AR template - ErinoakKids Centre for Treatment and Development

EMBRACING THE FUTURE
ANNUAL REPORT
2009 – 2010
OUR
ORGANIZATION
A MESSAGE FROM
JUDY BURNS, CHAIR OF THE BOARD • BRIDGET FEWTRELL, PRESIDENT AND CEO
2009
THE
–10 has been an exhilarating and
challenging year at ErinoakKids,
marked by the impact of external forces on the fabric
of our sector, yet still offering opportunity to
organizations willing to create, change and innovate.
In an environment that remains buffeted by the
forces of uncertainty and resource constraint, the
commitment of ErinoakKids staff remains
unwavering. The same is true of our Board and
Leadership Team, who continue to position the
organization to serve the needs of tomorrow; to take
the initiative in moving ErinoakKids forward.
Toward that goal, our focus over the past twelve
months has been implementation of a
comprehensive Strategic Plan whose twin pillars are
leadership and innovation. It positions the
organization to more nimbly respond to a changing
environment and uncertain conditions, and – at the
most critical level of service delivery – emphasizes
eradication of barriers and increased responsivity to
client need. Clinical Task Groups have worked
tirelessly to establish the framework for a new model
of integrated service to allow all children for whom
we care access to the full range of services they
need – either through us or our service partners in
the community – thus optimizing outcomes by getting
each to the right service, at the right place, at the
right time. Enabling that journey will be an aide who
helps families navigate the service system, and
remains available at all points of crisis or transition.
SINGLE POINT OF ENTRY
To be effective, integrated client services requires a
single point of entry, so during this past year the
concept of Clinical Administrative Support Services
integration (or CLASS) was conceived. This initiative
brings together all intake, data entry, health records
and scheduling functions as one department to
create a seamless and efficient client journey from
first contact with ErinoakKids to the day a client
leaves our service.
Anticipating our future requires embracing
technology to monitor performance, ensure efficient
use of resources, and engage in timely and effective
decision making for better client and organizational
outcomes. In all these areas, ErinoakKids is at the
forefront of our sector. Multi-year implementation of
a fully integrated Meditech information system
continues apace, and the Balanced Scorecard
JOURNEY CONTINUES
approach to metrics development and reporting,
initially implemented at the Board level, has now
been adopted for full alignment throughout the
organization. Critical information is now accessible in
real time to all management staff through the touch
of an icon on each desktop computer, and our
Decision Support function continues to enhance
capacity at a rapid pace.
Preparation of a Business Case to support the
critical need for new ErinoakKids facilities to better
serve our growing client family began in earnest
during 2009 –10. A Redevelopment Steering
Committee comprised of key staff and Board
members was established to oversee the process in
conjunction with Zeidler Partnership Architects, and
submission to our funding Ministry of Children and
Youth Services (MCYS) with a request for full project
approval will occur this coming summer.
ENHANCED MODEL OF CARE
In planning to meet current and future demand, our
Autism Intervention Services program staff worked
with our MCYS Regional Office partners to
implement an enhanced model of care which serves
more children, better and more efficiently. This
achievement was acknowledged provincially, and the
Program was subsequently awarded a $2.5 million
increase in annualized funding to further increase
capacity and expand services.
ErinoakKids opened two new sites over the past
year, and our School Support Program – Autism
Spectrum Disorders came face to face with a new
future as the Ministry recalibrated its course and
changed its mandate. Professional staff are being
redeployed, and will continue their service through
Connections for Students, a program designed to
help children with autism transition effectively into
full-time school settings.
ErinoakKids continued to raise its profile during
2009 –10, and co-hosted its first Ontario Association
of Children’s Rehabilitation Services (OACRS)
Conference in November of 2009. We also provided
leadership and support to several pivotal provincial
initiatives over the course of the year. Mayor Hazel
McCallion visited us in September, and during the
same month our Child and Youth Rehabilitation
Program hosted an Ontario-wide symposium on
treating children with complex feeding disorders.
