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LISTOWEL WINGHAM HOSPITALS ALLIANCE BOARD OF DIRECTORS MEETING April 24, 2013 Meeting The Listowel Wingham Hospitals Alliance Board of Directors meeting was held on April 24, 2013 at 1830 hours in the WDH Board Room. Attendance Listowel: Present: Kris Dekker, Bob Johns, Bert Johnson, Rosemary Rognvaldson, Kathy Mitchell, Mary Kerr, Blair Burns, Tom Soltys, Dr. A. Qureshi Absent: Dave Calder, Dr. R. Latuskie Wingham: Present: Andy McBride, Trevor Seip, Marg Carswell, Helen Rintoul, Gladys Peacock, Sandra Campbell, Amy Miller, Penny Mulvey, Dr. J. Shuffield Absent: Dr. G. Antoniadis, Rob Hutchison Staff: Present: Karl Ellis, President & CEO; Angela Stanley, VP Clinical Services/CNE; Chris Turner, VP Operations; Janet Brooks, Chief Human Resources Officer; Denise Mino, Recording Secretary Press: Present: Pauline Kerr, Wingham Advance Times Call to Order Andy McBride called the meeting to order at 1840 hours. Members of the Wingham and District Hospital Foundation were in attendance to present a cheque in the amount of $259,440, which represents the total raised and donated in 2012/13 for the purchase of a telemetry system, chemistry analyzer, colonoscope, 3 electric beds and bedside tables, bladder scanner, IV pump, and designated donations to oncology, diabetes education, and palliative care. To date, the Foundation has donated $3.4 million. Penny Cardno from the Huron Perth Hospitals Alliance attended to present on Mental and Addictions Services in Huron and Perth Counties:  1 in 5 people will have a serious mental health concern at some point in their life  First episodes of psychosis occur in people between the ages of 15 and 34  10 – 25% of seniors experience mental health issues  Only 1 in 3 people will seek mental health services  Huron Perth Addiction and Mental Health Alliance was formed by 6 organizations  The Alliance members work closely with the Huron Perth Mental Health & Addiction Network member organizations  Goderich Hospital will have 3 inpatient mental health beds dedicated to substance withdrawal  Seniors program includes mental health issues associated with acquired brain injury and any neurological impairment  Fast tracking of youth in crisis is being arranged  Potential exists to have youth crisis workers attend to cases in the ER ~2~
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2.0 Huron Perth Crisis Response workers are available 7 days/week and travel to see patients Referral to programs and specialists is by physician referral or the crisis team Seven in‐home cameras are available for at home monitoring 
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Approval of Agenda It was moved by Bob Johns and seconded by Penny Mulvey to: Approve the agenda as presented. Declaration of Conflict of Interest No conflicts of interest were identified. Motion Carried Decisions & Reports 2.1 Executive Committee 2.1.1 Clinical Services Plan  Committee recommends that the Clinical Services Plan be adopted with the suggested wording amendment It was moved by Bert Johnson and seconded by Blair Burns that: The LWHA Board approves the Clinical Services Plan document of August 17, 2012 with the addition of the statement, ‘The Clinical Services Plan acknowledges that the needs of the patients served by the Listowel Wingham Hospitals Alliance will change over time. In addition, the viability of some services and programs can be dependent on the availability of skill individuals. Beyond the programs described in the Clinical Services Plan, we will look for opportunities to expand clinical services required by our patients. Assessment of these opportunities will be based on the benefit to our patients and the impact on patient safety, program utilization/viability and cost implications consistent with the Ethical Decision‐making Framework’. Motion Carried 2.1.2 Board Committee Structure  Recommendation was made that members should not sit on both the Resource and Quality committees due to volume of information and workload  It was felt that the current committee structure is working well  Reducing the number of committees was discussed o Will consider Audit being consolidated into Resource and Governance & Nominations being joined with the Executive ~3~
