HALIBURTON HIGHLANDS HEALTH SERVICES OPEN SESSION Minutes of the Meeting of the Board of Directors Date: Members present: Len Logozar (Board Chair) Varouj Eskedjian (President and CEO) John Kay (Board Vice-Chair) Charles Simon Dave Bonham Jeffrey Gollob Doug Gilpin Carol Groves Bram Lebo Debbie Watson (CNO/Director of Patient Care) Time: 2:30 p.m. Location: Minden Board Room Administration: Kris Baird (H.R. Director) Betty Russell (Recorder) Shannon Feir (LTC D.O.C.) Regrets: Dale Robinson Dr. Norm Bottum Dr. Greg Karaguesian (Chief of Staff) Jacquie Richards Jane Taylor-Eastwood Prior to the Education Session, the Board was provided with a tour of the Minden Emergency Department and a demonstration of the Automatic Dispensing Units for medications. EDUCATION SESSION: Susan Fockler, Senior Pharmacist, Ross Memorial Hospital re Pharmacy Services at HHHS CEO, Varouj Eskedjian, introduced Susan Fockler, Senior Pharmacist at Ross Memorial Hospital (RMH). Many upgrades to RMH Pharmacy Department were initiated under Ms. Fockler s leadership and we look forward to improved services in HHHS facilities utilizing the Automatic Dispensing Units under her direction and oversight through integration processes. Susan Fockler provided a presentation outlining that the goal of the automated pharmacy system is To assist HHHS in optimizing the safety and effectiveness of all aspects of the medication system, including prescribing, transcribing, dispensing, administration and monitoring. She provided details of how this is carried out through an automated closed loop system. Following the presentation Susan Fockler responded to questions of clarification from Board members. Services to LTC are provided by National Pharmacy, while Ross Memorial Hospital provides for the HHHS Hospital sector. She explained how a future integration with a clinical information system will link all documentation for pharmacy, medication reconciliation, patient records and physicians. Future changes to the scope of practice for pharmacists will include prescribing and antibiotic stewardship. 1.0 CALL TO ORDER. Board Chair, Len Logozar, called the Board Meeting to order at 3:00 p.m. and welcomed guests.
1.2 Approval of Agenda The following changes were made to the agenda (removed from the consent agenda items and placed on the regular agenda): Approval of Hospital Privileges was moved to item 5.4 Medical Advisory Committee. 1.3 Conflict of Interest Moved by Dave Bonham, seconded by Carol Groves THAT the agenda be approved, as amended. Carried There were no conflicts of interest declared. 2.0 Consent Agenda Moved by Charles Simon, seconded by Doug Gilpin, THAT the consent agenda of the Meeting of the Board of Directors, as follows, be approved: That the Minutes of the Board of Directors Meeting, held March 27, 2014, be approved. That the Minutes of the Executive Committee Meeting, held April 7, be received. That the Minutes of the Finance Committee Meeting, held March 24, 2014, be received. That the Minutes of the Quality Committee Meeting, held April 7, be received. That the minutes of the Medical Advisory Committee Meeting of March 20, be received; That the following correspondence be received: Minutes of Hyland Crest Residents Council, March 11, 2014 Minutes of Highland Wood Residents Council, February 26, 2014 Minutes of Highland Wood Residents Council, April 8, 2014 Motion Carried 3.0 BUSINESS ARISING FROM PREVIOUS BOARD MEETINGS There was no outstanding business from previous meetings. All follow-up items have been completed. 4.0 NOTICE OF MOTIONS There were no motions. 5.0 COMMITTEE REPORTING 5.1 Executive Committee Board Chair, Len Logozar, reported that the Executive Committee met on April 7 th. The main item of discussion was a three-year Strategic Plan prepared for HHHS by Optimist SBR. The Strategic Planning Session will occur Friday, June 13 and Saturday, June 14. All parties have been invited, and other stakeholders will be interviewed as part of the exercise. The Mission, Vision and Values will be reviewed as part of the process. The Executive Committee also dealt with the CEO Goals & Objectives and the Operational Goals and Objectives for 2014-15. Board members commended Mr. Eskedjian for his request of a 360-performance review. - 2 -
Community Care has identified three members of its board who will be nominated at the HHHS AGM meeting in June, to join the HHHS Board as part of Integration. They will also participate in the Strategic Planning Session in June. 5.2 Finance Committee There was no meeting held this month. Employee sick time negatively affected the budget significantly but it is anticipated the budget will be close to a balanced position by year-end. The yearly audit is currently underway. Doug Gilpin, Chair of the Finance Committee, commended the CEO and Finance Staff in dealing with difficulties that arose this year, as well as the LHIN, who have been supportive. There are still pressure points to deal with but staff are working hard to balance the budget. 5.3 Quality Committee Chair of the Quality Committee, Charles Simon, reported that the Committee met on April 7 th. He expressed appreciation for the work of HHHS staff and their support to the Quality Committee. The Quality Improvement Plan has been completed for 2013-14. 