CAPHC Annual Review 2012
Transcription
CAPHC Annual Review 2012
Annual Review 2012 en r at mm ion Co it m t to Exc e ll e n c e w i t h i n a S p i ri t o f N a ti o C nal ol o b a l Canadian Association of Paediatric Health Centres CAPHC Staff Members and Co-Authors of our 2012 Annual Report 2141 Thurston Drive, Suite 104 Elaine Orrbine, President and CEO Ottawa, Ontario K1G 6C9 Doug Maynard, Associate Director Phone: (613) 738-4164 Leah Boon, National Coordinator, CAPHC-CPDSN Fax: Lisa Stromquist, National Coordinator, Patient Safety and Quality (613) 738-3247 Email: info@caphc.org Web: www.caphc.org Vicky Walker, National Coordinator, Children’s Rehabilitation and Childhood Disabilities Program Grace Scorrar, Executive Assistant CAPHC gratefully acknowledges the following organizations for providing essential infrastructure and knowledge translation grants to support CAPHC’s programs and activities. 2 Mission, Vision, Strategic Priorities CAPHC Vision CAPHC Mission CAPHC’s Strategic Priorities The Canadian Association of Paediatric Health Centres is a recognized leader and advocate for advancing the improvement of healthcare for Canada’s children and youth The mission of the Canadian We do this by: Association of Paediatric Health • Advocating for the unique character and Centres is to support member importance of the health of children and youth; and partner organizations through • Identifying and responding to emerging education, research and quality issues and trends that impact our improvement initiatives to imcommunities; prove health service delivery for • Building a community of practice to share Canadian children and youth. research, knowledge and expertise; • To establish programs and activities that address current and emerging child and youth healthcare priorities; • Building strategic partnerships and facilitating collaboration; • Leveraging opportunities to advance health service delivery priorities through education, research and improved healthcare; and • Promoting best practices in quality improvement and patient safety. • To advocate for transforming health service delivery for children and youth in Canada; • To connect service providers and key stakeholders to realize shared child and youth healthcare goals; • To foster research, broker knowledge, facilitate educational opportunities and enhance information exchange for members and stakeholders, within the child and youth healthcare community, as well as with external partners; and • To build capacity and enhance organizational health to ensure that CAPHC can realize organizational objectives and meet the needs of member organizations. 3 A Message from CAPHC’s Board Chair & CEO As a national organization, CAPHC’s mission is to support its member organizations through education, research and quality improvement initiatives to enhance health service delivery for Canada’s children and youth. CAPHC’s commitment to sharing best practices and fostering innovation through knowledge sharing and mobilization continues to be the Association’s primary focus. Collaboration is a key factor as we work together with our member organizations and partners to achieve our goals. Over the last several years, CAPHC has diversified and expanded its membership and partners to reflect its focus on health service delivery across the continuum of care. 4 While representing the paediatric healthcare community, CAPHC has been able to bring the voice and needs of this vulnerable population to key organizations and agencies whose decision makers are responsible for bringing health reform to the child and youth healthcare system. This past year has been underscored by important collaborations and a continuing focus on safety and quality improvement, enhanced healthcare practices and knowledge translation, focused on these key national initiatives: • The development of a national paediatric outpatient rehabilitation database through the leadership of CAPHC’s Canadian Network of Child and Youth Rehabilitation. Consistent with its mission and strategic priorities, CAPHC also initiated a new national program focused on the development, implementation and evaluation of paediatric practice guidelines; with the primary objective to improve healthcare practice, quality, safety and efficiency through a positive and dynamic national collaboration. • National paediatric bench-marking and decision support, with the introduction of new Management Information Systems (MIS) & productivity data with 14 new indicators applied to 5 inpatient areas; Through our Paediatric Practice Guidelines Collaborative in the next 12 months, we will focus on the development of national paediatric guidelines in the following four priority areas: • The