Beaverton Thorah Medical Centre Board
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1 Beaverton Thorah Medical Centre Board Date: Tuesday, November 29, 2016 Duration: 7:00 p.m. 8:17 p.m. Location: Meeting Room, Beaverton Town Hall Minutes Present: Terry Clayton, George Ranich, Karen Hakonson, Lee Brotherston, Councillor Gord Lodwick, Councillor Cyndi Schaffer Guests: Janet McPherson, Executive Director, Brock Community Health Centre, Peter Elliot, Board Chair, Brock Community Health Centre : Thomas Gettinby, CAO & Municipal Clerk, Becky Jamieson, Deputy Clerk (recording the minutes) 1. Call to Order Chair Terry Clayton called the meeting to order 7:01 p.m. Declaration of Pecuniary Interest N I L 2. Confirmation of Minutes Tuesday, June 28, 2016 Moved by Karen Hakonson that the minutes of the June 28, 2016 Beaverton Thorah Health Centre Board meeting be approved as circulated. Motion Carried. Ms. Hakonson enquired as to why there is no seconder on the motion within the minutes. The CAO & Municipal Clerk advised that a seconder is not required for Committee meetings. 3. Hearing of Deputation 1) 7:00 p.m. Janet McPherson, Brock Community Health Centre (CHC) Ms. Janet McPherson, Executive Director of Brock Community Health Centre and Mr. Peter Elliot, Board Chair of the Brock Community Health Centre Board made the following presentation: This document is available in alternate formats upon request. Please contact the Clerk s Department at
2 Brief History of Brock CHC Incorporated as a non-profit organization in 2002 Proposal for Brock CHC submitted to the MOHLTC in 2003 In 2005, MOHLTC announced 22 new CHCs including a CHC for Brock Township Funding started to flow in 2007 (pre-operational funds and then permanent operational funds) Diabetes Education Program began in 2007, followed by Community Development and Health Promotion Program Primary Health Care Program began operation in 2009 Brock Geriatric Assessment Program began operation in 2010 Effective January 1, 2011, Brock CHC assumed responsibility for Brock NP Project, formerly known as the NP Demonstration Project Now the largest primary health care provider in Brock Township serving local residents and surrounding areas One of 108 community-governed primary health care organizations in Ontario Model of Health & Wellbeing The Model of Health and Wellbeing is the foundation for the Community Health Centre Model of Care Attributes: Accessible Anti-oppressive and culturally safe Inter-professional, integrated and coordinated Based on the determinants of health Community-governed Ground in a community development approach Accountable and efficient Funded by Central East Local Health Integration Network (CE LHIN) Member of Association of Ontario Health Centres (AOHC) All staff are salaried Non-profit organization; charitable status pending Governed by a Multi-Sector Accountability Agreement (M-SAA) Primary Health Care Program 64 Cameron St. E., Cannington o Preventative health care practices o Treatment of chronic and episodic illnesses o Urgent same day appointments o Counselling services o Access to a multidisciplinary team of health care providers including allied health professionals (dietitian, social worker) o Access to phlebotomy and ECG services o 2 Family Physicians (funded for 2.5 FTE) o 2 Nurse Practitioners o 1 Registered Nurse o 1 Social Worker o 1 Registered Dietitian (.5 FTE) Page 2 of 8
3 o o 2 Medical Secretaries 1 Medical Receptionist Diabetes Education Program 20 Cameron St. W., Cannington o One to one counselling and group sessions that focus on healthy eating, becoming more active, setting realistic goals, monitoring progress and empowering clients o Referrals to allied health professionals o Sites in Cannington, Beaverton and Sunderland o Registered Nurse Diabetes Education o Registered Dietitian Diabetes Educator Brock Geriatric Assessment Program 720 Simcoe Street, Beaverton o Comprehensive assessment of seniors, primarily aged 75 years and older, living at home or in retirement residences with complex health care needs o Referrals to other health services and community agencies for further assessment, information or health and social services o Consultation with a Geriatrician through video-conferencing o Nurse Practitioner o Registered Practical Nurse / OTN Coordinator o Receptionist Brock Nurse Practitioner Program Beaverton Thorah Health Centre, 468 Main St. E., Beaverton o Preventative health care practices o Treatment of chronic and episodic illnesses o Urgent same day appointments o Counselling services o Access to a multidisciplinary team of health care providers including allied health professionals (dietitian, social worker) o Access to phlebotomy and ECG services o Nurse Practitioner (2 FTE) o Funded and recruiting for second NP Community Development/Health Promotion Program 720 Simcoe Street, Beaverton o Personal health and wellness programs o Physical activity programs o Engagement/coordination with community organizations in joint planning and integration activities o Increase access to supports, programs and services Page 3 of 8
