pathways to independence annual management report · community. choice. these are very powerful...
TRANSCRIPT
Pathways to Independence Annual Management
Report
2014
Annual Management Report 2014
1
Vision Statement
That all peopleenjoy a high quality of life
as an accepted member
of their chosen community.
Annual Management Report 2014
2
Vision Statement .......................................................................................................................................................................................................................... 1
Introduction .................................................................................................................................................................................................................................. 4
For the people we support..................................................................................................................................................................................................... 4
Pathways at a Glance ............................................................................................................................................................................................................... 8
What is CARF? .............................................................................................................................................................................................................................. 8
Overview of services and the characteristics of the people we support ........................................................................................................................... 9
Community Homes ................................................................................................................................................................................................................ 10
Family Homes (Host Family Services) .................................................................................................................................................................................. 11
Supported Independent Living (Supported Living) .......................................................................................................................................................... 12
Respite Services ..................................................................................................................................................................................................................... 13
Program Services ................................................................................................................................................................................................................... 14
The Pathways Management Report ...................................................................................................................................................................................... 15
Alternate format availability ................................................................................................................................................................................................ 15
Alignment with CARF principles .............................................................................................................................................................................................. 16
Stakeholder engagement and feedback ......................................................................................................................................................................... 16
Strategic Plan ......................................................................................................................................................................................................................... 16
Pathways Strategic Plan: Making Lives Better, Together ................................................................................................................................................. 17
Web Based Anonymous Feedback ........................................................................................................................................................................................ 18
2014 Organizational Renewal Employee Survey. ................................................................................................................................................................. 18
Client Satisfaction Survey ......................................................................................................................................................................................................... 22
Tenant Meetings ........................................................................................................................................................................................................................ 24
Accessibility Plan ....................................................................................................................................................................................................................... 25
Types of Barriers ..................................................................................................................................................................................................................... 27
Communication of Accessibility Plan ................................................................................................................................................................................. 29
Annual Management Report 2014
3
Items Completed from 2014 Accessibility Plan ................................................................................................................................................................. 29
Items to be addressed in 2015 Accessibility Plan .............................................................................................................................................................. 30
Identified Items Not Being Addressed ................................................................................................................................................................................ 30
Technology and Systems Plan ................................................................................................................................................................................................. 38
Outcomes & Indicators ............................................................................................................................................................................................................ 42
Developmental, ABI and Dual Diagnosis Services ................................................................................................................................................................ 44
Community Housing .................................................................................................................................................................................................................. 45
Community Integration ............................................................................................................................................................................................................ 49
Business and Corporate Services ............................................................................................................................................................................................ 53
Governance .......................................................................................................................................................................................................................... 54
Attendance at Annual General Meeting .......................................................................................................................................................................... 55
Corporate Services ............................................................................................................................................................................................................... 56
Maintenance Requests ........................................................................................................................................................................................................ 58
Human Resources ................................................................................................................................................................................................................. 59
Annual Management Report 2014
4
Introduction
For the people we support Pathways to Independence supports people with a developmental disability, an acquired brain injury or
a dual diagnosis to have places to live, things to learn and do, and support to live as independently as
possible in your community.
Talk to us so that we can help you
Meet people
who like to do what you do
Find a home that you would like to live
in
Find a job or
volunteer opportunity
Find someone you can
help or who can
support you
With activities of daily living,
like grocery
shopping and meal
preparation
Annual Management Report 2014
5
This book is like a report card. It tells everyone about what
we do, and how we do it. It tells you, your family and other
people what we think we do well, and how we want to do
things differently or improve what we do for you and your
friends at Pathways.
The information in this report card may be confusing or hard to understand. Please ask your worker,
friend or family member for help if you want to know more about this report.
This book has information about:
1. How the employees at Pathways to Independence will work in the next few years to make sure
that there are excellent services for you. This is called a strategic plan. It is on page 17.
2. How Pathways is working to make everything we do accessible for people with
disabilities. The Accessibility plan is on page 25
3. How Pathways will make sure our computers and the information we use is kept confidential and
safe. This means that your personal information like your medical information is kept safe in case
of a natural disaster like in a blackout when all the electricity stops working. The technology plan
is on page 38.
Annual Management Report 2014
6
4. How well Pathways does with what the government wants us to complete. For example,
you have a plan that you made that tells people what you like and don’t like. The plan
also has goals that you want to work on. This is your Quality of Life Plan or Service Plan.
Pathways promises the government that every person we support will have a Plan.
The information about the Quality of Life plans that Pathways helps you to complete is on page
45.
There is more information after the Quality of Life Plan picture that tells you different kinds of
information about the programs and services that Pathways to Independence provides.
Annual Management Report 2014
7
We support 88 women and 164
men with developmental
disabilities, acquired brain injury
and those who may be dually
diagnosed.
We have 25 homes and
apartments in towns and cities
in the Lennox & Addington,
Quinte, Prince Edward County,
Renfrew and Ottawa Regions of
Ontario
We employ 327 dedicated
professionals.
We have 6 day program
locations, 1 in Ottawa, 1, in
Renfrew, 1 in Picton & 2 in
Belleville and 1 in Quinte
West.
Ethnicity of Persons Served
African American 2
Caucasian 247
First Nations 2
South East Asian 1
29%
53%
18%
AGES OF PERSONS
SERVED
18-44 45-64 65+
101
74
31
0
16
3
15
9
117
77
46
9
0 20 40 60 80 100 120 140
Community Home
Family Home
Supported Living
Outreach Program
Overview of Supported Clients
Total Acquired Brain Injury Developmental Disability
Annual Management Report 2014
8
Pathways at a Glance
What is CARF? The acronym CARF stands for the Commission for the Accreditation of Rehabilitation Facilities. CARF is an independent, nonprofit
accreditor of health and human services and the CARF standards are internationally recognized. Pathways believes in reviewing our
services against CARF standards allows us the opportunity to continuously improve our services, and demonstrate our commitment to
transparent and accountable practices to our funders, community partners, family members and the people we support.
Pathways to Independence received our second 3 year accreditation from CARF in December 2012 for the following programs:
Community Homes
Supported Independent
Living
Family Homes Community Integration
Respite
Annual Management Report 2014
9
Overview of services and the characteristics of the people we support Community. Choice. These are very powerful words. At Pathways to Independence these words mean that every person has the right to a
safe and life enhancing environment, a place to belong, to
share with others….a place to call home.
Pathways to Independence is a community based agency
providing assisted community living services and supports to
adults with an acquired brain injury (ABI), a developmental
disability, or a dual diagnosis based on their unique goals, abilities
and choices. Our services include supportive housing options,
day, vocational and recreation programs, psychiatric counselling
and behaviour therapy, court and justice related services, and
short term respite.
“The persons served and family
members express satisfaction with and
speak highly of the organization’s
services. Many stories of lives falling
apart have been replaced with future
plans full of hope and enthusiasm.”
~ CARF Survey Report, Agency
Strengths, 2012.
Annual Management Report 2014
10
Community Homes Staffed seven days a week, 24 hours a day, our supported homes
provide a caring environment to small groups of people making and
sharing a home. Located in both rural and urban environments across
south eastern and eastern Ontario, Pathways homes are customized to
meet the physical and social needs of the people we support.