development of national standards specific to our child and youth population in the areas of the delivery of high alert medication (i.e. opioid safety) and interfacility critical care transport of maternal, neonatal and paediatric patients; • Transition from paediatric to adult care; • The development of paediatric specific quality and patient safety tools; and • Management of medically complex children through the continuum of care; • Sepsis; and • Paediatric Pain. In addition, under our Patient Safety and Quality Improvement work we will initiate the development of national standards for the neonatal and paediatric delivery of Nitric Oxide. We are very proud of CAPHC’s growth over the past several years, and would like to recognize the tremendous collaboration and dedication of our member organizations and partners as the key component for our growth, development and achievements. CAPHC Board of Directors Back Row: Larry Gold (Chair), Nancy Lefebre, Jim Kellner, Linda McConnan, Bruno Piedboeuf, Cheryl Susinski, Doug Maynard (CAPHC Associate Director), Susan Fogg Front Row: Jeanne Robertson, Randy Robins, Delmarie Sadoway, Ann McGuire (Vice-Chair), Elaine Orrbine (President & CEO), Kathryn Hayward-Murray, Susan Richardson (Past-Chair), Marilyn Monk Absent: Fabrice Brunet, Peter Fitzgerald, Bette Boechler 5 2012: YEAR IN REVIEW Programs and Activities that Address Child and Youth Healthcare Priorities All CAPHC’s programs are implemented based on broad national consultation. Bringing new knowledge to impact practice change at a system wide level, is a key factor and commitment of all CAPHC programs. Included in this “year in review” are key 2012 milestones. We invite you to learn more about our work and to become an active part of CAPHC’s national programs and activities. 6 2012: YEAR IN REVIEW Programs and Activities that Address Child and Youth Healthcare Priorities Advancing Paediatric Empirical Decision Support and National Benchmarking Advancing the Quality of Life for Children and Youth with Disabilities CAPHC – Canadian Paediatric Decision Support Network (CPDSN) CAPHC – Canadian Network of Child and Youth Rehabilitation (CN-CYR) 2012 Milestones: • Enhanced 2012 Annual Benchmarking Report and member profiles; 2012 Milestones: • Developed a national data set (NDS) for paediatric rehabilitation and successfully piloted it at six paediatric rehabilitation centres across Canada; • New Median Length of Stay indicator and more targeted reporting on key indicators within the framework of academic and community hospitals; • Access to a new and easy to use Prompted Reports Library, providing a “drill down functionality” to most indicators in the benchmarking report; • CPDSN membership growth and the integration of our new community hospital members, pioneering our commitment to benchmarking across the continuum of care; • The release of CAPHC-CPDSN’s first MIS & Productivity Data FY 2010 -11; with 14 indicators applied to 5 inpatient areas; • Approval of Phase 2 MIS Pilot for 2013 (FY 2011-12 data) that will strengthen the context and comparability of MIS data by enhancing the agency profiles, adding an analytic component to the MIS section of the 2013 Benchmarking Report and the development of a paediatric MIS e-query tool that will facilitate ad hoc queries at both the individual centre and national level; • Data collection and reporting of key data elements for the Canadian Paediatric Surgical Wait Times Project in partnership with CIHI Portal, effective April 1 2013; • Influencing change resulting in the Canadian Institute for Health Information (CIHI) Portal now being available in both official languages; • Established a partnership with the Canadian Institute for Health Information (CIHI) to conduct data analysis for the NDS pilot data and investigated long-term feasibility of data capture; • Conducted networking and stakeholder consultations on the NDS and implementation strategies. • Conducting a highly successful CN-CYR symposium on effective knowledge translation practices and conducted a wide range of knowledge translation activities, including development of Webinars, information sheets, articles, and a CN-CYR website update; • Developed evaluation questions and indicators for reporting on access, effectiveness, efficiency, patient and family centered care and safety using the NDS; • Plans for 2013 include developing an implementation plan for the NDS in collaboration with partners and conducting an expanded Pan-Canadian pilot of the data set. • The adoption of the CAPHC Paediatric definition by CIHI in the creation of a new Paediatric 30 Day Readmission Indicator for the Canadian Hospital Reporting Project, effective 2013; and • Third successful CAPHC-CPDSN Breakfast Symposium setting the stage for this as a regular and anticipated annual event delivering informative and engaging educational sessions to all CAPHC members on emerging and high priority topics. 