4 o o o Health Promoter Seniors and Community Health Worker Youth and Community Health Worker Service Activity 2015/16 3,052 Individuals served (registered) 2,781 Individuals served (non-registered) 990 Group Sessions 16,481 Total service provider interactions Board of Directors 15 Board members representing Brock Township and surrounding areas Community-based governance Capital Project Ministry of Health Capital Project Approximately 21,000 square feet in total Located at 39 Cameron Street W. in Cannington Will bring together all current programs provided by Brock CHC Readily accessible by pedestrian or vehicular traffic, and close to Durham Region and Go Bus connections Parking in close proximity to the building Dedicated space for programming associated with Brock CHC s two priority populations: seniors and youth Co-location with Community Care Durham Brock Potential space for non-profit organizations and community groups to utilize. Planning Grants: o 3 possible approval milestones: proposal development, functional program, design o Pre Capital (Part A & B) Review and support of pre-capital submission. Proposal development grant. o Stage 1: Proposal (Part A & B) Review and approval of stage 1 submission. Functional program grant. Requires government approval to plan. o Stage 2: Functional Program (Part A & B) Review and approval of stage 2 functional program. Design development grant. o Stage 3: Preliminary Design or Output Specifications o Stage 4: Working Drawings or Output Specifications Review and approval of blocks and sketch plans. Approval to proceed to working drawings or blocks/output specifications. Requires government approval to construct. Construction Grant: o Stage 5: Implementation Page 4 of 8
5 Review and approval to tender and implement/issue RFP or approval to award construction contract/project agreement. Brock CHC Building is currently in Stage 3.2 Preliminary Design Part 2 Beaverton Thorah Health Centre Space being leased at the Beaverton Thorah Health Centre for full-time Nurse Practitioner D. Bucknell, in collaboration with Dr. G. Laudanski, as part of the Brock NP Project Funded for 2 Nurse Practitioners Space also being used by Diabetes Education Program Mondays, Wednesdays and Thursdays Potential to collaborate with Board/Municipality Councillor Lodwick noted that all employees are salaried and enquired if this inhibits the number of patients seen and was advised not. Ms. McPherson advised that the CHC serves more complete clients with multiple issues. Mr. Elliott added that the CHC has a three (3) year agreement with the Central East LHIN in which there are a number of targets and standards of expectations that the CHC has to meet. Ms. McPherson added that there is a certain number of clients the CHC has to see each year which is determined based on the previous three (3) years. She advised that that the CHC is the only primary health care provider in the LHIN. She concluded by noting that there are a number of other Provincial standards they have to meet including number of cancer screenings, colon screenings, etc. Ms. Hakonson enquired if the CHC model is as successful in recruiting doctors as the fee-forservice model. Ms. McPherson advised that the fee-for-service model is on the decline as doctors want to be part of a team to help reduce overhead costs, have more support, and they are able to do urgent care. Ms. Hakonson enquired if quality of life is important to doctors and was advised in the affirmative. Ms. McPherson advised that the CHC hires doctors who buy-in to the CHC model and wants to work with the organization and other employees. She advised that it can take longer to hire a doctor as many are not familiar with the CHC model. She concluded by advising that the CHC offers attractive packages for doctors that include pension, vacation, sick days, benefits, more stable hours but has a capped salary. Mr. Elliott advised that, due to doctor income cuts from the Province, the CHC model is becoming a more attractive option. Ms. McPherson advised that family health teams are a very popular option for doctors. Chair Clayton enquired if there will be another nurse practitioner at the Beaverton Thorah Health Centre at the start of January. He further enquired if two nurse practitioners could manage with three (3) examination rooms between the two of them, noting that if the Board is successful in recruiting a doctor to the Centre, space will need to be reviewed. Mr. Elliott advised that if the Board is successful in recruiting a doctor that is great but noted that the CHC has resources available and are willing to work with the Board. He further advised that the specific space requirements would be something that could be discussed at a later date. Page 5 of 8
6 Ms. McPherson advised that there is very little difference between a nurse practitioner and a family physician noting that there are only a few things that a nurse practitioner cannot do (e.g. MRI referral, opiates). She further advised that it is difficult to keep nurse practitioners as part of a CHC as they can make more money at hospitals but that the LHIN is working to get more funding to encourage them to stay with the CHC. She concluded by advising that when the CHC gets the approval to hire a second nurse practitioner they will proceed. Chair Clayton advised that the board is looking to have an architect review the space at the Beaverton Thorah Health Centre to determine potential options to accommodate more physicians within the centre. He enquired if the CHC would be willing to discuss space requirements and was advised in the affirmative. Ms. McPherson advised that the CHC does have financial limitations. She further advised that they would like the diabetes education program to remain at the health centre as it has been very successful. She concluded by advising that, should the board be successful in recruiting a doctor, discussions with CHC could occur to see the potential of the doctor having access to CHC resources. Chair Clayton advised