REGRETS: Board members Ross Clements and Colleen Young Prairie North RHA VPs Irene Denis, Barbara Jiricka, Dr. Bruce Murray, and Glennys Uzelman

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1 PRAIRIE NORTH REGIONAL HEALTH AUTHORITY BOARD REGULAR MEETING Wednesday, 1300 Hours CST/MDT Basement Boardroom, Battlefords Union Hospital Street, North Battleford, SK ATTENDANCE: Bonnie O Grady Chair Joanne Berry Ben Christensen Gillian Churn Richard Fiddler Terry Lamon Helene Lundquist Jane Pike Leanne Sauer Donald Speer David Fan Prairie North RHA President & CEO Lionel Chabot Prairie North VP Jerry Keller Prairie North RHA VP Linda Lewis Communications Officer REGRETS: Board members Ross Clements and Colleen Young Prairie North RHA VPs Irene Denis, Barbara Jiricka, Dr. Bruce Murray, and Glennys Uzelman MEDIA & PUBLIC ATTENDANCE: Presenters: Charlotte Hamilton, PNHR Primary Health Care Team Manager Alex Kolosnjaji, PNHR Human Resource Consultant Carol Rohovich, PNHR Human Resource Consultant Staff & Public: Media: Len Taylor, The Battlefords MLA Lorna Tarasoff, SUN Brian Manegre, CUPE Chris Mangatel, CJNB/Q98/The Rock Radio, North Battleford Highlights Presentation PNHR Nurse Practitioner Recruitment and Retention Strategy Motion #2011/06/004 Approval of PNHR s Annual Report to the Minister of Health. Update Primary Health Care Review Lloydminster. Motion #2011/06/005 Approval of Financial Statements for the period ending May 31, OPENING Board Chair Bonnie O Grady called the meeting to order at 1305 hours CST/MDT, and welcomed all those in attendance. 2.0 AGENDA Addition: 4.3 Minutes of Special Board Meeting, May 17, Primary Health Care Review - Lloydminster

2 Page 2 of / Moved: Leanne Sauer Seconded: Joanne Berry THAT the agenda be adopted as amended. CARRIED. 3.0 CONFLICT OF INTEREST PNHR Strategic Plan Pillar & Goal: Sustainability - Governance No conflict of interest was declared. 4.0 PREVIOUS MEETING MAY 25, MINUTES 2011/ Moved: Richard Fiddler Seconded: Helene Lundquist THAT the minutes of the Regular Meeting of the Board of Prairie North Regional Health Authority held May 25, 2011 be adopted as presented. CARRIED. 4.2 BUSINESS ARISING There was no business arising. 4.3 MINUTES OF SPECIAL BOARD MEETING MAY 17, 2011 Board members Terry Lamon and Leanne Sauer noted they were in attendance at the Special Board Meeting and requested the Minutes be amended accordingly. 2011/ Moved: Terry Lamon Seconded: Jane Pike THAT the minutes of the Special Meeting of the Board of Prairie North Regional Health Authority held May 17, 2011 be adopted as amended, showing that Board members Terry Lamon and Leanne Sauer were present. CARRIED. 5.0 NEW BUSINESS 5.1 NURSE PRACTITIONER RECRUITMENT AND RETENTION STRATEGY PNHR Strategic Plan Pillar & Goal: Providers Recruitment and Retention CEO David Fan introduced Carol Rohovich and Alex Kolosnjaji, PNHR Human Resource Consultants, and Charlotte Hamilton, PNHR Primary Health Care Team Manager to deliver a presentation on the Region s Nurse Practitioner (NP) Recruitment and Retention Strategy. The presentation is in response to the Board s request for more information about the Region s efforts and initiatives to recruit and retain NPs. Hamilton and Rohovich presented information, as circulated, about the definition of an NP, the education required and costs to become an NP, the current state of NP services and positions in Prairie North, the Region s NP recruitment and marketing strategies, and additional opportunities. Hamilton explained that of PNHR s 14 permanent NP positions, 10 are filled and four are