In 2014, Pathways initiated construction of two new homes for people
living with an ABI, one in Ottawa and one in Napanee. Both homes are
expected to be completed in early 2015. Pathways continues to work
closely with the South East Local Health Integration Network to secure
funding to build another community home for adults with an ABI in
Napanee.
1
12
00
211
14
1
18-44 years 45-64 years 65+
Characteristics of Persons Served in Community
Housing ABI
Male Female Total
19
36
13
3
21
9
22
57
22
18-44 years 45-64 years 65+
Characteristics of Persons Served in Community
Housing Developmental Disability
Male Female Total
Annual Management Report 2014
11
Family Homes (Host Family Services)
More opportunities, choices, independence and quality of life are some of the benefits
offered to people with disabilities when they are able to live with a family home provider.
Following a rigorous approval and matching process that includes assessing shared interests,
compatibility, location and access to services, a supported person lives with another family
and shares in their lives. Supported by their natural family and professionals from Pathways to
Independence, the Family Home program provides a stable living option to people with an
acquired brain injury, a developmental disability or a dual diagnosis.
22
11
7
6
22
6
28
33
13
18-44 years
45-64 years
65+
Characteristics of Persons Served in Host
Families (Developmental Disability)
Total Female Male
0
1
1
0
0
1
0
1
2
18-44 years
45-64 years
65+
Characteristics of Persons Served in Host
Families (ABI)
Total Female Male
Annual Management Report 2014
12
Supported Independent Living (Supported Living)
For clients who prefer and are able to live on their own, Pathways to Independence assists people to find
apartments and professional staff support based on their individual needs. The agency provides Supported
Independent Living programs for clients with acquired brain injury in Belleville and Ottawa, and for clients with
developmental disabilities in Belleville.
6
12
0
42 2
10
14
2
18-44 years 45-64 years 65+
Characteristics of Persons Served in
Supported Living/Outreach Ottawa:
ABI
Male Female Total
1
3
11
0 0
2
3
1
18-44 years 45-64 years 65+
Characteristics of Persons Served in
Supported Living: Belleville ABI
Male Female Total
127
14 5
2
1612
3
18-44 years 45-64 years 65+
Characteristics of Persons Served in
Supported Living: Developmental
Disability
Male Female Total
Annual Management Report 2014
13
Respite Services
Pathways to Independence provides temporary
accommodation at a 24 Hour Supported Home or a family
home in an emergency or as a break from other living
arrangements. Our contract with each Family Home Provider
(Host Family) provides a number of days of respite per year.
The supported person living with Host Family would live in an
existing community home or family home network within
Pathways for the duration of the host family’s respite period.
The characteristics of the people we support who benefit
from respite services are represented in the demographic
data presented for our Community Homes, Supported
Independent Living and Family Homes programs.
Annual Management Report 2014
14
Program Services Our day and vocational programs and services are offered to the people we support as well as other
members of the community who can benefit and enjoy our services within the greater Quinte and Ottawa
regions. Aligned with goals and objectives of their person centred plan, and assisted by professional staff
as well as many partners in the broader business and social service community, each supported person
gains opportunities for training, employment or volunteer experience, social interaction and fun through our
programs. The following graph indicates the participation in Pathways day and vocational programs for all
persons served.
49
6
28
10
28 22 24
47
18
95
53
8
44
13
3123 23 23
81
24
75
TAY Evening
Club
Cleaning
Crew
Club ABI-
Belleville
Club ABI-
Quinte West
Ottawa
Club ABI
Renfrew
Club ABI
Helen's
Bakery &
Cafe
Picton
Community
Connections
Belleville CC
&
Recreation
Car Wash Employment
Support
Participation in Day & Vocational Programs
2013 2014
Community Connections/ Recreation - offers social interaction, learning
opportunities and day trips in three communities: Belleville, Ottawa &
Picton.
Helen’s Bakery & Café- offers vocational training and employment opportunities to
the people we support by providing lunches and delicious baked goods to the
community.
Club ABI - programs operating in Belleville, Quinte West and Ottawa that
offers opportunities to people with Acquired Brain Injury to acquire new
skills, build social networks, and have fun.
Transition Age Youth (TAY) Evening Club: provides opportunities for social interaction
and skill development for adults with disabilities who are between the ages of 18-30.
Pathways Car Wash – offers vocational training and employment
opportunities to the people we support by providing a full car cleaning
service to the community.
Employment Opportunities – provides employment preparation to clients for
competitive employment or volunteer opportunities in our community
Cleaning Crew: a supported program that provides vocational skills and paid employment to clients.
Annual Management Report 2014
15
The Pathways Management Report Pathways primary purpose is to provide services to adults with disabilities in ways that enhances their quality of life, while ensuring the most
efficient and effective use of human and financial resources. Efficient and effective are terms often assumed to be about controlling costs,
and in many management driven data reports, effective and efficient indicators are used that reflect costs, time used or saved, or number of
instances a service or other utility is accessed. Providing data that measures a person’s quality of life is extremely difficult to do in a
quantifiable manner. This management report identifies measurements and data to illuminate agency growth and direction informed by our
vision, mission and guiding principles. Where practical, benchmark and outcome measures have been identified with best demonstrated
practices, external research, and/or past internal history and in all cases provide a baseline for us to establish goals and objectives to further
enhance our services and programs.
Alternate format availability
Pathways ensures that everyone can access the
same information in a format that facilitates their
understanding and accommodates each
person’s unique requirements. If you require the
information in this report in a different format,
please contact Pathways and we will provide the
information in a manner that meets your needs.
Our contact information is:
289 Pinnacle Street
Belleville, ON, K8N 4Z2
613-962-2541
356 D Woodroffe Ave.
Unit 202
Ottawa ON K2A 3V6
613-233-3322
Annual Management Report 2014
16
Alignment with CARF principles
Stakeholder engagement and feedback To learn and grow an organization requires feedback. To change, an organization needs to set goals and measure results to improve
processes and programs. The process of stakeholder feedback and meaningful outcome measurement is a key principle of CARF
accreditation.
Pathways to Independence has both formal and informal channels to solicit feedback. These include;
Client Surveys
Complaint and Appeal processes
Web Based anonymous feedback
Employee Surveys
Community member involvement on Sub Committees of the Board, such as the Membership Committee, the Quality Assurance
Committee.
Client Tenant Meetings.
Strategic Plan The strategic plan is intended to define what Pathways seeks to accomplish over the next three years, to identify the actions we will use to
achieve our desired results, and how well we succeed in achieving our strategic directions and goals. The plan is used to clarify our priorities,
align resources, and unify employees, partners and others involved with delivering our services and supports to our clients.
Our process to develop the plan was very inclusive. Many employees were involved in focus groups and provided input and suggestions to
the draft. Feedback regarding Pathways strengths and areas of future focus was also obtained from our clients, their families and our
community partners. This process was invaluable in its own right, as it engages everyone in the process and helps to create engagement,
foster communication, and helps the agency to stay focused on its priorities.
What is strategic planning? Strategic planning is the process of identifying an organization's long-term goals and objectives and then determining the best approach for
achieving those goals and objectives.
