3.1. Cypress View Foundation Dianna Jossa, Chief Administrative Officer

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1 Palliser Triangle Health Advisory Council Monday, November 27, :00 p.m. to 3:00 p.m. Medicine Hat Regional Hospital Medicine Hat, AB Council Members: Alberta Health Services: Public: Regrets: MINUTES Dr. Ken Sauer (Chair), Reg Radke (Vice Chair), Dr. Sara Joan Armour, Ajit Atwal, Stephanie Shaw, Patricia Dietrich, Diane MacNaughton, Marjorie Moncrief, Paul Nederveen, Heather Norris, Blake Pedersen, Patty Rooks Katherine Chubbs, Sarah Hope, Linda Iwasiw, Dr. Jack Regehr, Grant Walker, Gwen Wirth Eleven Rudi Brockmann, Barry Morishita Agenda Item Discussion Action 1. Approval of Agenda 2. Approval of Minutes Agenda was adjusted to accommodate public comments from those present. Moved by Paul Nederveen that the adjusted agenda for Monday November 27, 2017 be approved. MOTION CARRIED. Moved by Ajit Atwal that the minutes of Monday September 25, 2017 be approved. MOTION CARRIED. 3. Presentations 3.1. Cypress View Foundation Dianna Jossa, Chief Administrative Officer Dianna Jossa from the Cypress View Foundation presented to council on the services provided by the Foundation. Dianna Jossa noted that some people may recognize the site by the name Teeoda, which is the name the lodge was founded under in The Foundation s lodge housing follows a rent geared to income model making accommodations affordable for anyone. Their accommodations include: 51 self-contained apartments 112 lodge rooms with the availability of homecare 40 long term care beds 45 supporting living level 3 beds Diana Jossa mentioned that at any moment they have a 14-35% vacancy rate. Council was asked to provide feedback on whether not Cypress View Foundation has the right model and if something should be changed as they move forward into the future. Diana Jossa also noted that while the trend is to age in home with associated supports, seniors may still end up suffering from isolation.

2 3.2. Covenant Health, St. Joseph s Home Ryan Wiest, Site Administrator, and Ajit Atwal, Chair, St. Joseph s Home Community Board Ken Sauer asked Dianna Jossa how similar this specific model is to others in the province. Diana Jossa explained that they are unique in that they have added health services to be available for people living there, they also provide flexibility in food and nutrition services. A couple of questions were asked regarding the criteria to be admitted into the facility. Dianna Jossa clarified that residents must be at least 65 years old, unless special approval is given by the board and preference is given to residents of Cypress County, Medicine Hat or Red Cliff. The residency requirements are due to the funding received through the municipalities. More information about the Cypress View Foundation can be found at Ryan Wiest from Covenant Health, St. Joseph s Home came to speak to council about the services offered at this site. St. Joseph s home was founded by the Carmelite Sisters in 1951 and was run as a Seniors Lodge for 60 years. In 2011 St. Joseph s home became part of the Covenant Health Family. St. Joseph s Home is home to Carmel Hospice where end of life/hospice care is provided in 10 beds. Some of the other services provided are nine community support beds and one respite care bed. Although the beds are designated for these specific services if capacity is needed in another area beds can be converted to accommodate patient s needs. St. Joseph s Home also has a senior s lodge with supportive living level 2 and supports the in-home palliative bed program for patients in the community. Services such as rehabilitation are available. They also have a large chapel, and have space for patient s families to stay overnight if needed. For more information about Covenant Health St. Josephs Home visit their website: Public comments Council had a number of members of the public participate in the meeting, including members from Friends of Medicare. The Chair of Palliser Friends of Medicare shared some questions and concerns regarding seniors and palliative care in Medicine Hat. Some of the concerns included a gap in understanding of Medical Assistance in Dying with various medical professionals in the area. Katherine Chubbs provided information about long term care services in Medicine Hat. It was also noted that the palliative care beds in Medicine Hate Regional Hospital were to be funded temporarily until the Masterpiece Retirement facility was 2 P a g e