that Dr. McCordic wants to disconnect the number she uses at the Beaverton Thorah Health Centre expressing concern that that number is the one the public is familiar with. Ms. McPherson advised of the importance of the phone being answered as Brock CHC for the services they provide for continuity. She advised that, since 2009, the CHC operating budget has remained unchanged. She concluded by advising they are committed to the two locations moving forward but they need to be fiscally responsible. Ms. Hakonson enquired as to the term of agreement with the CHC for the space at the Beaverton Thorah Health Centre and was advised two (2) years, noting that the current lease will expire at the end of The CAO & Municipal Clerk asked Ms. McPherson if the CHC is committed to a presence in Beaverton and was advised in the affirmative, noting that the services offered in Beaverton were never part of the CHC build. Mr. Elliott advised that they are funded for two (2) nurse practitioners who are to be allocated based on the community need. Originally one (1) was to be placed in Sunderland and one (1) in Beaverton but with Dr. McCordic s retirement the need is greater in Beaverton. Ms. Hakonson enquired if potential doctors are looking for incentives to join the CHC such as first year rent free. Ms. McPherson advised that the CHC is very restricted in what they can offer, yet they are still successful in recruiting doctors. The CAO & Municipal Clerk enquired if the CHC is successful in recruiting a second nurse practitioner to work with the current nurse practitioner and Dr. Laudanski, would this satisfy needs of the community or would another doctor or nurse practitioner or both be required. Mr. Elliott advised that, in his opinion, he is not sure that a second nurse practitioner will cover all the needs of the community but noted that the CHC is recruiting a 0.5 doctor and how this doctor is utilized is something that can be discussed. Ms. McPherson advised that as a physician leaves and a new physician starts, it takes approximately two years for the new physician to be fully operational. She advised it would be very difficult to predict if two (2) nurse practitioners and one (1) doctor will support the needs of the community. Chair Clayton advised that Dr. Laudanski and Dr. McCordic both have not taken on new patients for a number of years. Page 6 of 8
7 Chair Clayton thanked Ms. McPherson and Mr. Elliott for their presentation. 4. General Items A) Results of meeting in Brechin re. Physician Recruitment Collaborative Effort with Orillia Soldier s Memorial Hospital & Township of Ramara The CAO & Municipal Clerk advised that Dr. Janet McMordie has advised that she is not interested in rostering patients and would like to focus on sport medicine. He further advised that another doctor is interested in coming to visit the Brechin Clinic and Beaverton Thorah Health Centre in February or March. He concluded by advising that staff received an inquiry from a couple who were writing their exams in October and are interested in coming for a community visit in the new year. Ms. Hakonson enquired if a job description and community profile were developed and was advised in the affirmative. The CAO & Municipal Clerk advised that Pat Thor and James Draper assisted in its development. He further advised that the job posting is posted on HealthForce Ontario and the Township of Brock website. He concluded that he will forward a copy to the Board for their information. B) Retirement event for Dr. McCordic Chair Clayton advised that the retirement event for Dr. McCordic is scheduled for Thursday, December 1 from 2:00 p.m. 4:00 p.m. at the Beaverton Thorah Health Centre. The CAO & Municipal Clerk advised that members of Council will be in attendance to present Dr. McCordic an acknowledgement to honour her years of service to the community. 5. Other Items & Inquiries A) New Business Chair Clayton advised that he spoke to Dr. McCordic regarding her equipment and that she is willing to sell the two (2) new examination beds and other equipment she is not planning to take with her to the municipality for $2, Ms. Hakonson confirmed that this does not include any equipment that has been donated by community organizations and was advised in the affirmative. Moved by George Ranich that board purchase the equipment from Dr. McCordic for $2,000. Motion Carried. Chair Clayton agreed to develop a list of the equipment the board will be purchasing. The CAO & Municipal Clerk advised that he will inform Council of the Board s motion at their meeting on Monday. Chair Clayton expressed concern with Dr. McCordic wanting to disconnect noting that this is the number that the community is familiar with. He suggested that the board speak to Dr. Laudanski about changing his second number to Page 7 of 8
8 Ms. Hakonson enquired if staff have followed up with the architect and was advised not. The CAO & Municipal Clerk advised that it would be premature to contact the architect until an additional tenant is secured. Chair Clayton clarified that the intention of the review is to determine load vs. non-load bearing walls which could be removed. The Board agreed that the next meeting would be scheduled for Tuesday, January 24 at 7pm. The Board agreed that they would meet every other month on the fourth Tuesday. The Deputy Clerk advised that she will prepare a draft schedule to be circulated to the Committee. B) Public Questions and Clarification N I L 6. Adjournment 8:17 p.m. Page 8 of 8
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