Annual Management Report 2014
17
What are the benefits of strategic planning? Makes the management of Pathways easier by providing a framework and clearly defining direction for decision making;
Creates an increased level of commitment to the agency and its goals;
Results in improved quality of services and supports to our clients and employees and provides a way to measure the services;
Helps everyone in the agency to set priorities;
Increases the agency's ability to identify and manage risks from the external environment; and,
Aligns with a CARF requirement and is good business practice.
Pathways Strategic Plan: Making Lives Better, Together
Annual Management Report 2014
18
Web Based Anonymous Feedback In an effort to ensure that all people have the opportunity to provide feedback to the agency, Pathways provides an anonymous email
based feedback process on our website; www.pathwaysind.com . In 2014, the web feedback inbox received one message from a family
member seeking assistance from a family member trying to move her brother who has an acquired brain injury to Eastern Ontario.
In all situations the feedback email message is forwarded to the appropriate Manager with a copy to the Executive management team. If
the individual provides their name, the Manager will respond to the person directly.
We encourage people to provide their name and contact information so that we
can respond directly and engage in further discussion. If the person submitting the
feedback wishes to remain anonymous, the email is forwarded on to the appropriate
Manager for information.
2014 Organizational
Renewal Employee Survey. Based on previous employee survey feedback and feedback received from employees at all levels of
the organization in the last few years, the executive team realigned resources and restructured the
agency in 2014. The driving principle for the change was to ensure we were achieving the right
outcomes for the clients. The specific goals are:
1. To improve our employee’s access to their manager.
2. To improve employee’s access to and understanding of the agency mission and vision.
3. To improve employee’s access to ongoing information about the organization through emails, newsletter, annual report, and strategic
plan.
“Right staff+ Right
Resources+ Right
Tools=Right
Outcomes for
Clients”
Annual Management Report 2014
19
To achieve a baseline measure from employees, Pathways conducted a short survey in February, 2014. The results are as follows:
Response
Rate
Full
Time
Part
Time
Direct
Support
Management Admin Quinte Region & Area Ottawa and Area
33% 73% 25% 85% 11% 4% 82% 15%
Survey Questions
0
1
3
2
11
16
18
28
61
50
49
56
0 10 20 30 40 50 60 70
I have the information I need to do
my job
I receive the direction I need from
my manager
I receive feedback I need from my
manager
I receive information about the
organization overall
Response to Questions
Enough A little Not at all
1% 2%
37%
59%
I understand Pathways Mission, Vision
and Philosophy
Not at all A Little Enough A lot
Annual Management Report 2014
20
8%
17%
50%
23%
I receive communication about the results of
surveys
Not at all A little Enough A lot
8%
17%
50%
23%
I believe the information I share in surveys is
valued and used
Not at all A little Enough A lot
8983
108
2126
10
20
40
60
80
100
120
Strategic Plan Annual Report Newsletter
I am aware of Pathways
Yes No
Annual Management Report 2014
21
Other initiatives have also been implemented or will be implemented in the coming year to reinforce the change management agenda to
ensure that Pathways employees are well equipped to support the right outcomes for the people we support.
Right Staff+Right Resources+Right Tools=
Right Outcomes for clientsCommunication
• Increased responsibility and fewer worksites to manage
• Email access to all employees
• Let's Talk
Decision Making & Authority
• Change in Title for all CSM to reflect new responsibilities
• Review of Policies/Procedures
• Accountability Process and Decision tree.
Training/Learning
• Coaching -helping employees make the decision and act
• Financial Resources/Overview of all areas
• What's next? CARF & Quality Assurance, Risk Management
Community Resources/Access
• Building the relationships to benefit the clients wellbeing-ie. justice system
• impact of Passport funding-understanding what is there and how we fit.
Responsibility for Agency Vision/Strategic Plan
• what's your vision for your workgroup?
• understand and work toward strategic plan/QAM outcomes
• understand and integrate CARF
Annual Management Report 2014
22
Client Satisfaction Survey In 2012 we asked all of people we support to complete our
second CARF Client Survey. Working closely with support
staff, 153 clients completed the survey.
Overall the category and item scores in the Pathways to Independence Client Survey, 2012, were very positive.
The 11% decline from the 2009 survey in the Participation category causes the agency some concern. Specifically, the agency
is concerned regarding the difference in the positive rating of one question between 2009 and 2012. The question is “I know
where/how to get help in the community”.
In 2009 the positive percentage score for this question was 85.1% compared to an overall positive percentage score of 65.8% in
2012. When analyzed further it appears that the most significant decline in the score is within the Belleville Residential and the
supported clients within the Family Home Program.
153 clients participated in the survey -60% response rate
97 % said they would recommend Pathways to a friend.
96% said Pathways services enabled them to do things better.
96% overall satisfaction with Pathways Services & Programs.
93 93 95 9396
90 9396
82
96
Service
Responsiveness
Informed
Choice
Respect Participation Overall Value
Overall Categories % Positive Responses
2009 2012
Annual Management Report 2014
23
The agency developed and implemented an action plan to resolve the issues identified in the client survey.
81.3 80
100 10091.3
0
85.1
52.4
100
69
100
0
69.2 65.8
0
20
40
60
80
100
120
Belleville
Residential
Belleville SIL FHP Clients Ottawa
Residential
Ottawa SIL Belleville ABI all locations
I know where/how to get help in the community.
2009
2012
Annual Management Report 2014
24
Tenant Meetings The majority of Pathways community homes have “tenant” meetings on a regular basis. These meetings are intended to provide clients with
the opportunity to share any concerns they may have with staff members. The discussion at the meeting is documented as minutes and
shared with the manager. The manager and staff work to address any concerns raised with the client to ensure the best possible outcome.
Water temperature – has the issue
of too cold water been resolved?
Yes! All the ladies report they are
now having warm water for their
showers. (Napanee Home Tenant
Minutes, March 2014)
(a
Annual Management Report 2014
25
Accessibility Plan Pathways accessibility plan addresses accessibility issues at our community home, program locations and in the community at large.
Pathways to Independence is committed to identifying and removing barriers that impede the ability of persons served to fully access our
programs and the broader community as a whole. The plan also addresses accessibility issues that may arise for our employees and members
of the general public.
Pathways to Independence Accessibility Plan is in keeping with the requirements
of the Accessibility for Ontarians with a Disability Act, (AODA) Integrated
Accessibility Standards Regulation 191/11 and CARF’s ASPIRE Standard L:
Accessibility.
The AODA Integrated Accessibility Standards Regulation (IASR) requires not for
profit agencies that employ more than 5 0 people to develop accessibility
policies, programs and procedures in the following areas:
Employment,
Information and Communication,
Transportation, and the
Built environment.
The deadlines for implementing these programs extend to 2017 for some
requirements.
AODA’s Integrated Accessibility Standards have general requirements that are
embedded in the 4 identified areas above. These general standards and their
status are outlined below:
Annual Management Report 2014
26
General Requirements (IASR) Action Completion Date
Establishment of Accessibility Policies AODA policy revised to include the Integrated
Standards Criteria and distributed to all
employees.
December 31, 2013.
Establishment of a multi-year Accessibility Plan Agency accessibility plan updated to include
IASR requirements.
December 31, 2014.
