This document proposes a group award system to evaluate Performance Improvement and Accountability Groups (PAGs) for a Local Health Integration Network (LHIN). It includes: 1) A radial assessment tool to measure PAG performance on factors like goals, strengths, weaknesses, and impact. 2) Awards would be given after key reviews to recognize high-achieving, self-motivated teams and fuel competition. 3) Benefits include enhancing teamwork, improving performance, and recognizing achievement. Rewards could include plaques, certificates, or training courses. 4) The tool is demonstrated through a sample calculation for a cardiology team's performance assessment.

1. LHIN Assessment tool for the CSP and PAG evaluation project Dr Khal Salem Niagara Health system

2. CSP/PAG Award and appraisal system Objectives: A group award system to the working group on the LHIN's PAGs for 2009 Provide PAGs with conceptual framework to enhance achievement. i.e Goal setting

3. When The first award recognition is after the board review of the delivery models (gate review II) Second award in 3 years after implementation of the delivery model (Gate review III ). In other words 3 months and 3 years.

4. Scope and benefits Benefits : Fuels competition spirit Enhance team work Improve performance Recognition for self motivated teams with high need for achievement. Forecast analysis Scope: Group and individual award system that is based on multiple rating factors and a radial assessment tool Ratters: LHIN BOARD and/or LHIN Staff

5. Deliverables Radial assessment tool Favorability ruler Impact forecast Vector Final report Basic team work strategy

6. Rewards Financial ???? Non financial Plaques or Certificates. subsidized management training courses could be something to consider

7. The appraisal tool LHIN radial assessment tool Steps of measurement Mark your % of agreement on the positive or negative radius Calculate the total and divide by 6 Place your score on the favorability ruler Determine your outcome Determine strengths and weaknesses. Calculate the average impact points. Total/ 100 Create a vector and place it on the impact analysis pie +10 +10 +30 +25 +5 +20 -20 -10 -25 -30 -10 -5

8. Favorability ruler Favorable outcome Unfavorable outcome %+%+%+%+%-% 6 favorability % 100% 75% 50% 25% 25% 50% 75% 100%

9. Impact forecast Calculate the summation of the positive and negative impact points Divide the total by a hundred Place a “Vector” on the impact forecast pie Determine the anticipated impact

10. Goal/SDM impact forcast Impact Low positive Moderately positive High positive Questionable positive Unfavorable Low negative Moderately negative High negative Questionable negative Weak positive impact 1 High positive impact 100 High negative impact -1 Weakly negative impact -100 Grey zone Grey zone

11. Case demonstration: SDM of the cardiology team Calculation: (##+##+##+##+##+##)/ 6 = # % favorability Outcome : Stregnths: ------------------------------------ Weaknesses : --------------------------------- Impact vector: #+#+#-#+#+#= ##/100 IP Anticipated Low positive impact 90% 85% 95% 10% 75 % 95% 4/5 IP 4/30 IP 4/25 IP 8/10 IP 4/5 IP -10/20 IP ##/100 Impact points 100% 75% 50% 25% 25% 50% 75% 100%

12. Case demonstration: SDM of the cardiology team Calculation: (75+90+10+95+85+95)/ 6 = 75% favorability Outcome : Highly Favorable Stregnths: Feasible, Aligned with LHIN priorities Weaknesses : Not sustainable Impact vector: 4+4+8-10+4+4= 18/100 IP Anticipated Low positive impact 90% 85% 95% 10% 75 % 95% 4/5 IP 4/30 IP 4/25 IP 8/10 IP 4/5 IP -10/20 IP 18/100 Impact points 100% 75% 50% 25% 25% 50% 75% 100%

13. Application of this appraisal system LHIN: An objective way to asses the group performance and design reward system PAG: A conceptual template to provide frame work of thinking and planning Material for publications and papers submission