3 Page 3 of 6 vacant. The Region recently recruited one of the six University of Saskatchewan NP graduates to Turtleford, and is close to filling one NP vacancy in Meadow Lake and one in the Battlefords Union Hospital Emergency Room. PNHR currently has five students in NP education programs under its current NP recruitment strategy. Rohovich said that while PNHR has achieved good success thus far in recruiting and retaining NPs, in part through the Region s Grow Our Own strategy, more remains to be done in strengthening internal interest in the program and strengthening external recruitment. Rohovich explained that PNHR currently offers bursaries and recruitment incentives for NPs. Hamilton advised Board members that student preceptorships are also available. Seven NP students were mentored in the Region in , with more student preceptorships scheduled for Focus groups will be held with existing PNHR staff over July and August to educate them about what an NP is and does, and how to become an NP. PNHR also wants to hear about the challenges staff see when considering becoming an NP, and what PNHR can do to assist staff in overcoming these challenges and attaining the NP training. Rohovich also noted that PNHR must support its practicing and student NPs with skills maintenance and enhancement, and access to advanced technology. Hamilton advised that PNHR is expecting two NPs for Meadow Lake in August 2012, and has another possible for the community for September CEO David Fan summarized that Prairie North s strategies and incentives appear to be working, but that getting the NPs into the positions takes time. Board member Richard Fiddler noted that NPs would be ideal solutions for First Nations communities and residents, with the support of physicians who would be freed up for the betterment of the entire health system. Board members expressed appreciation for the presentation. 5.2 PNHR ANNUAL REPORT PNHR Strategic Plan Pillar & Goal: Sustainability Accountability and Performance Monitoring Communications Officer Linda Lewis presented the Prairie North Health Region Annual Report , as circulated. She provided revised pages 19/20, 35/36, and 41/42 advising that they are to replace the corresponding pages in the circulated Report. Lewis broadly reviewed the contents of the report, explaining that the document focuses on the Region s progress and results toward meeting the goals and strategies of its Strategic Plan and its Accountability Document with the Ministry of Health. The Report is highly measurement focused, consistent with the requirements for the Saskatchewan health system as a whole. Once approved by the Board, the Annual Report is submitted to the Minister of Health. After the Report is tabled with the Saskatchewan Legislature at the end of the July, the Report becomes available to the public. Board Chair Bonnie O Grady and CEO David Fan commended Lewis on the excellent job done in writing and preparing the Annual Report.

4 Page 4 of 6 Board member Jane Pike referenced pages 11 and 37 41, questioning how the health region and health system will know that initiatives such as Lean and Releasing Time to Care TM will result in more time spent with patients and improved patient care. Fan suggested that a presentation be prepared and made to the Board about both initiatives and how results are quantified. 2011/ Moved: Ben Christensen Seconded: Gillian Churn THAT the Board of Prairie North Regional Health Authority approves the Prairie North Health Region Annual Report as presented. CARRIED. 5.3 PRIMARY HEALTH CARE REVIEW LLOYDMINSTER PNHR Strategic Plan Pillar & Goal: Health of the Individual Primary Care CEO David Fan referenced June 17, 2011 Meeting Notes, as circulated, of the Lloydminster Primary Health Care Review Steering Committee. The Notes set out the Proposed Work Plan and Schedule for the Lloydminster Primary Health Care Project and define the Project Roles and Composition of the Steering Committee and Working Groups. The Steering Committee Terms of Reference have been established, along with Terms of Reference for two Working Groups. The Primary Health Care Center (PHCC) Working Group is to provide input into the design of the proposed PHCC on the Alberta side of Lloydminster. The Primary Health Care, Family Practice, and Teaching Center attached to the Lloydminster Hospital Working Group is to provide input into design of the stated elements attached to Lloydminster Hospital. Fan noted that representation is needed from physicians on both Working Groups. He said the work of the Steering Committee is moving ahead, with a joint visioning session scheduled for July 20, REPORTS 6.1 FINANCIAL STATEMENTS PNHR Strategic Plan Pillar & Goal: Sustainability Outcome & Monitoring VP of Finance/Information Technologies Jerry Keller referenced the Financial Statements to May 31, 2011, as circulated. He noted that the Statements show the Region with a $213,000 deficit to the end of May the first report of the fiscal year. The deficit is $682,000 better than budgeted to the end of May, with no quarterly payments yet received from the province under the SUN/Government Partnership Agreement. 2011/ Moved: Leanne Sauer Seconded: Jane Pike THAT the Board of Prairie North Regional Health Authority approves the Financial Statements for the period ending May 31, 2011 as presented. CARRIED. 6.2 BOARD CHAIR REPORT PNHR Strategic Plan Pillar & Goal: Sustainability Transparency & Accountability Bonnie O Grady provided a verbal Board Chair Report, as follows: May 30 & 31, 2011 Board Education Session - Regina June 6 & 7, 2011 National Health Leaders Conference Whistler, BC. Board members Leanne Sauer and Joanne Berry also attended. O Grady will circulate notes from the