Procuring or Acquiring Goods, Services or
Facilities
Review and update of procurement policies to
include IASR requirements.
December 31, 2013.
Incorporate Ontario Human Rights Code
training into AODA training.
Update AODA training materials and include in
orientation training for all employees.
December 31, 2014.
Pathways accessibility plan addresses accessibility issues at our community home, program locations and in the community at large.
Pathways to Independence is committed to identifying and removing barriers that impede the ability of persons served to fully access our
programs and the broader community as a whole. The plan that follows identifies the following:
Those barriers that were removed or otherwise addressed by the agency over the course of the past year.
Those items that the organization still intends to address, as well as new items that have been brought to the agency’s attention.
Some of these items contain firm deadlines for completion, while others do not.
Those items that were identified, but the agency does not feel can be addressed at this time for one reason or another.
Annual Management Report 2014
27
Types of Barriers
.
An architectural barrier is any physical factor
that makes accessing buildings or physical
structures difficult for a person with disabilities.
This may include narrow doorways, a staircase
without a banister, bathrooms that are not
physically accessible for all, alarms that are
not able to be heard by individuals with
hearing impairments, or even something as
simple as the location of furniture.
An environmental barrier is any location or
characteristic of the setting that compromises,
hinders or impedes service delivery and the
benefits to be gained. This may include
flickering lights, a heavy scent, or a remote
geographical location that restricts frequent
access to services or events.
A communication barrier is something that
prevents a person with disabilities from having
access to information in a way that
accommodates their disability and/or helps
them to understand information. This may
include not providing access to a TTY service,
or a website that does not allow a person with
a visual disability to increase the type size.
An attitudinal barrier is a negative attitude
that people have towards persons served.
Examples of this may include attitudes of
neighbours or other community members
about having people with disabilities living in
their neighbourhood, or the lack of “person
first” language used by agency personnel.
A financial barrier is a lack of financial resources
that may require an agency to restrict or
cancel a service or program.
An employment barrier is a policy, program,
resource, tool, or way of conducting business
that could restrict a person with disabilities from
getting a job or doing their job well. This may
include an agency only accepting hand
written answers on an interview for a person
with a learning disability, or giving a person
with a visual impairment a job application form
that is in text only.
Annual Management Report 2014
28
A transportation barrier is the lack of suitable
and available transportation to allow a person
with a disability to attend or participate in
community services, programs, medical
appointments, employment or other activities.
A community integration barrier is anything that may limit an individual’s ability to access their
community.
Annual Management Report 2014
29
Communication of Accessibility Plan The accessibility plan is approved by Senior Management. The plan is presented to all management employees covering all responsibilities of
the agency. Appropriate items will be shared with the support staff at individual worksites as well as the clients.
Items Completed from 2014 Accessibility Plan
Program Barrier Identified Action Completed Cost Completion Date
289
Pinnacle
Accessible program washroom Completed $6,000.00 June 2014
Fry Road Accessible ramp at front entrance
Completed $2,000.00 July 2014
289
Pinnacle
Parking Lot
Repair/replace upper parking lot to
lower parking lot stairs
Completed $11,000.00 July 2014
289
Pinnacle
Accessible door entry to client
access to Client Services
Department
Completed $3,600.00 July 2014
Cannifton
Road
Accessible Entry Door Completed $3,200.00 February 2014
Annual Management Report 2014
30
Items to be addressed in 2015 Accessibility Plan
Program Year Item
First
Identified
Barrier Identified Strategies for
Removal or
Prevention and
Comments on
Progress
Potential
Cost Completion
Date
Person(s) Responsible
Napanee
Home(s)
2013 Meet all accessibility
standards for new
bungalow
New Construction Built into
construction
cost
Spring 2015 Operations
Lesley Drive 2013 Repair sidewalk for
safety and access
$7,500 Operations
Cannifton Road 2015 Accessible doors to
patio
$2,500.00 2015 Operations
Identified Items Not Being Addressed Program Year Item
First
Identified
Barrier Identified Strategies for
Removal or
Prevention and
Comments on
Progress
Potential
Cost Timeline for
Completion
Person (s)
Responsible
Accessible
Office
Signage
2010 Financial Receive funding $6,000 TBC Operations
Annual Management Report 2014
31
Environmental & Financial Barriers
Program Identified Barrier Action Completed Completion Date
Community Housing
Residents of the Cabin Road
Home located in Ottawa require
a fully accessible home located
closer to the services and
amenities of the city of Ottawa.
1. Review of all housing needs in
keeping with the needs of the persons
served.
2. Assessment of the real estate market
potential for the Cabin Road Home.
3. Preliminary discussions of how to raise
the capital funding required to build a
new home in the city of Ottawa.
4. Purchase of a lot suitable for building
purposes.
5. Selection of a contractor/architect to
develop plans for new home.
6. Secured funding to hire a contract
research consultant to develop
capital campaign to raise $250K.
7. Launched web based capital
campaign “One Brick at a Time”.
8. Continued to raise funds for new
home.
9. Completed architectural drawings.
10. Broke ground on construction of
Bachmann Terrace Home.
11. Negotiated sale of Cabin Road
Home.
1. September 2009
2. Spring 2010
3. Ongoing 2010
4. October 2010
5. September 2011
6. December 2011
7. June 2012
8. September 2013
9. Fall 2013.
10. Summer 2014
11. Fall 2014.
Annual Management Report 2014
32
Program Identified Barrier Action Completed Completion
Date
Community Housing
Development and approval of a new home for people living with an ABI
in Napanee to respond to increased need and demand.
1. Review of all housing needs in
keeping with the needs of the
persons served.
2. Work with LHIN and MOH to secure
funding for new home.
3. Purchased land and ensured
appropriate zoning.
4. Completed architectural drawings.
5. Requested RFT to builders.
6. Started construction of one
accessible bungalow in Napanee for
adults with an acquired brain injury.
1. Winter 2011-12
2. Ongoing 2013
3. Fall 2013
4. Winter 2013.
5. Spring 2014
6. Summer 2014
Annual Management Report 2014
33
Attitudinal Barriers
Program Identified Barrier Action Completed Completion Date
Community Based Perceptions of persons with
developmental disabilities,
acquired brain injury and
those with dual diagnosis in
the broader community.
Highlight and showcase the
accomplishments of people
with disabilities at all public
Pathways events and
meetings.
1. Promotion of client art to local printers.
Pathways Artist selected for December 2012-15
calendars.
2. Promoted art shows in local library for people
with an ABI
3. Supported individuals involved in a variety of
volunteer and fundraising events in the
community: Rockfest, Dancing with the Stars,
Home to Home Heart to Heart Poinsettia Sales,
2 Golf Tournaments.
4. Promoted Community Access Fund to provide
clients with financial resources to attend events
and activities in the community that they may
not be able to afford.
5. Pathways Client received the Ruth Burrows
Volunteer of the Year award and received
extensive media coverage.
6. Secured sponsors and worked with 3 other
community agencies to host a successful
Conquer Acquired Brain Injury Walk in both
Ottawa and Belleville. Walk covered in local
newspapers and on air radio.
Community Based Perceptions of persons with
developmental disabilities,
acquired brain injury and
those with dual diagnosis in
the broader community
Use Social Media to promote
positive messages and
continue to build awareness.
