MINUTES REGULAR MEETING of the Board of Directors Tuesday, January 22, 2013 / 4:00 pm / Community Engagement Room

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MINUTES REGULAR MEETING of the Board of Directors Elected Ed Archer, Director Robert Hall, 1 st Vice Chair Directors: Jon Babulic, Past Chair Rick Horst, Chair Brian Bentz, Director Harry Hughes,

1 MINUTES REGULAR MEETING of the Board of Directors Elected Ed Archer, Director Robert Hall, 1 st Vice Chair Directors: Jon Babulic, Past Chair Rick Horst, Chair Brian Bentz, Director Harry Hughes, Director Helen Coutts, Director Kirsten Parker, 2 nd Vice Chair Shari Elliott, Director Michael Smith, Director Barry Green, Director Ex-Officio Dr. Geoffrey Bond, VP, Medical Staff Sharon Partridge, Chief Nursing Officer Directors: Wayne Hubbard, President, RVH Auxiliary Dr. Jim Shaver, Chair, Medical Advisory Committee Dr. Sandy McDonald, President, Medical Staff Janice Skot, President and CEO Staff David Coward, VP, Chief Human Resources Officer Hilary Rodrigues, VP, Chief Financial Officer Resources: Lindsey Crawford, VP, Reg Cancer & Clinical Serv Valerie Smith, Director, Governance & Special Projects Brian Edmonds, Chief Operating Officer Dr. Chris Tebbutt, VP, Academic & Medical Affairs Suzanne Legue, Chief Communications Officer Joni Jones, Sr. Administrative Assistant, Recorder Guests: Kristina Amores-Hudson, Manager, Cancer/Palliative Bob Kennedy, Community Representative Cathy Carruthers, RPN, Cancer Program Dr. Sylvan Plante, Cardiologist, Southlake Wendy Robinson, RN, Cancer Program Selma Mitchell, Director, Cardiovascular Program Dr. Chris Dibble, Cardiologist, RVH 1.0 CALL TO ORDER The Board Chair called the meeting to order at 4:07 pm. The Board was informed that Director Greg Bell tendered his resignation from the Board effective immediately for personal reasons. The Chair noted that Item 9.0 Matters for Discussion will be brought forward on the agenda to accommodate staff schedules. Quorum - There being only no regrets quorum was attained. Declaration of Conflicts - No conflicts of interest noted. Approval of Agenda - It was duly moved, seconded and carried to accept the January 22, 2013 agenda as circulated. 2.0 SPECIAL PRESENTATION Site Orientation Coordinator (SOC) Presentation Cancer/Palliative The VP Regional Cancer and Clinical Services introduced Kristina Amores-Hudson, Manager, Cancer & Palliative Inpatient Unit; Wendy Robinson, RN, Cancer Program and Cathy Carruthers, RPN, Cancer Program, who provided their Site Orientation Coordinator presentation from the Cancer/Palliative program. Kristina, Wendy and Cathy were excused at 4:30 pm. Page 1 of 5

2 3.0 EDUCATION SESSION Physician Credentialing Process The Chief of Staff provided education on the Physician Credentialing Process which included Professional staff categories and departments; Professional staff and Hospital relationships; what privileges are; the application and appointment process; criteria to appoint staff; and the reapplication process. A summary of the processes noted that from applicant to professional staff they must satisfy requirements to be on staff; satisfy impact analysis review of resource needs; and perform acceptably. 4.0 CONSENT AGENDA It was noted that Rob Hall was not in attendance at the Governance Committee meeting of October 3, These minutes will be removed from the Consent agenda, revised and brought back to the March 26, 2013 meeting for final approval. The following motion was duly moved, seconded and carried: WHEREAS the Board of Directors reviewed the January 22, 2013 Consent Agenda; BE IT RESOLVED that the Board of Directors approve and/or receive the January 22, 2013 Consent Agenda with the exception of the Governance Committee minutes of October 3, 2012 which will be removed for further discussion. Minutes of Board Meeting (Nov 27 12)* to be approved Capital Redevelopment Steering Committee Minutes (Sept / Nov 28 12)* - to be received Capital Redevelopment Steering Committee Report (Jan 8 13)* - to be received Executive Committee Minutes (Nov 1 12)* - to be received Executive Committee Report (Nov 27 12)* - to be received Governance Committee Report (Jan 16 13)* - to be received Joint Conference Committee Minutes (Oct 2 12)* - to be received Joint Conference Committee Report (Dec 4 12)* - to be received Medical Advisory Committee Meeting Report (Jan 22 13)* - to be approved Performance and Audit Committee Minutes (Nov 20 12)* - to be received Performance and Audit Committee Report (Jan 15 13)* - to be received Quality Committee Minutes (Oct 24 12)* - to be received Quality Committee Report (Dec 11 12)* - to be received A discussion ensued around the Medical Advisory Committee approval of credentials. FOLLOW-UP: The Governance Committee minutes of October 3, 2012 will be revised as noted and brought back to the March 26, 2013 meeting for approval. 5.0 BUSINESS ARISING No business arising. Page 2 of 5