Organizational Effectiveness established a Value
Improvement Promoters (VIP) Team to identify and
respond to opportunities for improvement across the
organization, and our Halton-Peel Preschool Speech
and Language Program extended its service to
toddlers further into the community. Preschool
Rehabilitation staff developed and implemented a
new therapy clinic to meet the current and future
functional needs of clients aged 4 – 6 years.
Along with the potential associated with future
planning came difficult decisions and the losses they
entailed. To mitigate risk, ErinoakKids began
movement away from provision of School Health
Support Services for its local Community Care
Access Centres this year. This had an impact on our
rehab clients, and necessitated the loss of some of
our clinical staff positions. These losses were
somewhat offset, however, in April, when efforts at
provincial advocacy were acknowledged with an
investment of $9 million in Ontario’s Children’s
Treatment Centres. ErinoakKids’ share is $1.38
million, and our Child and Youth Rehabilitation
Program is currently hard at work planning the use
of those funds to reduce wait times and enhance
services for our clients with physical and
developmental disabilities. Many thanks to the
Government of Ontario, our funding Ministry of
Children and Youth Services, and our local MPPs for
investing in children during what continue to be
challenging economic times.
TRANSFORMATIVE CHANGE
Suffice it to say, the journey continues for
ErinoakKids and its client families. It is a journey
requiring vision, stamina and courage. Its
destination is optimized opportunities for success in
a system experiencing transformative change.
It will allow us to remain a vital and increasingly
responsive part of the community of children and
families we are privileged to serve. Our deep
appreciation goes forward to everyone who
contributed to the successes of the past year.
Please stay involved as our exciting journey
continues in 2010 – 11.
ErinoakKids offers a wide
variety of specialized clinics
including neuromuscular,
Botox, mobility and orthotics.
The Preschool Therapy Clinic
offers physiotherapy and
occupational therapy services to
children in our Child and Youth
Rehabilitation Program.
The Drama program promotes
social development, self-
esteem and communications.
Music therapy helps personal
relationships, emphasizing the
benefits of listening and
performing, which in turn provides
a context for developmental
improvement.
OUR SERVICES
A MESSAGE FROM
FOR
A
DR. GILLIAN HOGAN • MEDICAL DIRECTOR
NEW MODEL OF SERVICE DELIVERY
this year’s report I would like to focus
on the most important aspect of our
Strategic Plan – the commitment to establish a new
model of integrated service delivery for our clients.
That commitment stems from our desire to improve
the ‘client journey’ from the first phone call to
ErinoakKids right through to the time clients leave
our service. It stems from our collective awareness
that despite our best efforts and intentions the
journey for many of our clients is less than perfect.
Accessing the right service at the right time is not as
easy as it ought to be.
HISTORICAL BARRIERS
Barriers exist, some of which are structural; for
example, our organization currently has five separate
and distinct programs, reflecting the way in which
they were initially awarded to us. Some barriers are
historical, some driven by external forces and some
– let us be honest – are attitudinal, reflecting our
inability to see the need for change. Let me tell you
what we have been doing about this. During the past
year, with the support of our Board of Directors, our
CEO, our Senior Leadership Team and our
Organizational Effectiveness Team, front line staff
from across our programs worked diligently to
identify and address barriers to integrated care and
more efficient service delivery.
Organized into work teams, they have reviewed the
literature on service delivery models. Each has
surveyed their colleagues to gain a deeper
understanding of the work of each of our programs,
identifying strengths and weaknesses. They have
also visited other children’s treatment centers and
talked with colleagues around the province and
beyond.
In December 2009, these teams hosted a ‘simulation
day’ where emerging ideas for a more integrated way
of providing service were piloted. They collected and
analyzed feedback from that exercise and, with the
help of consultant David Sheridan, authored a paper
which was circulated for general discussion in
January 2010. Feedback from that consultation was
used to further refine the model. Finally, in April
2010, a proposed new model for service was
delivered which, I believe, positions us perfectly for
the work ahead.
THE CHALLENGE OF CHANGE
I would like to take this opportunity to thank each and
every member of the service integration project
teams for their hard work and dedication. For most,
the work was fitted into schedules that were already
jam-packed.