1. Establish “Friends of Pathways” Facebook
page and twitter account with plan to
promote Pathways events in summer 2012.
2. Create community of followers and follow
other organizations promoting positive
messages about people with disabilities-
Ongoing.
Annual Management Report 2014
34
Agency Lack of community based
supports for people living
with an Acquired Brain Injury
and the resources to
develop them.
Focus on developing new
relationships and services with
funders, partners and other
stakeholders in the ABI
community to eventually
expand services.
1. Worked with new ABI system navigator and
South East ABI Network to develop centralized
wait list, consent and referral process.
2. Worked with community partners, municipality
and LHIN’s to establish new ABI homes in
Napanee.
3. New home construction initiated in summer
2014.
Annual Management Report 2014
35
Communication Barriers Program Identified Barrier Action Completed Completion Date
Agency Wide Employee understanding of the
Accessibility for Ontarians with a
Disability Act (AODA), and the
public service responsibility when
supporting clients in the community.
1. Inclusion of AODA training in all
new hire orientation
1. Summer 2011 and ongoing
Person Served Pathways written materials and
some client specific policies difficult
to understand and interpret.
How to access services not easily
defined on website.
1. Identification of policies and
client “forms” that could be
revised in simple English with
picture support.
1. Development of new
pathways website with section
devoted to clients and family
members and a Get Services
section that allows clients and
family members to access
forms and DSO.
1. Ongoing
1. August 2013.
Community Wide Difficulty for members of the public
with disabilities to access medical
specialists for consultation.
1. Expand video conferencing
access in community to better
support people with disabilities.
Ongoing.
Transportation Barriers Program Identified Barrier Action Completed Completion Date
None identified in
2014
Annual Management Report 2014
36
Employment Barriers Program Identified Barrier Action Completed Completion Date
Agency Wide Review of the Accessibility for Ontarians with
a Disability Act’s requirement to ensure all
employees who have an identified disability
have access to the agency’s emergency
measures information in a format that is
accessible to them.
1. Identified employee who
required accessible
information and ensured
that the employee fully
understood the policy and
procedure of the agency.
2. Supported hearing
impaired candidate
through application and
interview process.
3. Revised job posting to be
compliant with AODA
requirements.
Ongoing
Annual Management Report 2014
37
Financial Barriers Program Identified Barrier Action Completed Completion Date
Cabin Road Lack of capital funding to build fully
accessible home and relocate residents
of Cabin Road (Ottawa).
1. Purchase of land on
Bachman Terrace to
custom build home when
funds become available.
2. Selection of a
contractor/architect to
develop plans for new
home.
3. Secured funding to hire a
contract research
consultant to develop
capital campaign to raise
$250K.
4. Launched Capital
Campaign to continue to
raise funds.
5. Secured volunteer trades
and donations of
materials for home.
6. Continued to hold
fundraising events to
secure capital.
1. November 2010
2. September 2011
3. December 2011
4. June 2012
5. Ongoing
6. Ongoing.
Renovation of College
Street Apartments to
supported additional
clients to live
independently.
Lack of capital funding to renovate
apartment building.
1. Review of capital needs
with Pathways Foundation
and discussion to prepare
event for capital projects
in 2014.
2. Inclusion of capital
funding for apartment
creation/renovation in the
solicitation of sponsors for
Pathways 25th anniversary
event
1. November 2013.
2. November 2014.
Annual Management Report 2014
38
Technology and Systems Plan In 2014, we chose to continue with the support of Zycom Technology Inc. as our primary technology vendor since Zycom was one of three
vendors endorsed by the LHIN project. We will continue to work closely with Zycom Technology to clearly understand, document and plan for
our Information Technology needs. The goal has been to ensure that we provide a reliable, user friendly, secure, and efficient Information
Technology environment in support
of our employees, Ministry and
government partners, and persons
served.
We worked closely with Zycom
Technology to implement Virtual
Desktop Infrastructure (VDI),
transitioning the majority of desktop
systems to the new technology. Over
the longer term, VDI will allow the
agency to reduce costs, enhance
data security and create the
platform required to continue to
enhance communications with our
employees and partners.
A brief synopsis of current and future
state follows.
Annual Management Report 2014
39
Technology & Systems Plan Current State (Dec. 31, 2014) Planned Changes 2015
Hardware
Implement VDI across the agency to
improve access to information for all
employees and ensure a more efficient and
secure system.
Complete assessments of which locations and users
require complete hardware upgrades. These users will
be transitioned to thin clients in keeping with the VDI
strategy.
Review and assess current server capacity and
develop plan to upgrade as required.
Software
Pathways’ operating system is Microsoft
Windows 7, and the agency uses the Microsoft
Office 2013.
Conducted training for all management and
administrative employees on MS Outlook.
Implemented MS 2013 training for employees
as it is installed.
Provided MS Outlook licenses to all part time
staff. This has enhance communication to all
employees who now have a personal
Pathways email address.
Installed and tested Work Force Now with a
planned implementation date of early 2015.
Roll out Workforce Now to allow employees to submit
their payroll information electronically and enable
other employee self- serve features.
Assess the functionality of SAGE Management CRM
module for donor management.
Assess Client Database to ensure it will meet the
changing reporting requirements of funders in the
longer term.
Develop cross functional Sharepoint implementation
team and roll out Sharepoint to all users.
Security Created greater security of data through
secure storage capacity and enhanced
backup features as a result of VDI
installation.
Upgraded secured wireless points in Ottawa location
and upgraded secured internet connection.
Annual Management Report 2014
40
Technology & Systems Plan
Current State (December 31, 2014) Planned Changes 2015
Confidentiality
Developed policy and practice to ensure all
tablet and blackberry/cell phone users who
access agency systems are password
protected at all times.
Moved all documentation formerly saved on
desktops to common drive folders through the
VDI transition.
Plan for automated and required
password changes for all users after WFN
rollout for self-serve payroll is complete.
Back Up
New Barracuda backup data device
purchased and installed.
Purchase and implement second
Barracuda backup to be installed in
Ottawa office for secondary backup
and in support of disaster recovery.
Annual Management Report 2014
41
Technology & Systems Plan
Current State (December 31, 2012) Planned Changes
Disaster Recovery Preparedness
Maintain a VMware based virtualization of the
server. In the event of a catastrophic failure of
equipment or damage to the server room itself,
server images could be brought online in a
VMware environment, have the most recently
available backups restored to them, and the
servers in this form made available in a relatively
brief space of time.
Continue to work with Zycom to
ensure that key systems are backed
up in Ottawa and Belleville.
Assistive Technology
At this time, Pathways does not have employees
who require technological or electronic assistive
technology. Should the need arise, the
employee’s requirements would be assessed
and equipment purchased as per provincial
legislation.
Pathways regularly conducts ergonomic reviews
for employee workstations and purchases
appropriate furniture and equipment as
needed.
Purchased and trained users the potential of
smart board technology.
Continue to monitor needs and
respond as required.
Annual Management Report 2014
42
Outcomes & Indicators Pathways to Independence is accredited by CARF for the following programs;
Community Housing,
Community Integration,
Host Family Services,
Supported Living and,
Respite Services.