5.4 Medical Advisory Committee (MAC) Chief of Staff, Dr. Greg Karaguesian, was unable to attend the meeting; however, Chief Nursing Officer and Director of Patient Care, Debbie Watson apprised the Board of the discussions of the MAC meeting held on April 17 th. The Foundation made a presentation to the medical group for support of the Palliative Centre fundraising campaign. The Province s Life and Limb Policy was reviewed. Kellie Churko, Manager of Health Information and Chief Privacy Officer, provided a presentation on electronic transcription, and scanning and archiving. All historical records will be converted to digital images and saved for easy access. In future, Kellie Churko will be invited to an education session of the Board. The Credentials Committee has reviewed all applications for hospital privileges through the accreditation process, as set out in the by-laws, and recommended the following be approved: Moved by Dave Bonham, seconded by John Kay, THAT the following physicians be approved for Active privileges for 2014-15 Dr. Bryan Michael Armstrong Dr. John D. Beattie Dr. Norm Bottum Dr. Scott Coles Dr. Aoife Conway Dr. Steve Ferracuti Dr. Karl Hartwick Dr. Bob Heyes Dr. Tina Stephenson - 3 -
Moved by Doug Gilpin, seconded by Bram Lebo, THAT the following physicians be approved for Courtesy privileges for 2014-15 Dr. Edwin (Ted) Brankston Dr. Nicole DeFrancesco Dr. Douglas Fiddler Dr. Keith Hay Dr. Brent MacMillan Dr. Wahid Pabani Dr. Kim Varty Dr. Michael Zettler Moved by Carol Groves, seconded by John Kay, THAT the following physicians be approved for Courtesy Camp privileges for 2014-15 Camp Timberlane: Dr. Trevor Glazman Dr. Dara Maker Camp White Pine: Dr. Sidney Nusinowitz Dr. Jill Solomon Carried 6.0 REPORT OF PRESIDENT AND CEO CEO Eskedjian provided a report highlighting national, provincial and Central East LHIN news, as well as information on HHHS happenings. This included updates on the Haliburton County health services integration, the strategic alliance with Ross Memorial Hospital, and the Quality Improvement Journey in Hyland Crest and Highland Wood long-term care homes. It was noted that HHHS provided a letter of support for the Haliburton County EMS Community Paramedicine proposal submitted to the Ministry of Health on April 17 th. If approved, this would allow paramedics to facilitate geriatric assessment and implement interventions in homes. The HHHS Volunteer Appreciation Dinner was held on April 7 th at the Haliburton Legion. CEO Eskedjian reiterated the huge benefit that volunteers make to HHHS and that their efforts are sincerely appreciated. 7.0 NEW BUSINES 7.1 Corporation Membership for 2014-15 It was moved by Dave Bonham, seconded by Bram Lebo, THAT the Corporation Membership for 2014-15, as circulated, be approved. Carried. 7.2 Board Survey Chair Logozar asked Board members to complete the Board Survey to provide feedback on the past year s activities as well as input and suggestions for the upcoming year. It will be distributed through SurveyMonkey in the next week or so with a good timeline for completion. - 4 -
8.0 FOUNDATION AND AUXILIARIES 8.1 HHHS Foundation Neither HHHS Foundation Executive Director, Dale Walker, nor Chair Peter Oyler were able to attend the meeting. Len Logozar and John Kay attended the last meeting of the Foundation. The Cash for Care Lottery is coming up for the final early bird draw and Mr. Logozar reminded each board member to purchase and help sell tickets. May 23 rd is the kickoff date for the Palliative Care campaign. 8.2 Minden Hospital Auxiliary President of the Minden Auxiliary, Val du Manoir, thanked the CEO for the volunteer appreciation dinner. Four Minden Auxiliary representatives and three Haliburton members attended the Auxiliary Convention in Uxbridge this year. Next year, the Auxiliary convention will be held in Haliburton County on April 23 rd. The Minden Gift Shop has re-opened. 8.3 Haliburton Hospital Auxiliary Tracy Lear, President of the Haliburton Hospital Auxiliary, was unable to attend the meeting. There was no report for the month. 9.0 PUBLIC QUESTION PERIOD: Reporter for the Minden Times, Angela Blenich, asked for the definition of restraints in the context of LTC Homes, which was responded to by Shannon Feir, Director of Care for Highland Wood and Hyland Crest. 10.0 ADJOURNMENT AND NEXT MEETING The next Board Meeting is to be held in Haliburton on May 22, 2014. This will contain the 2013-14 Audit report. Moved by John Kay, seconded by Charles Simon THAT the meeting adjourn at 4:10 p.m. Carried Board Chair - 5 -
ACTION ITEMS / FOLLOW-UP FROM BOARD MEETINGS Source Description Responsibility Completion March 27, Include Process Improvement and Patient Safety CEO / CNO 2014 Committee story for future education session (Board or QC) Invite Kellie Churko, Health Information, to provide CEO / EA an education session on electronic transcription, and scanning & archiving. March 27, Plaque to be erected in honour of Dr. Fiddler at CEO / EA 2014 the Minden Emergency Department Board Members are to complete the survey from Survey Monkey - 6 -