7 2012: YEAR IN REVIEW Programs and Activities that Address Child and Youth Healthcare Priorities Developing implementing and evaluating paediatric practice guidelines aimed at improving Developing National Paediatric Standards and and promoting quality of care, safety and Guidelines efficiency across the continuum of care CAPHC Paediatric Practice Guidelines Collaborative (PPG) Paediatric Opioid Safety Resource Kit 2012 Milestones: 2012 Milestones: • Initiated and completed a literature review which provided current evidence to support the recommendation of specific methodologies and tools for guideline development and adaptation (i.e., AGREE II tool and ADAPTE Framework; • Expanded our national collaboration to include Paediatric Outcome Measures Experts, bringing a formal evaluation arm to CAPHC’s PPG Collaborative; • Completed Systematic Review entitled: “Do collaborative models for improving healthcare practices (or Communities of Practice) result in greater compliance to practice change and increased levels of success?”; • Held a National Workshop: Consensus reached using results of a pre workshop survey and the CAPHC Temperature 8 Check at the 2012 Annual Conference, on the following 4 priority areas for Paediatric Practice Guideline Development, implementation, evaluation: - Transition from paediatric to adult care; - Management of medically complex children through the continuum of care; - Paediatric pain; and - Sepsis. Family Centred Care will be an overarching theme that will be applied to this work. • Developed virtual framework for Community of Practice to support this ongoing work and the engagement of content experts, methodologists, policy makers and those with change management skills. • Development of a guideline implementation strategy for community hospitals; • Addition of an Independent Double Check Guideline to the Consensus Guidelines; • Addition of new references and tools to the Resource Kit http://ken.caphc.org • Webinar Series; - Smart Pump Implementation; - Consensus Guideline Implementation Impact on Quality Improvement & Practice Change Accreditation Canada will refer to CAPHC/ ISMP Paediatric Opioid Safety Resource Kit in their 2013 Medication Management Standards, to be released in January 2013. 2012: YEAR IN REVIEW Programs and Activities that Address Child and Youth Healthcare Priorities Developing National Paediatric Standards and Guidelines Inhaled Nitric Oxide Project Interfacility Critical Care Transport of Maternal Neonatal and Paediatric Patients 2012 Milestones: 2012 Milestones: In 2013 we will continue our work in developing a standardized approach for the delivery, utilization and weaning of inhaled nitric oxide for neonatal and paediatric patients across Canada. • The development and publication of minimum set of national standards for Canadian maternal, neonatal, and paediatric critical care transport teams; http://ken.caphc.org; • These competencies cover a broad spectrum of requirements and are summarized under the following seven categories: - Professional Responsibilities; - Communication; - Health and Safety; - Assessment and Diagnostics; - Therapeutics; - Integration; and - Transportation. 9 2012: YEAR IN REVIEW Programs and Activities that Address Child and Youth Healthcare Priorities Patient Safety Programs CAPHC’s Patient Safety Collaborative Safety Competencies Challenge Since 2003, our Collaborative has provided a national forum to unite individuals, groups, and organizations to facilitate partnerships, improve communication, and, undertake collective action to improve patient safety for all children and youth. • Seven organizations in Canada mapped their daily practices to Canadian Patient Safety Institute’s (CPSI) Safety Competencies Framework - Tertiary, Community and Rehabilitation; 2012 Milestones: • Monthly webinar presentations highlighting innovative patient safety and quality programs from across the country. To view these presentations, please visit the patient safety category on the Knowledge Exchange Network http://ken. caphc.org 2012 Milestones: • Large paediatric database created formatted under the six domains of the CPSI Safety Competencies; • New paediatric data reviewed, synthesized and mapped to Domains of Knowledge, Skills and Attitudes; • Competences linked to Accreditation Canada Required Organizational Practices; • Created a national web based resource available on CAPHC’s Knowledge Exchange Network – KEN: http://ken.caphc.org CAPHC Paediatric Trigger Tool (CPTT) 