In keeping with CARF’s principle of continuous improvement, every program receiving accreditation must clearly identify measurable
outcome based goals and activities to build upon the delivery of services to the persons served by the agency. CARF further requires
indicators the following four categories:
1. Efficiency: measures resource allocation & use such as time spent, dollars spent, numbers served.
2. Effectiveness: measures how services and programs impact the people we
support.
3. Service Access: measures some aspect of the barriers involved to use or access
services by the client
4. Satisfaction: measures the extent to which the people we support and other
stakeholders are happy or satisfied with the services Pathways provides.
The following table, Outcome Measures Index, aligns the indicators Pathways to
Independence uses to guide and manage the day to day operations of the agency
with the CARF requirements to demonstrate measures that are effective, efficient or
demonstrate service access for each program seeking accreditation.
Annual Management Report 2014
43
Outcome Measures Index
Program Efficiency Measure Effectiveness Measure Service Access Measure Satisfaction
Measure
Community
Housing
1. Medication Error
Discrepancy &
Refusal
1. QLP/ABI Service Plan
2. Injury Management
3. Persons Served Participating in
Volunteerism
1. Access to Psychiatric Services
2. Access to Behaviour Therapy
Services
3. Access to Employment Supports
Client Survey
Community
Integration
1. Medication Error
Discrepancy &
Refusal
1. Quality of Life/ELSP Planning
2. Injury Management
3. Persons Served Participation in
Volunteerism
1. Access to Employment Supports
2. Access to Psychiatric Services
3. Access to Behaviour Therapy
Services
Client Survey
Host Family
Services
1. Respite Days
Provided
1. QLP/ABI Service Plan
2. Injury Management
1. Access to Psychiatric Services
2. Access to Behaviour Therapy
Services
3. Access to Employment Supports
4. Respite Days Provided
Client Survey
Supported Living 1. Medication Error
Discrepancy &
Refusal
1. Quality of Life/ELSP Planning
2. Injury Management
1. Access to Psychiatric Services
2. Access to Behaviour Therapy
Services
3. Access to Employment Supports
Client Survey
Respite Services 1. Respite Days
Provided
1. QLP/ABI Service Plan
2. Injury Management
1. Access to Psychiatric Services
2. Access to Behaviour Therapy
Services
3. Access to Employment Supports
4. Respite Days Provided
Client Survey
Corporate
Services
1. Attendance at
Annual General
Meeting
2. Monthly Financial
Statements
3. WSIB Lost Hours
1. Maintenance Indicator
2. Mandatory Training
Annual Management Report 2014
44
Developmental, ABI and Dual Diagnosis Services Pathways to Independence is a community based agency providing assisted community living services and supports to 252 adults with an
acquired brain injury (ABI), a developmental disability, or a dual
diagnosis based on their unique goals, abilities and choices. Our
services include supportive housing options, day, vocational and
recreation programs, psychiatric counselling and behaviour therapy,
court and justice related services, and respite.
Operating in the South East and Champlain Regions of Ontario,
Pathways is fully accredited by the Commission for the Accreditation
of Rehabilitation Facilities (CARF). Pathways is a preferred provider of
community based ABI services and supports through the Local Health
Integration Networks that service the Champlain and South East
regions of Ontario.
These supports are provided by professional staff, contracted services
with community partners, professionals, family home providers and
volunteers. Pathways Client Services Division has primary responsibility
for the provision of direct care to the people we support.
Executive & Board of Directors
Finance, IT & Operations
Human Resources
Developmental Services, ABI Services and
Dual Diagnosis Client Services
Person Served
Annual Management Report 2014
45
Community Housing
The residential component of our services includes fully supported group homes, supported independent living and family homes. The
following indicators are provided to inform key areas of service and support in our residential areas.
Quality of Life/ABI Service Plan Indicator Name of Indicator QLP/ ABI Service Plan
Completion
Data Period January 1-December 31, 2014 Numerator
Denominator Total number of QLP/ABI SP’s
Complete
Total number of clients requiring a
plan
Type of Indicator Effectiveness Data
Sources
Client Database Target or Goal
Consistently
Achieved
No
Applies to All persons served
Department Client Services Data Limitations: Some clients refuse to have a plan, are ill or
incarcerated during the planning period.
Goal 100% Completion per
planning year
Follow Up or Action Plan: Client Services Team
will continue to monitor and follow up with
regular reports of plans due. Definitions: Pathways utilizes the planning the Quality of
Life Planning tool (QLP) or ABI Service Plan. This tool is
used for most people; however, palliative care plans,
transition plans or case conferences are captured as
plans.
QLP Plan or Service Plan Completion DS ABI
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
# of plans complete- SIL 2 7 11 18 1 2 3 7
# of plans complete- Supported Home 1 19 45 51 0 2 2 12
# of plans complete-Family Home 5 20 35 32 0 0 0 0
Total Number of Plans complete YTD 8 46 91 192 1 5 10 32
Total Number of Plans Required 18 68 134 201 4 9 13 32
Percentage Complete 44% 68% 68% 96% 25% 56% 77% 100%
Annual Management Report 2014
46
Injury Management Name of
Indicator
Injury Management Data Period January1-
December 31, 2014
Numerator
Denominator
Total number of reported Injuries per
year
NA
Type of
Indicator
Effectiveness Data
Sources
Accident and Injury
Reports
Target or Goal Consistently
Achieved
No
Applies
to
All persons served
Department Client Services Data Limitations
Some supported individuals, particularly those in Supported
Independent Living do not always report if they have a minor injury
resulting in incomplete or inaccurate records. The data represented
is based on total reported accident and injury reports.
Goal To identify the number of
injuries occurring by home or
department.
Follow Up or Action Plan:
The increase in injuries in ABI is primarily due to two
clients in community homes who experienced
several falls in the last year due to declining
physical mobility and health.
Definitions:
Injury: Any occurrence resulting in the need for
medical treatment, including first aid.
67
5
70
12
0 10 20 30 40 50 60 70 80
DS
ABI
Injury Management
2014 2013
Annual Management Report 2014
47
Medication Error, Discrepancy or Refusal Name of Indicator Medication Error,
Discrepancy or Refusal
Data Period January 1-December
31, 2014
Numerator
Denominator
Total Number of Medication Errors,
Discrepancies or Refusals
N/A
Type of Indicator Efficiency Data Sources Medication Error
Reports
Target or Goal
Consistently
Achieved
No
Applies to All persons served
Department Client Services Data
Limitations
Clients who self- medicate may not report
medication errors, discrepancies or refusals.
Goal Zero Medication Errors
Follow Up or Action Plan
Continue to monitor. Complete medication refresher training for all qualified employees in Q1 2015.
2014 Medication
Error,
Discrepancy or
Refusal Summary
YTD
Developmental
Service ABI
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4
Medication Error 5 8 6 6 4 4 0 0
Medication
Discrepancy 0 5 0 1 1 0 0 0
Medication
Refusal 32 22 18 4 1 0 0 0
Total 15 22 24 26 2 1 3 3
Medication Error includes; incorrect medication
administered, medication administered at the wrong time,
omission, or the wrong client received the medication
Medication Discrepancy includes;
pharmacy dispensed wrong medication,
failure to sign/initial MAR
Medication Refusal occurs when an individual
refuses medication as prescribed.
