAU to LHSC General Surgery to LHSC ENT (Phase II) / Dentistry to LHSC Orthopaedics (lower limb trauma) to LHSC SSC acute Med / Surg, ER to VC/UC Moving from LHSC to SJHC- Ophthalmology (adult periop)

10. Cumulative Workload Impact Estimated Milestone I ~20,000 clinic visits to LHSC ~3,365 (5,643 weighted) cases to LHSC ~1,731 day surgery cases to LHSC ~1,333 day surgery cases to SJHC ~23,662 patient days to LHSC ~96 (net) beds (12 ICU, 46 Surg/ENT, 41 Med) to LHSC, 3 Ophthal to SJHC At LHSC Milestone 1 will increase size of clinical operations by ~10% (PD, Admissions, Beds, Cases etc), at SJH reduce by ~ 30%

11. March 22 Medicine Move to UC from SJHC 25 beds (20-4IP, 5, 7IP) Next Steps ENT/Opthamology move to WC from SJHC 6 beds ENT to WC, 2OPH to SJHC Complete the rest of transfers SSC/SJHC to WC/UC SJHC – ER/ICU/Gen Surg/Ortho to LHSC (60/40 split) SSC-ER/CCTC/Medicine/Surgery to WC Cardiac Surgery to move to UC, 5 CCTC Card Surg beds to UC Cardiology/Family Medicine to UC, Beds: Cardiology Beds move to UC, 16 General Medicine from SJHC to WC Tower 1 level 5, 21 Family Medicine Beds from SJHC to UC

12. TIMELINES For (Milestone II) and beyond: NICU to LHSC High Risk Obstetrics / Gynecology to LHSC Orthopaedics (arthoplasty) to LHSC Family Medicine / Palliative Care to LHSC Cardiac Rehab to SJHC Ophthalmology (Ivey Clinics) to SJHC Clinical Immunology & Allergy to SJHC SSC closes to all patient care activity

13. Program Transfer - Implications for LLSG Program Transfer - Implications for LLSG SJHC workload associated with Milestone 1 has not yet been defined May result in shifts of workload from VC /SSC to VC/WC and UC.

14. Just when you thought it is done…. We have OLA - QMPLS Potential retirements to access the HOOP bridge benefit A new computer system in the Blood Bank Order Entry Pathology Satellite

15. The Good News We will have new, less crowded space! We have a chance to improve processes to meet the demands of the new situation.

16. Your Steering Committee Acre, Lew Barr, Robert M Bell, Jennifer Bhayana, Vipin Clements, Michele Dietz, Glen Hodgins, Karen Keeney, Mike Kelly, Dwain Kinney, Jeff Leigh, Kathie Macpherson, Maureen Pellar, Tom Popma, Ted Prabhakaran, Victor

17. How To Get Information Watch for monthly information and updates in the newsletter. A Think Tank Committee meets quarterly. Bring issues to the group through your Technical Specialist.