2012 Milestones: • Publication of the Canadian Paediatric Adverse Events Study which used the CPTT as their data collection tool; http:// www.cmaj.ca/content/184/13/E709. full?etoc • More organizations using the tool as part of their patient safety and quality programs; • Continued partnership with Discovery Campus Inc as the technical support for the CPTT providing: - A dedicated URL for the public demo: http://cptt-demo.discoverycampus.com - Tracking of CPTT downloads; and - Support for CPTT deployments on Windows and Linux 10 2012: YEAR IN REVIEW Programs and Activities that Address Child and Youth Healthcare Priorities Mental Health and Addictions A National Screening Tool Kit for Children & Youth Identified and Potentially Affected by Fetal Alcohol Spectrum Disorder (FASD) 2012 Milestones: • Implementation of a national/international knowledge translation and education strategy; • Initiation of pilot projects targeting the multiple components of CAPHC’s FASD Screening Tool Kit in different jurisdictions and populations across Canada in order to further validate and evaluate the tools and identify improvements and gaps; • Implement a multi-faceted knowledge translation and mobilization strategy to further promote the uptake, evaluation and on-going development of the Screening Tool Kit; and • The Development and Implementation of a New International Webinar Series. 11 Program Partners As part of this “Year in Review”, we would like to recognize and thank our program partners for their continued support and participation in CAPHC’s national initiatives. Bilodeau Family 12 Recognizing Collaboration, Leadership and Commitment! All CAPHC programs are guided by the commitment and expertise of our member organizations. CAPHC is most grateful for the leadership and dedication of so many colleagues from across the country who lend their expertise and leadership to these activities. These individuals represent the true fabric of the CAPHC organization. We would like to formally recognize and appreciate the commitment and dedication of all who contribute to the following committees and working groups: CAPHC Patient Safety Collaborative CAPHC Financial Development & Implementation Committee High Alert Medication Delivery in Paediatrics: Opioid Safety Steering Committee National Network of Hospital Financial Leaders High Alert Medication Delivery in Paediatrics: Opioid Safety National Advisory Committee CAPHC-Canadian Paediatric Decision Support Network (CPDSN) Steering Committee Competencies Challenge Leadership Committee CPDSN Annual Benchmarking Report Work Group National Infant, Child and Youth Mental Health Consortium CPDSN Community Hospital Expansion Working Group Canadian Network for Child and Youth Rehabilitation (CN-CYR) Operations Committee CPDSN MIS Financials and Productivity Working Group CN-CYR Knowledge Translation and Research Sub-Committee CPDSN Sharing Best Practices Strategy Working Group CN-CYR Outcomes & Benchmarking Sub-Committee CPDSN–Canadian Paediatric Surgical Wait Times Work Group CN-CYR Conference Planning CAPHC Conference Planning Committee Transport Systems National Steering Committee Paediatric Practice Guidelines National Steering Committee Transport Systems - Practitioner Profile Working Group CAPHC Board of Directors; Governance Committee Transport Systems - Systems Design Working Group CAPHC Conference Poster Committee Fetal Alcohol Syndrome Disorder (FASD) National Steering Committee 13 Engaging Member Organizations Across the Continuum of Care We would like to recognize and thank all CAPHC’s Liaisons for your leadership role and for bringing CAPHC’s voice to your respective organizations. Full Member Organizations and Liaisons Alberta Children’s Hospital, Calgary, Alberta Liaison: Margaret Fullerton Bayshore Home Health Liaison: Anna Cooper BC Children’s Hospital, Vancouver, British Columbia Liaison: Larry Gold CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario Liaison: Peter Rosenbaum Centre de réadaptation MAB-Mackay Rehabilitation Centre, Montreal, Québec Liaison: Christine Boyle Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Québec Liaison: Jean Delisle Children’s Hospital of Eastern Ontario, Ottawa, Ontario Liaison: Alex Munter Children’s Hospital London Health Sciences Centre, London, Ontario Liaison: Val Rousom 14 CHUQ - L’Hôtel-Dieu de Québec, Centre Mére et Enfant, Quebec City, Quebec Liaisons: Bruno Piedboeuf, Suzanne Martel Hôpital Maisonneuve-Rosemont, Montreal, Quebec Liaison: Charles Hamaoui Children’s Treatment Network, Simcoe, Ontario Liaison: Sandy Thurston Health Science North - Horizon Santé Nord, Sudbury, Ontario Liaison: Debbie Lahti Credit Valley Hospital and Trillium Health Centre, Mississauga, Ontario