27
4
65
33
7
77
0 20 40 60 80 100 120 140 160
Medication Error
Medication Discrepancy
Medication Refusal
Overall Medication Error, Discrepancy &
Refusal
2013 2014
Annual Management Report 2014
48
Respite Days Provided Name of
Indicator
Respite provided Data Period January 1 - December
31, 2014
Numerator
Denominator
Total Number of days of respite provided
NA
Type of Indicator Service Access Data
Sources
Developmental
Services Ontario for DS
Intake Services for ABI
Target or Goal
Consistently
Achieved
Yes
Applies to Caregivers requiring respite
Department Client Services Data
Limitations The DSO is now responsible to direct all
requests for respite, and we accommodate
based on availability.
Goal To accommodate requests for respite from Family Home Providers and
caregivers.
Follow Up or
Action Plan
Definitions Community Respite: Respite offered to families or organizations.
Respite may occur in a supported home or a family (host)
situation.
124
days
In 2014, the agency provided 62 days of respite for an adult with an ABI in Ottawa, and 62
days of respite for 5 adults with ABI in our Cloverleaf Home.
Annual Management Report 2014
49
Community Integration
Access to Psychiatric Services
Name of Indicator Client Access to
Psychiatric Services
Data Period January 1-December
31, 2014
Numerator
Denominator
Number of requests for services
accommodated
Number of requests for service
received
Type of Indicator Service Access Data Sources Psychiatric Clinic Files Target or Goal
Consistently Achieved
Yes
Applies to All persons served Department Client Services Data Limitations:
Only requests for service that meet eligibility criteria are included
Goal
To accommodate 80% of referrals
Follow Up or Action Plan
In 2014 Pathways changed the vendor and approach to the services provided by a psychiatrist. In 2012 and 13, Pathways operated a community based clinic
and the psychiatrist supported the needs of people who were not Pathways clients. In 2014, the decision was made to work with Kingston Psychiatric Partners
and to only provide psychiatric support to Pathways clients.
0 20 40 60 80 100 120 140
2012
2013
2014
2012 2013 2014
number of referrals
accommodated79 103 54
number of referrals
recevied79 116 54
Client Access to Psychiatric Services
number of referrals accommodated number of referrals recevied
Annual Management Report 2014
50
Access to Behaviour Therapy Services Name of
Indicator
Access to
Behaviour
Therapy Services
Data Period January 1-
December 31,
2014
Numerator
Denominator
Total number of requests accommodated
Total number of requests received
Type of Indicator Service Access Data Sources Behaviour
Therapy Clinic
Files
Target or Goal
Consistently
Achieved
Yes
Applies to All persons served Department Support
Services
Data Limitations: None
Goal
To accommodate 100% of requests for Behaviour Therapy
Follow Up or Action Plan: All requests for service are reviewed
monthly or as required by the clinical team.
73 73
56
73 73
56
0
10
20
30
40
50
60
70
80
2012 2013 2014
Client Acess to Behaviour Therapy
number of referrals received number of referrals accommodated
Annual Management Report 2014
51
Persons Served Participation in Volunteerism
Name of
Indicator
Persons Served
Participation in
Volunteerism
Data Period January 1-December
31, 2014
Numerator
Denominator
Total number of volunteer hours completed
by persons served
NA
Type of Indicator Effectiveness Data
Sources
Program Reports Target or Goal
Consistently
Achieved
Yes
Applies to Persons Served Department Client Services Data Limitations The people we support may participate in volunteer activities that
we are not aware of. They may participate in volunteer activities
offered by other service providers (i.e. COPE, QVSS) that are not
included. Goal 1200 Hours contributed to communities by persons served
annually.
Follow Up or Action Plan:
Increase in the Number of Hours volunteered in ABI is due to
the opening of the Club ABI in Renfrew. One man volunteers
at the club 48 hours a month.
1151914
209
1221
0
500
1000
1500
2000
2500
2013 2014
Client Volunteer Hours
DS ABI
Annual Management Report 2014
52
Access to Employment Support
Name of
Indicator
Access to Employment
Support Request &
Accommodation
Data Period January 1-
December 31,
2014
Numerator
Denominator
Number of days of employment support
requested
Number of days of employment support
accommodated.
Type of
Indicator
Service Access Data Sources Client Database,
Program Reports
Target or Goal
Consistently Achieved
No
Applies to All persons served Department Client Services Data Limitations
Persons served may request employment support and when offered, refuse
the employment opportunity. Some supported clients are in school and
requesting very specific supports. Over half of the requests for support came
in the month of December, which negatively skews the data trend.
Goal: 70% Accommodation of requests for Employment supports
Definitions: Employment Support Requests referrals completed by or on
behalf of the individual for paid employment opportunities. This may
include community employers and volunteer organizations.
Follow Up or Action Plan
Continue to monitor and to work with local community business partners to
secure paid and volunteer work opportunities.
1848
2548
1635 1628
88%
64%
0%
20%
40%
60%
80%
100%
0
500
1000
1500
2000
2500
3000
2013 2014
Community Employment Supports
Number of supported days requested
Number of supported days accommodated
% accommodated
Annual Management Report 2014
53
Business and Corporate Services The business and corporate services functions at Pathways to Independence include Human Resources, Governance, Operations, Finance
and Information Technology. These departments partner with the departments of Developmental, ABI and Dual Diagnosis Services to ensure
the efficient and effective management of human and financial resources and operational expertise in the day to day delivery of client
focused services. This section of the management report will provide information on key indicators for Governance, Operations, Finance, and
Human Resources.
Human Resources
Operations
Finance
Goverance
Annual Management Report 2014
54
Governance Pathways to Independence is led by a dedicated volunteer Board of
Directors who provide talent and experience in the crafting of our
Strategic Directions, and provide overall long term direction. The agency
by-laws clearly articulate the role of the Board of Directors, and the
general members of the agency. The agency members are eligible to
vote at our Annual General Meeting and lend their voice as community
partners and advocates for Pathways. As a result, we actively recruit
members and monitor our membership on a regular basis.
Annual Management Report 2014
55
Attendance at Annual General Meeting
Name of
Indicator
Members participating in the
AGM annually, including
proxy votes
Data Period
2012-2014 Numerator
Denominator
Total number of members
attending AGM or voting
by proxy
Total number of members
Type of Indicator
Efficiency Data Sources
Membership
committee minutes
AGM minutes
Target or Goal
Consistently
Achieved
No
Applies to All members of Pathways
Goal To have 50% of the
membership exercise their
right to vote at the AGM.
Department Executive
Data Limitations
Proxy votes are sent by mail every year to all
members. Not all members return their proxy vote
and the data is based on returned proxy votes
only.
Definitions: Members: people who have
paid a membership fee to be a
member of Pathways.
Proxy: a signed document in
which a signatory stipulates the
way to vote on specific issues at
the AGM.
Quorum: The minimum number
of members who must be
present in order to conduct
business.
Follow Up or Action Plan
1. The membership
committee is conducting
a satisfaction survey of all
members to gain their
input.
