ST. MICHAEL S HOSPITAL BOARD OF DIRECTORS

ST. MICHAEL S HOSPITAL BOARD OF DIRECTORS MINUTES OF REGULAR SESSION Tuesday, June 9, 2015 4:00 pm. 5:40 pm. 2 Bond Paul & Evelyn Higgins Conference Room DIRECTORS PRESENT: Mr. Tom O Neill, Chair Ms. Nora Aufreiter Dr. Andrew Baker Mr. Ian Clarke Ms. Hazel Claxton Mr. John Cruickshank Ms. Ruth dacosta Ms. Julie DiLorenzo Mr. Bill Etherington Mr. Peter Gordon Mr. Tony Graham Mr. Doug Guzman Dr. Aaron Hong Dr. Bob Howard Ms. Colleen Johnston Ms. Mary McConville Ms. Noella Milne Dr. Cheryl Misak Dr. Kenneth Pace Dr. Tom Parker Mr. Harry Singh Mr. Frank Techar St. Michael's Hospital Staff: Ms. Sandra Carr-Harris, Recorder, Board of Directors Mr. Vas Georgiou, EVP & Chief Admin. Officer Ms. Deanna Heroux, Interim Dir Strat & Corp Planning Dr. Patricia Houston, VP Education Ms. Mary Lowe, VP Communications & Public Affairs Ms. Fil Machado, Director of Mission & Values Ms. Mary Madigan-Lee, VP, Human Resources Mr. Jason Manayathu, Project Mgr.Med.Affairs, Education Ms. Hazel Markwell, Director of Ethics & Spiritual Care Mr. Mike Mendonca, VP Facilities and Support Services Ms. Alayne Metrick, President SMH Foundation Dr. Doug Sinclair, EVP & Chief Med. Officer Dr. Art Slutsky, VP, Research Ms. Mary Lou Toop, Interim CFO Ms. Anne Trafford, VP Quality, Performance, IM & CIO REGRETS: Dr. Richard Alway Ms. Ella Ferris Mr. Claude Lamoureux Mr. John Ruetz Dr. Trevor Young Guests: Dr. Karen Weyman, Interim Chief, Dpt, Fam.Med. Minutes June 9, 2015 Page 1

1.0 CALL TO ORDER The meeting was called to order at 4:00 pm. Dr. Tom Parker opened with a prayer. 2.0 PRIMARY CARE AND THE SUMAC CREEK HEALTH CENTRE Dr. Karen Weyman referred to the priorities for Family Health Teams in the province s next phase of health system transformation Patients First: Ontario s Action Plan for Health Care. An overview was provided on the new Sumac Creek Health Centre, the hospital s sixth site of the St. Michael s Hospital Family Health Teams. The health centre will service not only our disadvantaged population but also the growing urban community in our catchment area - as outlined in St. Michael s Strategic Plan. The facility is located at the corner of Dundas and Sumach Streets with 26,000 square feet to provide one-stop services to patients. There is a multi-disciplinary health care team including Mental Health physicians, radiology and diagnostic services. The three high priority areas that will be served are Regent Park, Moss Park and St. Jamestown. This will eventually grow to include other areas in the catchment area. Many connections have been made with community organizations (i.e. Regent Park Community Health Centre, etc.) and more partnering with agencies serving the disadvantaged community will come about. All Board members are invited to attend the official opening ceremony on July 13. 3.0 APPROVAL OF PREVIOUS MINUTES Motion: Mr. O Neill moved that the minutes of May 12, 2015 be approved as circulated. 4.0 REPORT OF THE CHAIR Mr. O Neill reported the following items: The Board and a number of the committees will now recess for July and August and reconvene in the Fall. The Governance and Nominating Committee will meet during the summer to discuss Director recruitment and review senior leadership compensation. The Planning and Construction Committee will continue to meet as needed. Dr. Kenneth Pace is this year s recipient of the complete physician award for teaching excellence. Board members Ian Clarke, Julie DiLorenzo, Andrew Baker and Kenneth Pace were thanked for their significant contributions to the Board during their tenure as Directors. Colleen Johnston replaces Ian Clarke as Chair of the Business Services and Audit Committee. Effective July 15 Dr. Tom Parker, Chief of Medicine, assumes the role of Chair of MAC and Dr. Glen Bandiera, Chief of Emergency Medicine, will be the incoming Vice-Chair of MAC. Dr. Aaron Hong now moves to President of the Medical Staff Association following the tenure of Dr. Ken Pace. The remaining MSA executive will be selected at their June 24 meeting. 5.0 REPORT OF THE PRESIDENT Dr. Howard reported the following items: Dr. Howard added his gratitude to the departing Board members. SMH 3.0 is in full swing a full report was provided later in the meeting. The actual year end surplus is $4.934 million compared to the opening budget deficit of $3.237 million. A more detailed presentation was made during the report from the Business Services Committee. The PWC operational review of the Finance Department was discussed during the In Camera session. The implementation of the EY Operational Review report recommendations has been launched in the form of the hospital Improvement Program. This program will entail a significant change initiative and will guide the action plans for 2015-16. Initial roll out is to the areas of Supply Chain, Heart and Vascular and Perioperative Services. An updated presentation will be provided to the Board in the Fall. Minutes June 9, 2015 Page 2