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2.2 2.3 Please provide any feedback on committee structure to the Board Chairs or CEO Strategic Planning Committee  Graphic version of the strategic plan was reviewed by both the Strategic Planning Committee and Communications Committee and many suggestions were made to crisp and shorten the wordings o Suggestion was made to put the Mission statement in the centre box  Alliance Agreement statements are threaded throughout the full text version of proposed strategic plan o Eliminating the future tense in the statements was suggested as it infers we do not do these things now o Task of refining wording to be returned to the committee  Mission and Vision statements are felt to still be valid  The Values were felt to need some exploration as to whether they are meaningful for staff Communications Committee  Draft version of the Community Newsletter was reviewed o Rosemary, Karl and Denise will undertake work to improve readability and visual appeal o Key messages about core services at each site will be included 2.4 Chief Nursing Executive Report A. Stanley reviewed key items from the CNE report included in the meeting package and added:  Skills Days were completed in Wingham and feedback has been exceptionally positive  Two nurses have been hired at each site  Staffing at WDH is the greatest current concern due to the number of upcoming and potential retirements o Three new grads have been offered positions  Working to hire new grads at LMH and if we acquire more than needed, positions at WDH will be offered  Methodology of CBC report card article is questionable 2.5 Chief Executive Officer’s Report K. Ellis reviewed key items from the CEO report included in the meeting package and added:  Teleconference with the MOH today confirmed that the funding announced is for both of the projects submitted, which include: o Renovation to 2nd floor to create central Team Station, accessible showers and washrooms, and improved isolation space o ER department renovations (triage & team station) and separation from Ambulatory Care o Relocation of Oncology and Pharmacy departments ~4~
Relocation of MDRD (sterilization) New day surgery space Improve building accessibility and create centralized registration Funding announced is based on the Ministry’s knowledge of construction costs across the province o Three stages of drawings and plans at varying levels of detail need to be accomplished in the next 12 months to meet the target of construction starting within one year o Legal opinion needs to be sought regarding the need to competitively procure again for architects, as this work was done previously in prior to cancellation of the larger project. o Due to time limitations, decision has been made to move through stage 2 with the current architects while seeking legal advice about the applicability of prior procurement efforts for this smaller project. o Appreciation was expressed to Pauline Kerr for exceptional and prompt newspaper coverage of the project approval announcement Both hospitals were impacted by the recent weather induced loss of power o Generators power the entire LMH facility and select areas of the WDH facility HSAA three month extension agreements have been signed SW LHIN is working through Complex Continuing Care (CCC) and Rehab bed distribution o Expecting one less CCC bed at LMH o Expecting one additional CCC bed and one additional Rehab bed at WDH o We are hopeful that money will follow to operate these beds SW LHIN is tackling a LHIN wide clinical services plan  Work continues to define the scope of this project. One Number program continues to undergo refinements to improve accessibility The LHINs are starting to undertake more of the planning function that is described in their legislation Chemotherapy drug issue in the news recently did not involve LWHA o As an outcome, the Ministry of Health has requested that all sites sign an attestation that processes for compounding medications have been reviewed o