10 12 11159 10
25 21 21
75
6267
33%34% 31%
2012 2013 2014
Membership Participation at Annual General Meeting
Total # of proxy votes
Total # of members attending AGM
Total # of members participating in AGM (attendance & proxy)
Total # of all members
% of members participating
Annual Management Report 2014
56
Corporate Services Pathways Corporate Services is responsible for all Operations, Finance and Information Technology functions.
Finance The Finance department is responsible for all:
accounts receivable and payable,
financial statements, and,
financial reports for Pathways to Independence and the Pathways Foundation.
Operations Pathway’s Operations department provides a wide variety of services and support including:
the maintenance for residential homes and apartments,
ensuring the water at each rural location is safe and checked frequently,
managing the fleet, and,
ensuring the general safe conditions in all Pathways residential and program locations.
Information Technology Pathways works closely with a third party vendor, Zycom Technology, to provide the day to day maintenance and support for the information
technology infrastructure and end user support. The IT Systems plan is on page 38.
Annual Management Report 2014
57
Finance
Monthly Finance Reports
Name of
Indicator
Monthly Financial Reports Data Period January 1-December
31, 2014
Numerator
Denominator
# of months goal achieved
12
Type of
Indicator
Efficiency Data
Sources
ACCPAC Target or Goal
Consistently Achieved
No
Applies to All Finance Employees Department Finance Data Limitations
None
Goal To have first draft monthly financial
reports available 15 days after the
end of the month. And final
statements distributed by the 20th
Target 75%
Follow Up or Action Plan:
The target was not met in 2014 due to the maternity leave of a key member of the Finance
Department and the introduction of new technology.
75
33
% Goal Met
2013 2014
Annual Management Report 2014
58
Maintenance Requests
Name of
Indicator
Maintenance
Requests
Data Period: January 1-December 31-
2014
Numerator
Denominator
Total Number of Maintenance Repair Requests
Total Number of Maintenance Requests Not
Completed
Type of
Indicator
Effectiveness Data Sources: Submitted Maintenance
Requests, Supervisor
Checklist, Professional
Inspections.
Target or Goal
Consistently
Achieved
Yes.
Applies to All persons
submitting
requests
Department: Corporate Services Data
Limitations:
It may take several weeks or months to complete a
maintenance request depending upon its nature, time
of year and availability of resources, such as skilled
trades to complete the request.
Goal Complete 100% of all Health & Safety Requests. Follow Up or
Action Plan
Not Applicable
21
1035
21
1030
0 200 400 600 800 1000 1200
Health & Safety
Other Maintenance
Maintenance Requests
total requests completed total requests received
Annual Management Report 2014
59
Human Resources
Pathways to Independence employs 327 people in several different communities in Eastern and South Eastern Ontario.
Close to 75% of our total annual budget is allocated to employee
salaries and benefits. Managing our human resources expenditures in
a proactive and cost efficient manner is extremely important.
Pathways attendance management program is effective, providing
employees with sick time, short and long term disability benefits, and
when ready, a responsive return to work process. We actively monitor
our employee sick time as it represents a significant cost to the
agency. Pathways closely monitors the availability of our part time
employees to ensure that we continue to provide the best services
and supports to our clients. The part time availability directly impacts
the number of hours of paid overtime, resulting in higher costs for the
agency. In 2014, the agency experienced a slight decrease in the
number of paid overtime hours.
Pathways actively promotes healthy and safe work environments in all of our residential, program,
and office locations. Each location has a monthly safety inspection, and the agency has over 45
Health and Safety policies and procedures that provide guidance and direction to employees in
their day to day activities. Pathways also employs a full time Occupational Health and Safety
Officer who investigates all incidents, provides mandatory training and guidance to Managers to
ensure compliance with the Occupational Health and Safety Act. When lost time incidents occur
Pathways’ supervisors work actively with the employee and Human Resources to enable a safe,
prompt and effective return to work.
0.16%
0.49%
0.35%
Paid Overtime contrasted to Paid Hours
2012 2013 2014
Annual Management Report 2014
60
Pathways is deeply committed to the ongoing training and development of our employees. In 2014, Pathways employees participated in
over 4,100 hours of training. This represents 13.4 hours of training per employee per year. Over 80 % of the training provided is considered
“mandatory”- required training either through legislation, or deemed required by the agency as the training ensures that best demonstrated
practices are used to provide the best possible support to our clients.
Pathways to Independence also completed its Pay Equity
Maintenance Review in 2014, with no changes.
Annual Management Report 2014
61
Workplace Safety & Insurance Board (WSIB) Lost Hours
Name of Indicator WSIB Lost Hours Data Period
January 1 to December 31,
2014
Numerator
Denominator
Number of Lost Hours (WSIB)
Number of Employee Hours Worked
(Monthly)
Type of Indicator
Applies to
Efficiency
All Pathways
employees
Data Sources
HRIS, Employee Incident
Reports, WSIB Form 7, Payroll
Register, Attendance
Records, WSIB, Payroll
Calendar
Target or Goal
Consistently
Achieved
No
Goal No Lost Hours Department Human Resources Data
Limitations Potential for errors in the completion of
attendance records and the correct
coding of illness related payroll codes.
Action Plan
Continue to monitor and review through Slips & Falls Program, staff meetings, and OHS committee
meetings. Engage Dr. Wills in related and/or necessary occupational health & safety matters.
2012 2013 2014
Full Time 500 45.72 282.18
Part Time 192 560.03 237.63
0
100
200
300
400
500
600
Lost Hours Comparison Full vs Part-Time
Employees
6 63
85
0
29 2831
5
4339 39
0
10
20
30
40
50
2012 2013 2014
Year over Year Incident Comparison
No Lost Time Health Care Only Lost Time Health Care
No Lost Time No Health Care Lost Time
Total Incidents.
Annual Management Report 2014
62
Mandatory Training Name of Indicator Mandatory
Training
Completion
Data Period
January 1 to December 31,
2014
Numerator
Denominator
Number of employees requiring
certification during the time period
Number of employees completing
certification training.
Type of Indicator
Effectiveness
Data Sources
People at Work Training Target or Goal
Consistently
Achieved
No
Applies to:
All full and part
time Pathways
employees
Data
Limitations
None
Goal: 100 %
completion of
mandatory
training.
Department Human Resources Action Plan:
Continue to maintain process of notifying employees
by mail of upcoming recertification requirements and
offer training in a timely manner. Revise sign in process
and reporting process to Managers of employees who
do not show up. Removal of QAM video training in
2015 to be replaced with Abuse Policy sign off.
CPI First Aid H&S QAM
# Required # Completed % Complete # Required # Completed % Complete % Complete YTD % Complete YTD
Jan-Mar 30 30 100% 20 20 100% 21% 25%
April- June 128 128 100% 30 30 100% 63% 58%
July-September 18 18 100% 7 7 100% 83% 70%
Oct-December 24 24 100% 24 24 100% 100% 99%
63
For information about this report please
contact:
Deborah Paus
Manager, Organization Development,
Marketing & Communication
613-962-2541 ex 225
Pathways to Independence
289 Pinnacle Street
Belleville ON
K8N 3B3
Pathways to Independence
356D Woodroffe Avenue, Unit
202
Ottawa, On
4E2 3V6
www.pathwaysind.com