An agreeable solution to the flight path of our helipad has been reached with the United Church, the hospital and the province. However, it appears that a number of other developers in the area are also looking to build in the flight path necessitating finding a long term solution with the Federal government implementing aeronautical zoning regulations. On June 8, Ontario Minister of Research and Innovation Reza Moridi was provided with a tour of the Keenan Research Centre. This was a great opportunity to showcase the unique role St. Michael s has to play in the research enterprise. The Catholic Health Sponsors of Ontario (formerly Catholic Health Corporation of Ontario) recently launched its new strategic plan Strong, Unified Catholic Healthcare in Ontario. The main goal is to serve the needs of the vulnerable population. Service recognition and awards from last month were announced. Amongst them, the Interdepartmental Division of Critical Care Medicine of the University of Toronto has designated its annual planning day as Art Slutsky Day. The Toronto Central LHIN recently launched its new Strategic Plan, The Future of Health Care is Local. Dr. Misak volunteered to assist the hospital with placing Research as an important part of the LHINs new agenda. This week, the Canadian Institute for Health Information will be releasing its latest health indicator data on Canadian hospitals. It is widely used by the media and the general public as a hospital scorecard. One area being reviewed by St. Michael's is our high rate of C-Sections for those in a low risk category. In preparation for the Toronto 2015 Pan Am / Parapan Am Games the Hospital has been working with the Toronto Central LHIN and other key partners on a regional Emergency Preparedness Plan. 6.0 REPORT OF THE FOUNDATION Ms. Metrick reported the following items: The Foundation is now at $182m for the $210m campaign. The recent Innovation night featuring quality and patient safety initiatives was a great success. An outline was provided of the upcoming activities planned during summer months. 7.0 MOTIONS AND COMMITTEE REPORTS 7.1 From the Medical Advisory Commtitee 7.1.1 Motion Re Medical Appointments Dr. Baker moved that the medical appointments be approved. 7.1.2 Motion Re Reappointment of Chief, Critical Care Mr. O Neill moved that Dr. Andrew Baker be renewed as Chief, Critical Care for a second five-year term. Mr. H. Singh who chaired the review committee suggested that Dr. Baker s vision for Critical Care be presented at a future Board meeting. 7.2 From the Governance and Nominating Committee 7.2.1 Motion Re Director Reappointments Mr. O Neill moved that Nora Aufreiter be reappointed for a second three-year term and that Tony Graham be reappointed for a third three-year term. 7.2.2 Motion Re Chair Reappointment It was moved that Mr. Tom O Neill be reappointed as Chair of St. Michael s Board of Minutes June 9, 2015 Page 3