3 6.0 CHAIR S REPORT The Board Chair reviewed summary of the evaluation notes from the November 27, 2012 meeting and provided thank you s and acknowledgements to Board members who participated in community events. 9.0 MATTERS FOR DISCUSSION Advanced Cardiac Care, SA PCI Program The Chief Operating Officer introduced Dr. Chris Dibble, Cardiologist, RVH; Dr. Sylvan Plante, Cardiologist, Southlake Regional Health Centre; Selma Mitchell, Director, RVH Cardiovascular Program; and Mr. Bob Kennedy, Community Representative to the Board meeting. The Community Representative provided the Board with his recent experience at RVH after experiencing a heart attack. The RVH Cardiologist reviewed the current standard of care in the North Simcoe Muskoka Local Health Integrated Network (NSM LHIN) and future treatment at RVH, noting that when a cath-lab is implemented at RVH 81-83% of patients in the NSM LHIN will no longer need to receive care at Southlake. The Southlake Cardiologist provided videos of a catheter stint being provided to a patient and noted that the Integrated Model of Care with Southlake s Interventional Cardiology group will provide a fully integrated PCI program model; an ad hoc model; and a 5-Day schedule model / 7-Day Triage model. RVH Director of the Cardiovascular Program reviewed the planned roll-out of the SA PCI Program noting that the proposal is complete and the final revision is being reviewed at Southlake. The Director reviewed timelines, facilities and equipment required; and the operating impact. The President and CEO provided thanks to the guests and Southlake Regional Health Centre, as well as everyone involved in the development of the proposal and noted that next steps include review by the Cardiac Care Network and the Ministry of Health and Long Term Care. Dr. Dibble, Dr. Plante, Selma Mitchell and Mr. Kennedy were excused at 5:45 pm. Hospital Service Accountability Agreement (H-SAA) The President and CEO noted that there has been no new information from the NSM LHIN regarding signing of the Hospital Service Accountability Agreement (H-SAA). The Board will be kept informed as new information is received. Accreditation The President and CEO noted that RVH has accepted the recommendation to delay Accreditation at RVH until DINNER - The Board members broke for dinner 5:45 pm. Dr. Sandy McDonald was excused from the meeting. Page 3 of 5

4 7.0 CEO REPORT The detailed CEO report was pre-circulated and questions were welcomed. The President & CEO reviewed several patient thank you letters received at RVH; provided an update on the status of influenza, C difficile and ALC at RVH and noted that the NSM LHIN has appointed a new CEO, Ms. Jill Tettmann. Strategic Planning Update The President & CEO provided current status of strategic planning at RVH reviewing the proposed mission, vision and values and next steps which includes continuing to meet with clinical programs/support services to identify gaps, opportunities and trends; continuation of external engagement; engagement to determine clinical priorities & strategic directions; approval of the Strategic Plan by the Board in Spring 2013; and finally roll out of the entire plan. Site Selection Committee The President & CEO reviewed current status of the future site selection and reviewed final committee membership. Capital Project Update The President & CEO informed the Board that RVH received from the NSM LHIN additional funding for , noting that this is in addition to previous funding increases. Renovations - The Chief Operating Officer provided a renovation update which included the Emergency Extended Care unit (formerly CDU); Medical Records; Level 2 West Entrance; Nuclear Medicine; Ultrasound Scan Room; and the Chapel. The completed Cardiac Care Unit (CCU); Cardiac/Renal; and Mental Health renovations were also reviewed. IO Report - The floor was open for questions regarding the pre-circulated Infrastructure Ontario report as of November 30, HR Recruitment - The 2012 external recruitment highlights were reviewed by the VP, Chief Human Resource Officer, noting that there have been 519 offers accepted to date and up to 700 staff moved internally. Health Links The VP, Chief Financial Officer informed the Board that the purpose of Health Links is to link unattached medically complex patients (who are high users of emergency, hospital and community resources) to the primary care system, which is being led, in our community, by the Barrie Community Family Health Team in partnership with RVH and the Community Care Access Centre (CCAC). It was noted that the Ministry s Focus is to target the population (high users) that account for $15.2B in healthcare costs and expand the number of Health Links over time. The goal of Health Links is to actively support 150 patients; transition one patient per BCFHT MD per year (70-75); and decrease Emergency visits by this group by 75% and hospitalizations by 50%. A process update was reviewed noting that an indicator working group has been identified; clinic space has been identified in close proximity to RVH; and the evolution of Health Links could lead to a virtual clinic in the future. Page 4 of 5

5 8.0 MATTERS REQUIRING DECISION Board Awards of Excellence The following motion was duly moved, seconded and carried: WHEREAS the Awards of Excellence Committee met on December 13, 2012 to review the nominations brought forward for the Board Awards; and WHEREAS the following people were recommended to receive the Board of Directors Awards of Excellence: Physician: Dr. Rob Ballagh, Otolaryngologist Staff: Kristyn Cole, Charge Technologist MRI/Ultra, Imaging Volunteer: Ina Smith, Cancer Program Director: Jonathan Wiersma, Director, Decision Support BE IT RESOLVED that the Board of Directors approves the recommendations from the Awards Review Committee for the 2012 RVH Board of Director Awards of Excellence as circulated OTHER BUSINESS Auxiliary Report The RVH Auxiliary Report was circulated for information purposes only. Foundation Report The RVH Foundation Report was circulated for information purposes only NEXT MEETING Tuesday, March 26, ADJOURNMENT There being no further business the meeting was adjourned at 6:45 pm. A session of independent directors (without management or related directors present) was held following adjournment of the meeting of the corporation. Respectfully submitted, Rick Horst, Chair Janice M. Skot, Secretary Page 5 of 5

Royal Victoria Regional Health Centre Organizational Chart

Royal Victoria Regional Health Centre Organizational Chart RVH BOARD OF DIRECTORS INTERIM CHIEF OF STAFF INTERIM CHAIR OF MAC Dr. Paul Voorhies voorhiesp@rvh.on.ca X41300 VICE PRESIDENT STRATEGY, COMMUNICATIONS