Liaisons: Jane Gildner (Trillium Health Centre Site), Alison Quigley (Credit Valley Hospital Site) Eastern Regional Integrated Health Authority, Children’s and Women’s Health Program, St. John’s, Newfoundland Liaison: Jeanne Robertson Fraser Health, Surrey, British Columbia Liaisons: Delores Apostal, Jan Radford Guysborough Antigonish Strait Health Area, District 7, Nova Scotia Liaisons: Minoli Amit, Pauline MacDonald Halton Health Services, Oakville, Ontario Liaison: Cindy MacDonald Holland Bloorview Kids Rehab, Toronto, Ontario Liaisons: Cynthia Davies, Shawna Wade Hôpital Ste. Justine, Montréal, Quebec Liaison: Marie-Suzanne Lavallée Horizon Health Network, New Brunswick Liaisons: Zone 1 - Moncton: Claire LeBlanc Zone 2 - Saint John: Pat McGill Zone 3 - Fredericton: Charlotte Russell Zone 7 - Miramichi: Sandra Black, Marilyn Underhill Stan Cassidy Centre for Rehabilitation: Gillian Hoyt-Hallett Hotel Dieu Hospital, Kingston, Ontario Liaison: Sandi Cox Interior Health Authority, British Columbia Liaison: Ruth Johnson IWK Health Centre, Halifax, Nova Scotia Liaison: Mary Ann Hiltz Kingston General Hospital, Kingston, Ontario Liaison: Kellie Kitchen Lakeridge Health Corporation, Oshawa, Ontario Liaison: Kevin Empey McMaster Children’s Hospital, Hamilton, Ontario Liaison: Karen Prine Montreal Children’s Hospital, Montreal, Quebec Liaison: Randy Robbins North York General Hospital, Willowdale, Ontario Liaison: Catherine Badeau Ontario Association of Children’s Rehabilitation Services (OACRS), Toronto, Ontario Liaison: Linda Kenny Orillia Soldier’s Memorial Hospital, Orillia, Ontario Liaison: Philip Hough University Hospital of Northern British Columbia (UHNBC), Prince George, BC Liaisons: Jennifer Begg, Eunice Finch Queen Elizabeth II Hospital, Grand Prairie, Alberta Liaison: Valrie Stewart Full Member Organizations and Liaisons continued Associate Member Organizations and Liaisons Quinte Healthcare Corporation, Belleville, Ontario Liaison: Janet Whalen St. Joseph’s Health Centre, Toronto, Ontario Liaison: Ester Lipnicki Queen Elizabeth Hospital (Health PEI), Charlottetown, Prince Edward Island Liaison: Darlene Howatt and Bonnie J. Fraser Stollery Children’s Hospital, Edmonton, Alberta Liaison: Christine Westerlund Alberta Children’s Hospital Foundation, Calgary, Alberta Liaison: Saifa Koonar Hospital Sainte-Justine Foundation, Montreal, Quebec Liaison: Aniele Lecoq BC Children’s Hospital Foundation, Vancouver, British Columbia Liaison: Teri Nicholas IWK Health Centre Foundation, Halifax, Nova Scotia Liaison: Jennifer Gillivan Canadian Paediatric Society, Ottawa, Ontario Liaison: Marie-Adele Davis Janeway Children’s Hospital Foundation, St. John’s, Newfoundland Liaison: Lynn Sparkes Regina Qu’Appelle, Regina, Saskatchewan Liaison: Sharon Garratt Rouge Valley Health System, Toronto, Ontario Liaison: Susan Fyfe Saint Elizabeth Health Care, Markham, Ontario Liaison: Kristen Campbell The Hospital for Sick Children, Toronto, Ontario Liaison: Karen Fontana-Chow Toronto East General Hospital, Toronto, Ontario Liaison: Linda Young Windsor Regional Hospital, Windsor, Ontario Liaison: Rosemary Petrakos Saskatoon Regional Health Authority, Saskatoon, Saskatchewan Liaison: Bette Boechler Winnipeg Regional Health Authority, Children’s Hospital, Health Sciences Centre, Winnipeg, Manitoba Liaison: Leslie Galloway Shriners Hospital for Children Canada, Montreal, Quebec Liaison: Sharon Brissette Winnipeg Rehabilitation Centre for Children, Winnipeg, Manitoba Liaison: Cheryl Susinski Southlake Regional Health Centre, Newmarket, Ontario Liaisons: Lorrie Reynolds, Sarah Etheridge Champlain Maternal Newborn Regional Program, Ottawa, Ontario Liaison: Marie Josée Trépanier Children’s Health Foundation, London, Ontario Liaison: Susan Crowley Children’s Hospital Foundation of Saskatchewan, Saskatoon, Saskatchewan Liaison: Brynn Boback-Lane Children’s Hospital Foundation of Manitoba, Winnipeg, Manitoba Liaison: Lawrence Prout McMaster Children’s Hospital, Hamilton, Ontario Liaison: Pearl Veenema Montreal Children’s Hospital Foundation, Montreal, Quebec Liaison: Marie-Josée Gariépy SickKids Foundation, Toronto, Ontario Liaison: Ted Garrard Stollery Children’s Hospital Foundation, Edmonton, Alberta Liaison: Mike House Children’s Hospital of Eastern Ontario Foundation, Ottawa, Ontario Liaison: Kevin Keohane 15 Education, Knowledge Translation and Knowledge Mobilization Knowledge transfer and mobilization has been facilitated in numerous ways over the past year. CAPHC is very committed to serving our members as a knowledge broker, facilitating the transfer, exchange and mobilization of knowledge across the child and youth healthcare community, within and far beyond Canada’s borders. The CAPHC-Knowledge Exchange Network (KEN) is a key component of our KT strategy. KEN is an interactive online community that engages practitioners, patients, families, researchers and other key stakeholders in a common, interactive knowledge exchange community. KEN provides an ideal and readily accessible resource for all CAPHC member organizations and partners to obtain information, access tools and other resources related to many CAPHC national programs. 