Directors for a one-year period effective July 1, 2015. 7.3 From the Business Services Committee June 4, 2015 Highlights of items discussed at the June 4 meeting: Enterprise Risk Management - The Office of Emergency Preparedness has been created and a separate risk registry has been/is being created to specifically monitor, oversee and mitigate the risks associated with SMH 3.0. New for 2015/16 is the establishment of a HIROC Integrated Risk Management initiative. Business Systems Update As the hospital enters Phase 2 of the initiative they identified that the points key to future projects include having a very clear understanding of what the contract is actually providing and identifying whether the organization has the suitable internal human resources to implement the goals. Year End Audit and Financial Statements The Finance team faced exceptional challenges this year but performed well and the committee is comfortable with the results. Research Structural Deficit - as contingency plans roll out to address the $1m shortfall in Research funding a quantification will be prepared on the reputational benefits to St. Michael's Hospital of doing research. The following Motions from the Business Services Committee are presented to the Board for approval: 7.3.1 Motion Re Hospital Financial Statements Mr. Clarke moved that St. Michael's Hospital Financial Statements as at March 31, 2015 be approved. 7.3.2 Motion Re Pension Plan Financial Statements Mr. Clarke moved that the Financial Statements to December 31, 2015 for the Fund of St. Michael s Hospital Pension Plan be approved. 7.3.3 Motion Re Reappointment of Auditors Mr. Clarke moved that PricewaterhouseCoopers be reappointed as auditors for St. Michael's Hospital for the period 2015 2016 subject to satisfactory fee negotiations. 7.3.4 Motion Re Consultant Spend Broader Public Sector Mr. Clarke moved that the Professional Fees & Consulting Services for April 1, 2014 - March 31, 2015 be approved. 7.4 From the Research and Education Committee The committee did not meet since the last Board meeting. One Motion is brought forward. Motion: Ms. Aufreiter moved that St. Michael s Hospital agree to participate in the Clinical Trials Ontario (CTO) delegated board of record research ethics review process for multi-centre studies. 7.5 From The Quality Committee June 3, 2015 At this meeting the committee was apprised of 1) the Discharge Planning QIP objective for the Trauma Neurosurgery unit to improve the quality and effectiveness of patient discharges; 2) the critical incidents for the current reporting period; and 3) Choosing Wisely a national medical Minutes June 9, 2015 Page 4

stewardship campaign with the aim to identify tests, treatments and procedures that may be harmful to patients. Dr. Lisa Hicks made her Choosing Wisely presentation to the Board today noting that St. Michael s is an early adopter site and a utilization committee is in place, an important piece for the program to gain traction. A number of tests are being reviewed for possible modification or elimination. 7.6 From the Community Advisory Committee May 25, 2015 The main presentation was on the Sumac Creek Health Centre. This initiative supports not only the goals of the hospital s strategic plan but also the mission of the Sisters of St. Joseph in caring for the disadvantaged population. The last approval for the capital submission on the combined Withdrawal Management Services (UHN & St. Michael's) remains outstanding with the Ministry of Health and TCLHIN. 7.7 From the Planning and Construction Committee The project is progressing well, on time and on budget, with no major issues to report. As demolition progresses in the Donnelly Wing some areas have been identified which require additional work however, this extra work is being tracked on a time and material cost basis, and in both these cases we have contingency/cash allowances included in the Bondfield contract to cover these unknown/unforeseen items. No impact is anticipated on the project budget or schedule. 8.0 DATE OF NEXT MEETING September 8, 2015 @ 4:00 pm in the 2 Bond Paul & Evelyn Higgins conference room. 9.0 CLOSURE The meeting was brought to closure at 5:40pm. Mr. T. O Neill, Chair Date Dr. B. Howard, Secretary Date Minutes June 9, 2015 Page 5