I would also like to acknowledge that while the work
was exciting, it was also challenging. At times, it was
met with distrust and defensiveness from those
among us who dislike uncertainty, and those who are
not yet convinced that change is necessary.
Change, even when it is the right thing to do, is hard.
Leading that change is even harder. Thank you to all
who have been willing to take on and champion that
challenge. Much has been done, but we are far from
finished. This year our job will be to examine each
element of the proposed new model in even greater
detail. We will also once again be reaching out to our
clients, their families and our community partners for
advice and assistance.
PART OF OUR COMMUNITY
We know that we cannot be all things to all people.
We don’t need to be. We are part of a larger
community of excellent service providers who share
our desire for a less fragmented, more efficient
service system for children which has few barriers.
Working together will take us closer to that goal.
We have set ourselves a date of April 2011 to begin
implementing the new model. Reaching that goal will
necessitate a lot of hard work from every one of us. It
will mean significant upheaval for many; we will not
be working then the way we work now. However, I
am confident we can do it. How can I be so sure?
I am sure because the plan is our plan – we are
developing it together, consulting with our funding
Ministry of Children and Youth Services, our
community partners and our clients and families at
regular intervals along the way. I am sure because
the plan places clients and their families at its centre,
and I know that we all care deeply about the children
we serve. I am sure because making things better for
clients is what we do best. Full steam ahead, and
watch for more to come during 2010 – 11.
T
he hardest part, for Debbie and Nelson Pires of
Oakville, is when their daughter Jordan asks,
“will I walk?” Because they don’t know the answer,
and neither does anyone on her ErinoakKids care
team. At least, not for sure. Jordan doesn’t have
that kind of diagnosis.
Yet Jordan has made amazing progress, sailing
past doctors’ predictions again and again. The
cheerful five-year-old became a client of
ErinoakKids in 2007, when she was not quite two
years old. “We first thought something was wrong
when she was around five months old,” recalls
Debbie. “Her head wasn’t steady. She was like
one of those bobble-head dolls that jiggle. She
hadn’t developed strength in her neck.” Her
increasingly nervous parents realized Jordan was
not developing her physical abilities as expected.
EXPECTATIONS ARE FOREVER CHANGED
Tests revealed she had a smaller than normal
cerebellum, a part of the brain associated with
movement and language. Adds her father Nelson:
“It’s not textbook cerebellar atrophy because that
degenerates. Hers is not degenerating.” Yet that
still meant their expectations for their first daughter
could never be the same again. “We were referred
to ErinoakKids when she was about a year old,”
says Debbie. “Then we were on a waiting list for
over a year. But finally she got in and was referred
to the Multi-D team.”
The Multidisciplinary Program, now called the
Child and Youth Rehabilitation Program, is based
on the concept of teamwork, with a full team of
ErinoakKids professionals often called upon to
contribute to the treatment and development of a
child – with much involvement by the parents.
Jordan needs the help of an Occupational
Therapist, to develop the ability to do the tasks of
everyday life, as she strives to overcome
challenges directly associated with cerebellar
atrophy. She also needs behavioural therapy and
food counseling. “Jordan had a very quick gag
reflex as a baby because she’s texture-sensitive,
and if any food texture was different, it would trigger
that,” her mother says. In addition, Jordan sees an
ErinoakKids Speech Language Pathologist and has
regular preschool therapy sessions.
When Jordan meets her therapist in the
preschool services program, Sharda Ramsaroop,
her smile takes up most of her face. Her mother
explains, “Sharda has been with Jordan from the
very beginning. She’s the only therapist who hasn’t
changed over the years.” The bond between Jordan
and Sharda is clear to see, in the way they interact.
A BALANCE OF THERAPY ACTIVITIES
“Jordan really responds to functional activities,”
Sharda says. “We stress functional activities she
has to do in her environment. I try to balance
mental and physical challenges.” And she adds,
“We try to incorporate what the Speech Language
Pathologist is working on – a word, for example, or a concept. We take a global, integrated
approach.” In a therapy session Jordan
experiences as play, she throws a ball at stuffedanimal targets, with a backdrop depicting a baseball
player. It looks like fun, but it’s therapy and it’s hard
work for her. Yet Jordan could do little more than sit
the day she first met Sharda. Now she can stand
momentarily and can use a walker with assistance.