5 Page 5 of 6 Conference. June 17, 2011 Primary Health Care Steering Committee Meeting Lloydminster. June 20 & 21, 2011 SAHO Board Meeting Regina. O Grady circulated Notes from the SAHO Board Meeting, Environmental Scan June 2011 for the SAHO Board of Directors, Canadian Healthcare Association information on Training the Healthcare Leaders of Tomorrow, and the Resources for Health Complaints brochure. June 23, 2011 Business Plan meeting for the Long-Term Care Facility Replacement Project in Meadow Lake. June 24, 2011 North Sask Laundry Prince Albert June 28, 2011 Continuous Safety & Quality Improvement (CSQI) Steering Committee Meeting CANCELLED. Upcoming events: August 25, 2011 North Sask Laundry Prince Albert. August 31, 2011 PNRHA Board Meeting Meadow Lake September 1, 2011 SAHO Board Meeting Regina. 6.3 ADMINISTRATIVE REPORTS PNHR Strategic Plan Pillar & Goal: Sustainability- Outcome & Monitoring CEO Report David Fan reviewed his CEO Report, as presented. VP Corporate Services In the absence of Irene Denis, David Fan presented the VP Corporate Services Report. VP Integrated Health Services In the absence of Barbara Jiricka, David Fan referenced the VP of Integrated Health Services Report, as circulated. Board member Gillian Churn asked why Lloydminster Hospital is at only 75% completion of surgical checklists as of the week of May 9, Board member Leanne Sauer requested an update on what remains to be done in follow-up to PNHR s May 2011 report to Accreditation Canada in the area of Managing Medications. Fan replied that staff education and training is needed regarding processes for medication management. Sauer inquired about the decline in North Battleford s long-term care wait list, as evidenced in the June 2011 LTC Wait List Report. She wanted to know the reasons for the decline, and how long people are waiting for LTC placement. Fan noted the wait list for Meadow Lake has also become a concern, and may necessitate consideration of increasing the number of LTC beds being planned for the new LTC facility in that community. The questions were deferred to Jiricka s next Board meeting attendance. VP Primary Health Services In the absence of Glennys Uzelman, David Fan referenced the VP of Primary Health Services Report, as circulated. Board member Joanne Berry requested more information regarding post cesarean section infection rates for Battlefords Union and Lloydminster Hospitals, as referenced in the 2010

6 Page 6 of 6 Infection Prevention and Control Summary. The question will be referred to Uzelman for response. Board members asked for clarification around the PUVA program: what it is and what PUVA stands for. The inquiry will also be referred to Uzelman. VP Development and Operations Lionel Chabot referenced his VP of Development and Operations Report, as circulated. VP Finance/Information Technologies Jerry Keller referenced his VP of Finance/Information Technologies Report, as circulated. Communications Officer Linda Lewis referenced her Communications Officer Report, as circulated. VP Medical Services No VP Medical Services Report was available. 7.0 COMMUNICATION/CORRESPONDENCE Letter to the Editor Health Care Experience Humiliating Ann U. Ewanchuk 8.0 DATES AND LOCATIONS OF NEXT REGULAR BOARD MEETINGS o Wednesday, August 31, 2011 Meadow Lake (NOTE: No meeting is scheduled for July) Wed., Sept. 28, 2011 Turtleford Wed., Oct. 26, 2011 North Battleford Wed., Nov. 30, 2011 Lloydminster Wed., Dec. 21, 2011 North Battleford NOTE: The LOCATION of the September 28, 2011 meeting is to be reviewed. THE MEETING RECESSED AT 1500 HOURS CST/MDT. 9.0 ADJOURNMENT 2011/ Board Chair Bonnie O Grady declared the regular meeting and in camera meeting adjourned at 1638 hours CST/MDT. Chair Secretary