3 opened. Patients receiving palliative care have the highest costs in acute care settings, by providing patient care in the most appropriate settings there is an improvement to patient care and a costs savings. A number of public members raised questions as to what will be done with the vacant space within Medicine Hat Regional Hospital. AHS leadership noted that these open spaces will be a part of the facility s strategic plan and master plan. This is planning that is done in partnership with Alberta Infrastructure. AHS looks to those plans to determine what is needed and how we can meet the needs of patients and facilities. Information was also provided to public members and council members about homecare. If patients or their families are having difficulties locating a facility for a loved one or need an assessment to be done they should contact their local homecare office for information and support. 4. Old Business 4.1. Business Arising from the September 25, 2017 Minutes 5. New Business 5.1. Council Roundtable & Community Engagement Updates Good news stories A conference call happened with AHS President and CEO, Dr. Verna Yiu, Ken Sauer, Reg Radke, Barry Morishita, Katherine Chubbs and Grant Walker to discuss the model they have for funding in Bassano. There is an effort to ensuring communication is consistent about future plans and the funding model. Paul Nederveen mentioned that Friends of Medicare is looking at the use of cannabis therapy for seniors. Ajit Atwal advised council of a presentation Natural Health Services provides. He also advised Covenant Health, St. Joseph s Home board and Carmel hospice. Marjorie Moncrief shared that the community is Bow Island is very happy with their new doctor and how involved he has become in the community. Another doctor has just started and a third will start under supervision in December and full time in February. Diane MacNaughton shared that in Redcliffe they had a food security meeting where it was decided to have emergency hampers available only at the public library the public are encouraged to get in touch with the foodbank in Medicine Hat and a taxi chit is available to those unable to get to the public library otherwise. Diane MacNaughton also attended the flags of hope event for the local drug coalition. 3 P a g e

4 There were around 60 there at the college and a speaker sharing their lived experience. Ken Sauer added that he, and Blake Pederson will be working with pharmacists to communicate to the community that they will take in unused or expired pharmaceuticals. Paul Nederveen shared concerns about inconsistent wait times at the new lab. Katherine Chubbs added that the average wait time is still significantly improved, while deviations in either direction do occur. They have implemented an appointment system, which could cause a back-up for those looking to walk-in. Weekends, and high traffic times do exist and result in higher than normal wait times. Sara Joan Armour shared that the flu clinic was well run and well attended. She also added that there should be better communication from AHS, for example when the palliative care beds were closed. Sara Joan Armour also shared that there is a problem in the community with some families wanting to keep loved ones in the hospital rather than in a long term care facility. This is primarily because some health plans will compensate you if you are being cared for in a hospital but in a long term care facility there is a cost to the patient or family and some may not be able to afford it. Patty Rooks asked that vaccination schedules be passed out to HACs to be able to distribute to the community. Patty Rooks also shared that schools need more support from Sexual Health nurses, although resources are tight they still need services from Public Health and Sexual Health nurses. Ajit Atwal shared that a St. Joseph s sister came to visit the Covenant Health, St. Joseph s Home. Ajit Atwal attended and participated in the Wisdom Council Round Dance and he was pleased with the AHS ELT representation. Reg Radke shared that the collection services change seems to be working well. Reg Radke also shared that the walk-in physiotherapy program is working well. It was also shared that there may be a need for some staff training to be more transparent with the process and changes to services. Stephanie Shaw shared that Kevin Hinse is coming to Medicine Hat to talk about suicide awareness and mental health. Kudos was given to AHS for the Psychological Awareness and Wellness Support (PAWS) program. Grant Walker and Jack Regehr will give Patty Rooks information about Sexual Health specific nurses 4 P a g e