“She’s made leaps and bounds since I started
working with her,” Sharda says.
“A lot of Jordan’s progress has to do with
Sharda,” insists Debbie. “She’s the one who taught
Jordan to crawl and pull herself up to stand, and
she has given Jordan the confidence to try things
on her own. She’s made great strides with Jordan
over the three years we’ve been coming to
ErinoakKids.”
‘WE DON’T WANT TO LOSE SHARDA’
Which is why Nelson and Debbie will keep
Jordan in a private Kindergarten program as long
as possible. “We have not put her in school
because we don’t want to lose Sharda,” Debbie
says. “The second we put Jordan in regular school
we lose ErinoakKids preschool services and we
lose Sharda’s therapy. We’ve seen such great
gains with Sharda and Jordan has improved so
much with her that we want to keep that therapy for
her as long as we can.”
Ask them what they felt when they received
Jordan’s diagnosis, and they answer in unison:
“Guilt.” That’s common to many parents of children
with challenges, as Debbie well understands. “You
wonder, what did you do? It wasn’t genetic. They
ran all the genetic tests and there was no genetic
component, so you wonder, did I do something?”
Like his wife, Nelson knows on an intellectual level
that there is no parental fault, but like her, he can’t
get past it on an emotional level. “It’s just how you
feel – that you must have done something.”
They try not to let any negative feelings get to
Jordan or to her younger sister Samantha – who
adores Jordan, and acts as her in-home helper.
The family pulls together. Says Debbie: “There are
two rules in this house. One is, it’s no big deal if
something falls or breaks. And the other is, you can
do whatever you want – you just keep trying.”
PRIDE AND RELIEF
Yet the guilt doesn’t go away. “At the age of
almost five she’s asking a lot of questions,” her
mother reflects. “When she asks, ‘why can’t I?’ or
says she feels less than the other children, the guilt
sets in. I don’t know what to tell her, because I
can’t promise her what she’ll be able to do or
when.” Yet Debbie adds with a touch of pride and
relief, “She’s bypassed things people told her she
couldn’t do. They told her she couldn’t crawl and
she does. They said she wouldn’t pull to stand, but
she can. So when she asks, ‘will I walk?’ we don’t
know what to tell her. She might.”
With her whole team behind her, Jordan is
working on it. AUDITOR’S REPORT
ON
SUMMARIZED FINANCIAL STATEMENTS
Board of Directors
Judy Burns, Chair
Steve Bishop, Vice Chair
Bridget Fewtrell, Secretary (ex-officio)
Claude Di Fruscia, Treasurer (ex-officio)
Meeta Bains
Carolyn Bell
Nalini Bharkada
Scott Bonikowsky
Terry Canning
Doug Carmichael
Beverley Douglas
Lisa Gibson
Vanessa Mann
Ian MacFadden
Summarized Statement of Financial Position • March 31, 2010, with comparative figures for 2009
Wayne Walker
Esther Wieler
Senior Leadership Team
Bridget Fewtrell,
President and Chief Executive Officer
Gillian Hogan, Medical Director
Mary King-Lyons, VP Clinical Services
Chris Hartley, VP Clinical Services
Claude Di Fruscia, VP Finance
Hakim Lakhani,
VP Organizational Effectiveness
Anissa Hilborn,
Foundation President
ErinoakKids gratefully acknowledges the support of the Ministry of Children and Youth Services funding core health care programs for the children of ErinoakKids.
OUR FINANCES
3%
4%
1%
Sources of funding
Ministry of Children and Youth Services
5%
11%
2%
Programs and Services
Building Services
Ministry of Health and Long-Term Care
Fundraising, other grants and income
Regional Municipality of Peel
92 %
How funds were spent
Administration
82 %
Other
Summarized Statement of Operations • Year ended March 31, 2010, with comparative figures for 2009
Summarized Statement of Changes in Net Assets • Year ended March 31, 2010, with comparative figures for 2009
It’s all for the kids
This Annual Report is also posted at www.erinoakkids.ca online.