16 Launched in 2012, CAPHC Presents! is an email newsletter designed to help streamline communications related to CAPHC’s education and knowledge exchange activities. By combining the utilities of our live webinars and Knowledge Exchange Network, we have been able to share content with individuals in the tens of thousands. In the past year the KEN has had more than 21,000 unique visits, from 123 countries around the world. In 2012, CAPHC welcomed more than one thousand attendees to our national webinars. A comprehensive catalogue and video library of all webinars have been made available on the Knowledge Exchange Network. CAPHC has a New Web Site! As part of CAPHC’s strong commitment to Knowledge translation and mobilization, we officially launched a new web site on October 30, 2012, at this year’s Annual Conference in Vancouver! Our new site has been designed to provide current information on all CAPHC activities and programs, as well as profile the strength in our member organizations and national partners. We invite you to visit the site and lend your voice to our conversations, blogs and tweets! CAPHC Conversations is CAPHC’s new Blog. Also new in 2012, CAPHC Conver- sations is a new component of our communications strategy. CAPHC Conversations was created to actively engage with the child and youth healthcare community across the country. Our blog has been designed to share thoughts and activities that are making a difference to the health and well-being of our children, youth and families. CAPHC Conversations is also a vehicle to initiate a discussion on priority topics of the day that are of most interest and relevance to our child and youth healthcare community. 17 Education, Knowledge Translation and Knowledge Mobilization CAPHC’s 2012 Annual Conference Insight into Child & Youth Healthcare: Improving System Performance Using Information, Integration and Innovation Another significant commitment to knowledge translation and mobilization can be seen each year in CAPHC’s Annual Conference. Our conference goal is to ensure that all who attend have the opportunity to reflect on best practices and the latest innovations as a base for creating new programs that enhance the quality of child and youth healthcare. CAPHC’s 2012 Annual Conference took place in the beautiful city of Vancouver and welcomed over 400 multi-disciplinary health professionals from across the country, as well as from many other international, national, provincial and regional health related organizations. This year’s conference program showcased the emergence of new models of care and the needs, challenges and innovative strategies aimed at improving health outcomes in paediatrics across the continuum of care. Attention was also be given to changes in our healthcare system, national collaborative opportunities and the role of communication and information technology in facilitating new health service delivery models of care. All conference presentations can be accessed on the CAPHC Conference site http://conference.caphc.org/ 18 Financial Statement Canadian Association of Paediatric Health Centres • Statement of Operations REVENUE Membership fees - CAPHC Annual fees - CPDSN Annual conference fees Sponsorship conference Partnership initiatives Infrastructure funding Administration fees Portal user seats Other revenue 2012 $ 2011 $ 144,208 181,150 212,721 205,079 272,224 257,520 100,679 50,662 57,869 140,974 171,000 133,419 156,719 437,661 198,500 105,573 53,850 52,280 1,482,112 1,449,976 For the year ended 31 August 2012 (with 2011 figures for comparison) EXPENSES Salaries and benefits Annual conference Partnership initiatives Website Rent and occupancy costs Travel Portal user seats Professional fees Board meeting Insurance Operating expenses 2012 $ 2011 $ 614,368 342,776 272,225 7,593 42,610 24,823 95,268 11,275 6,856 5,099 94,139 526,162 247,145 438,912 4,358 31,015 28,404 65,550 13,434 6,567 4,912 104,678 1,517,032 1,471,137 (34,920) (21,161) Net assets at the beginning of the year 185,083 206,244 Net assets at the end of the year 185,083 Shortfall of revenue over expenses MACKILLICAN & ASSOCIATES CHARTERED ACCOUNTANTS 150,163 19 Annual Review 2012 w w w.cap hc.org
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