5 5.2. South Zone Executive Leadership Update Katherine Chubbs, Chief Zone Officer, South Zone; Dr. Jack Regehr South Zone Medical Director; Grant Walker, Senior Operating Officer Blake Pederson noted that the fall forum was well done and the meetings were interesting and the information was exceptional. Blake Pederson also provided feedback on the format and style of a few presentations. Katherine Chubbs provided an update on the South Zone Operational Plan and that the design will be hugely informed by front line staff. Katherine Chubbs also share that South and Calgary Zones are competing for top place in immunization rates. Currently, there is a large focus on Indigenous health and working with the nations in south zone to ensure we are providing the care that they need. As well as, cultural sensitivity training for everyone, and it is mandatory for all leadership. Katherine Chubbs also spoke to the questions being raised about the closure of 6 west at the Medicine Hat Regional Hospital explaining that it was not the most cost effective form of service delivery. AHS will continue to strive for the most efficient model providing patients with the right care at the right time in the right place. Dr. Jack Regehr provided a physician recruitment update noting that recruitment is stable and AHS continues to recruit in certain areas. Further details were also provided about midwifery in Alberta, highlighting that it is not a medical model, they have their own model and govern themselves, similar to the Netherlands. Blake Pederson asked if chronic pain treatment wait times could contribute to the problem with opioids. Dr. Jack Regehr added that this program is difficult to resource, general practitioners can provide some services but there is a lack of physicians trained and interested in this field to meet the demand. Grant Walker advised council that the pertussis outbreak has improved, there are still some cases and is more common in communal living, close communities and where immunization rates are low. In Oyen, Grant Walker has been working with the community around the replacement of a physician practice and continuing care beds. AHS would like to see people stay close to their supports. Many acute care beds have been used as waiting spaces for placements. AHS has worked with Alberta Seniors Housing and Alberta Health to determine the number of beds, and how to best develop beds and where to put them. This could be used as a way to address the needs of rural and remote communities. Grant Walker also provided an update on the Enhancing Care in the Community funding that became available in October. 5 P a g e

6 5.3. Report from the Chair Next Meeting Dr. Ken Sauer ACO Report Sarah Hope 2017/2018 Council Work Plan Updates Linda Iwasiw highlighted work underway on the South Zone Operational plan focusing on patient flow and transitions of care. This work is based on evidence and best practice, looking at data and improvements made in other jurisdictions. Although the focus will be on larger centres work will also look at rural centres and beyond acute care centres into the continuum of care. Linda Iwasiw added that improvements will be made to acute care services and the space on the 6 th floor will be used to continue seamless patient care until improvements are complete. Ken Sauer provided council with an update form the last Council of Chairs meeting and minutes are sent out regularly. Ken Sauer also informed council that he will be doing a conference call with AHS leadership and would like to bring forward the priorities and concerns of council communities. Members provided feedback on the virtual information sessions and noted that some of the presenters need to be more engaging for the online sessions and added they have noticed the sessions evolving positively. Patricia Dietrich and Paul Nederveen provided an update on the focus on addiction and mental health work plan priority. They have worked to take an inventory of resource materials available and has collected a total of 17 resource materials. The resource guide available through The Canadian Mental Health Association, when you need help is well circulated and it is updated annually in January. There is also a resource guide from the community assistance network that includes many community programs and resources beyond mental health available in Medicine Hat. Patty Rooks asked AHS leadership what kinds of AHS resources are provided to schools in regards to public health. Grant Walker agreed to look into what resources AHS shares with schools. Date: Monday, January 22, 2017, 12:00 p.m. to 3:00 p.m. Location: Seventh Floor Meeting Room, Medicine Hat Regional Hospital 8. Meeting Adjournment Moved by Ken Sauer to adjourn the meeting at 3:34pm Council members to send top priorities and concerns to Sarah Hope and Ken Sauer Grant Walker to look into what kinds of resources are provided to schools through AHS Public Health. 6 P a g e