“My team and I have been
supporting ErinoakKids for five
years because of the wonderful
things they accomplish.”
– Dr. Dale Schisler,
Hopedale Dental Care
“The Milton Harley Owners Group
contribution over eight years of
support has helped many young
adults prepare for life on their own.
These kids are OUR heroes!”
– Clayton Shold, Milton H.O.G.
“Oakville Tim Hortons store
owners are thrilled to bring
smiles to children of
ErinoakKids through our annual
Smile Cookies fundraiser.”
– Karin Pasma,
Tim Hortons store owner
“Our daughter was an ErinoakKids
client for 15 years. The Swing for
the Kids Golf Classic is a chance
for me to give back to an
organization that truly makes a
difference.”
– Carl Hiltz, INTEGRA Capital
WC
OUR SUPPORTERS
E ARE TREMENDOUSLY GRATEFUL TO ALL THE DONORS WHO SUPPORT THE IMPORTANT WORK OF ERINOAKKIDS
ENTRE FOR TREATMENT AND DEVELOPMENT. THANK YOU FOR YOUR MOST GENEROUS AND OUTSTANDING SUPPORT.
THE FOLLOWING IS A LIST OF THOSE WHO SUPPORTED ERINOAKKIDS WITH A GIFT OF $250 OR MORE, RECEIVED FROM
APRIL 1, 2009 TO MARCH 31, 2010.
Donors $10,000+
Grant Clarkson
Jill Devlin
Canadian Independent Camera
Association (CICA)
Milton Chapter, Harley Owners
Group
Tim Hortons Advertising and
Promotion Fund (Canada) Inc.
United Way of Greater Toronto
Donors $5,000 - $9,999
Accenture Inc.
Estate of Kathleen Patricia Deakin
Garth BrooksTeammates For Kids
Foundation
Hopedale Dental Care
Mississauga Firefighters
Association
The Erin Mills Development
Corporation
Toys for Tots
Trends International Publishing
Corp.
Donors $1,000 - $4,999
Jamie and Patsy Anderson
Taylor Bark
Tracey and Scott Bonikowsky
Brian Clewes
Jacqui Lisa Connolly
James Drew Dickson
Mary King-Lyons and John Lyons
Michael McCloskey
Virginia Mullin and Brad Rowse
Diana Tremain
Automated Fire Protection
Systems Inc.
Boehringer Ingelheim (Canada)Ltd.
CanadaHelps
Canadian Million Dollar Round
Table Foundation
Capital One Services Inc. Canada
Ceridian
CIBC Children’s Foundation
Congee Dynasty Cuisine
Daley, Byers
Executive Benefits Inc.
Frank Fowler Foundation
Goodyear Canada Inc.
Knights of Columbus John
Fitzgerald Kennedy Council
#5523
Mississauga Central Lions Club
Bingo Account
Rogers Communications
Rotary Club of Mississauga West
SCI Solutions Network / Rick
Hansen Foundation
The Co-operators General
Insurance Company
The Fox and Fiddle
The Marion Ethel & Frederick
John Kamm Foundation
The May Court Club of Oakville
United Way of Oakville
United Way of Peel Region
United Way of York Region
Wal-Mart, Erin Mills
Donors $250 - $999
Joanne Akdeniz
Maria and Farouk Ali
Sharon and Brian Allum
Norma Bandler
Sheree and Steve Bashak
Krista Beaudry
Phyllis Beer
Carolyn and Ian Bell
Eli Lalaj and Andrea Bica
Tim Bishop
Christine Bolland
Allison Bonnyman
Judy Burns
Janet Butler
Mary Butler
Michelle and Kenneth Byers
Maureen and Terry Canning
Caitlin Cassidy
Ramona Christiansen
Anne Clifton
Connie Conway
Sue Crews
Gwen Dallison
Paul Darling
Claude Di Fruscia