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Consent Agenda 3.0 3.1 Consent Agenda Motion It was moved by Blair Burns and seconded by Trevor Seip to: Approve the Alliance Board meeting minutes of March 27, 2013 as presented and to receive the following reports:  Executive Committee  Communications Committee  LMH Auxiliary  WDH Auxiliary  LMH Foundation ~5~
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4.0 WDH Foundation Wingham Recruitment Motion Carried In Camera It was moved by Trevor Seip, seconded by Kris Dekker that: The meeting move to the ‘In‐Camera’ session and that staff remain. Motion Carried In Camera Communication LMH Chief of Staff Report: It was moved by Dr. Qureshi and seconded by Kathy Mitchell to: Approve the Annual Professional Staff reappointments of: Active Staff: Dr. R. Annis Dr. G. Edmonds Dr. R.H.K. Latuskie Dr. B. Matthews Dr. E. Westen Courtesy: Dr. C. F. Cressey Dr. G. Semelhago Dr. A. S. Qureshi Dr. P. A. Rutherford Dr. T. Suggitt Dr. B. W. Neable Dr. C. R. Donald Dental: Dr. K. B. Clemes Dr. N. Hogg Dr. D. B. Nuhn Dr. O. Panich Dr. A. Thompson Dr. W. P. Trainor Extended Class RN/Nurse Practitioner: Wendy Dunn Lorna Labbe Midwifery: Madeline Clin Mhairi Colgate Sabrina Connor Catherine Goudy Catherine Kipp Mianh Lamson Amanda Levencrown Laura Pierce Amy Sjaarda Cynthia Soulliere ~6~
Consulting – Active: Dermatology Echocardiography Emergency Internal Medicine Laboratory Medicine Neurology Obstetrics & Gynecology Orthopaedics Otolaryngology Paediatrics Plastic Surgery Public Health Radiology Surgery Urology Consulting – Honourary: Radiology Dr. A. Haider Dr. R. Puley Dr. G. Antoniadis Dr. .J. Conners Dr. M. Korvemaker Dr. M. Mann Dr. M. Gillett Dr. S. Prasad Dr. V. Sharma Dr. O. Spanglet Dr. C. D. Tamblyn Dr. M. Carlson Dr. J. Vetters Dr. D. Stewart Dr. G. Hancock Dr. T. Kalos Dr. J. Guy Dr. F. G. E. Scott Dr. B. Hughes Dr. K. Blaine Dr. P. Squires Dr. S. Tejpar Dr. G. Heaton Dr. M. Klassen Dr. S. E. Tamblyn Dr. Y. Erenberg Dr. Mowbray Dr. J. Hardwick Dr. R. Ramsewak Dr. A. Hussey Dr. W. Papoff Dr. G. Tarulli Dr. D. Wycoco Dr. O. Yousef Motion Carried It was moved by Dr. Qureshi and seconded by Kris Dekker to: Approve the Professional Staff applications of Dr. Katherine Miller in the Consulting‐
Active Category and Janice Parsons in the Midwifery Category. Motion Carried ~7~
WDH Chief of Staff Report: It was moved by Dr. Shuffield and seconded by Amy Miller to: Approve the Annual Professional Staff reappointments of: Active Dr. G. Antoniadis Dr. M. Gear Dr. B. Marshall Dr. S. Marshall Dr. M. Moores Dr. M. Shubat Dr. J. Shuffield Dr. S. Vanderklippe Courtesy Dr. R. Alfayadh Dr. K. Church Dr. C. Cramer Dr. G. Edmonds Dr. R. Gasparelli Dr. M. Korvemaker Dr. L. Krishna Dr. M. Loubani Dr. S. Sleeth Dental Dr. R. Bateman Dr. J. Hall Dr. Y. Liu Dr. Dr. Magee Dr. W. Spink Extended Class RN / Nurse Practitioner Alison Clark Consulting ‐ Active Cardiology Dr. A. Montgomery Dr. J. Schwalm Dr. C. Tomlinson Internal Medicine Dr. O. Spanglet Laboratory Medicine Dr. M. Carlson Obstetrics / Gynecology Dr. C. Bloch Oncology Dr. F. Perera Otolaryngology Dr. E. MacRae Pediatrics Dr. P. Squires Physical Medicine Dr. D. Dittmer Psychiatry Dr. P. Conlon Radiology Dr. Y. Erenberg Surgery Dr. R. Ramsewak Urology Dr. B. Bukala Consulting – Honourary (Radiology) Dr. D. Mowbray Dr. W. Papoff Dr. J. Tarulli Dr. Dr. Wycoco Dr. O. Yousef Motion Carried ~8~
It was moved by Bob Johns seconded by Rosemary Rognvaldson that: The meeting move out of the In‐Camera session. Motion Carried 5.0 Adjournment There being no further business, the meeting adjourned at 2020 hours on a motion by Sandra Campbell. ___________________________________ Andy McBride, Chair ___________________________________ Karl Ellis, Secretary