Patricia and Tom Dorman
Pauline Eaton
Lori and Donald Edmonds
Lauri Enns
Anne Ferko
Bridget Fewtrell
Tracy Field
Monique Granby
Janina and Robert Gray
Michelle Greer
Krista Johnston and Ivar Grimba
April Hamilton
Christine and Barry Hartley
Anissa and Michael Hilborn
Gillian Hogan
Marlene and Mike Hope
Linda Jamieson
Cathy Jowitt
Linda Kelly
Lance Kimlin
Dr. Mladen Kirigin
Hakim Lakhani
Marion Leslie
Cheryl and Anthony Louzado
Robert Maier
Bruno Mastropietro
Daisy Matthews
Louise and Keith McCord
Jean and Robert McCullough
Elaine and Regan McGrath
Bruce McKerracher
Michelle Miller
Minaxi and Ramesh Mistry
Tori and Robert Molgat
Cindy Noah
Nick and Dale Norvack
Janet O’Marra
Lori Mibus
Helen and Trevor Palmer
Lars Pastrik
Pushpa and Harish Patel
Ellen Pearce
Jan Pepper
Lee Piepgrass
Erin Prescott
Anne and Nicholas Relph
KimberLee Rockett
Susan and Jerry Rohaly
Susan Ross and Kevin
Spreekmeester
David Silburt
Hugh Simpson
John Snowden
Robin and Alexander Stewart
Linda Sutcliffe
Nasser Syed
Anissa Hilborn,President
ErinoakKids Foundation
Christy Taberner Mueller
Toni and Mark Taylor
Marisa Tenuta
Susan Thomas
Tamara and Andrew Turner
Kirsten Udvari
Marianne Vardon
Nancy Vettese
Lorna Walker
Sandy Welton
Suzanne Zakoor
Alltech Canada Inc.
Alice Fazooli’s Italian Crabshack
Wine Bar
Bell Canada Employee Giving
Program
BMO Employee Charitable
Foundation, Ontario Region
Gabriel Consulting
Golder Associates
Gravity Control Ltd.
Henkel Canada
Hydro One Employees’ and
Pensioners’ Charity Trust Fund
IBM Employees Charitable Fund
June Lawrence School of Dance
Kain & Ball Professional
Corporation
Kinsmen Club of Erin Mills Inc.
Lions Club of Mississauga
Meadowvale
M.A.K. Freight Systems / 1306243
Ontario Limited
Nestle Purina Petcare
Our Lady of Sorrows School
Pretty Personal Treasures
PricewaterhouseCoopers LLP
Procor Ltd.
R. M. Ferguson & Company Inc.
RBC Royal Bank
Shipp Corporation Ltd.
Springbank Mechanical Systems
Ltd.
SSQ Financial
St. Mary Star of the Sea C. W. L.
Sunset Decks Inc.
The Cima Corporation
TD Canada Trust Creekside
Branch Services
Westmoreland Beaver Bible Class
Centre for Treatment and Development
Client Services Intake Centre
Telephone: 905-855-3557
Toll Free: 1-877-374-6625
Mississauga • North Sheridan Site
Executive & Foundation Offices
2695 North Sheridan Way
Suite 120
Mississauga, Ontario • L5K 2N6
Tel: 905-855-2690
Fax: 905-855-9404
Mississauga • North Sheridan Site
Finance & Human Resources Offices
2655 North Sheridan Way
Suite 110
Mississauga, Ontario • L5K 2P8
Tel: 905-855-2690
Fax: 905-855-7414
South Millway Site
2277 South Millway
Mississauga, Ontario • L5L 2M5
Tel: 905-820-7111
Fax: 905-820-1333
Burloak Site
1122 International Boulevard
5th Floor
Burlington, Ontario • L7L 6Z8
Tel: 905-332-4418
Fax: 905-332-3224
Bristol Circle Site
2381 Bristol Circle
Suite 100
Oakville, Ontario • L6H 5S9
Tel: 905-829-4183
Fax: 905-829-5064
Torbram Road Site
8177 Torbram Road
Brampton, Ontario • L6T 5C5
Tel: 905-790-1342
Fax: 905-790-9826