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APPROVED 2015.07.15 Regina Qu'Appelle Regional Health Authority Public Meeting Minutes Wednesday, May 27, 2015 at 19:00 Hours Town Hall/Opera House, Varennes Street Wolseley, Saskatchewan Present: Dick Carter (Chairperson), Brian Barber, Judy Davis, Linda Jijian, Larry Miskiman, Sean Quinlan, Gary Semenchuck and Peter Woidyla. Regrets: Colleen Bryant and Jocelyne Lang. Staff: Keith Dewar (President & CEO), Dr. George Carson (Senior Medical Officer, by teleconference), Karen Earnshaw (Vice President Integrated Health Services, Primary Health Care) Robbie Peters (Vice President & CFO Financial Services) and Denni Wood (Recorder). 1.0 Call To Order Chairperson D. Carter called the public meeting of the Regina Qu Appelle Regional Health Authority (RQRHA) to order at 19:00 hours. D. Carter welcomed members of the public to the RQRHA meeting. He reviewed the meeting protocol and explained that Authority members would be available after the meeting to respond to questions and concerns. 2.0 Approval of Agenda RHA #41-15 [Carried]. Moved by B. Barber and seconded by S. Quinlan that: the meeting agenda be approved. 3.0 Declaration of Conflict No conflicts of interest were declared. 4.0 Voice of the Patient Patient Story K. Earnshaw introduced a video which presented David Yee s story. 5.0 Credentialing Reports 5.1 Temporary Privileges Report Dr. G. Carson presented the Temporary Privileges Report. The RHA reviewed and approved the Temporary Privileges Report. The report included the following motion: RHA #42-15 [Carried]. Moved by L. Jijian and seconded by P. Woidyla that: the Regina Qu'Appelle Regional Health Authority grant temporary privileges for the following physicians: Department of Emergency Medicine Dr. J. Slabbert (Locum) May 4-14; June 23-July 2; July 27-August 14, 2015 Dr. P. Pepler May 14, 2015 and continuing until such time his application can be considered by the RQRHA Family Medicine Dr. S. Eliason (SMA Locum Moosomin) March 30 April 2, 2015 Dr. D. Djan (SMA Locum Moosomin) April 14 May 8, 2015 Regina Qu Appelle Regional Health Authority Minutes Page 1

Dr. I. Green (Locum Moosomin) April 20, 2015 and continuing until such time his application can be considered by the RQRHA Dr. F. Reitz (SMA Locum Wolseley) June 30 July3, 2015 Department of Pediatrics Dr. D. Lawale (WRC Peds Respite) May 19-24, 2015 Dr. R. Jokhan (WRC Peds Respite) April 30 May 3, 2015 Dr. N. Sidhu (Locum) May 20-30; June 8-15, 2015 Resident Electives Dr. B. Janzen (Family Medicine) June 15-30, 2015 Dr. R. Haver (Family Medicine) June 15-30, 2015 Dr. J. Gorka (Internal Medicine) April 20 May 2, 2015 Dr. L. Medu (Public Health) June 22 Sept 14, 2015 Dr. J. Giambattista (Rad Onc) May 3-31, 2015 Dr. E. Randle (Family Medicine) May 4-31, 2015 Dr. G. Bailey (Family Medicine) May 19-29, 2015 Dr. D. Austin (Obs/.Gyne) May 11 June 8, 2015Practitioner Advisory Committee (PAC) Report K. Dewar presented the PAC Report, on behalf of Dr. White. There were no extenuating circumstances to report. The report included the following motions: RHA #43-15 [Carried]. Moved by B. Barber and seconded by S. Quinlan that: The Regina 1.1 Applications for Membership (Credentials Committee meeting February 24 and April 21, 2015) 1.1.1 Dr. T. Soyemi, Emergency Medicine Temporary 1.1.2 Dr. J. Bastian, Family Medicine Visiting 1.1.3 Dr. I. Green, Family Medicine Associate 1.1.4 Dr. P. Gupta, Family Medicine Visiting 1.1.5 Dr. V. Prabhu, Family Medicine Visiting 1.1.6 Dr. S. Hudson, Medicine, Internal Medicine (Medical Health Officer) Associate (Limited) 1.1.7 Dr. C. Lekic, Surgery, Dental Surgery (Pediatric) Active 1.1.8 Dr. C. Yue, Surgery, Dental Surgery (Pediatric) Active 1.1.9 Dr. L. Clein, Surgery, Neurosurgery (Palliative Care Only) Temporary 1.1.10 Dr. H. Redwan, Surgery, General Surgery Temporary (until June 30, 2015) 1.1.11 Dr. M. Kaldas, Cancer Services Associate (Clinical Associate) 1.1.12 Dr. J. Bawden, Emergency Medicine Temporary with a Cross Appointment in the Section of Surgical Assist 1.1.13 Dr. T. Elliott, Emergency Medicine Temporary 1.1.14 Dr. Michael Lyons, Emergency Medicine Temporary with a Cross Appointment in the Section of Surgical Assist 1.1.15 Dr. P. Pepler, Emergency Medicine Temporary with a Cross Appointment in the Section of Surgical Assist 1.1.16 Dr. J. Piche, Emergency Medicine Temporary 1.1.17 Dr. T. Kabongo, Family Medicine Associate 1.1.18 Dr. N. van der Berg, Medicine, Critical Care Associates Visiting 1.1.19 Dr. A. Mater, Pediatrics Visiting 1.1.20 Dr. J. Chen, Psychiatry Associate 1.1.21 Dr. K. Harrison, Psychiatry Associate 1.1.22 Dr. D. Kozan, Surgery, Plastic Surgery Associate 1.1.23 Dr. Megan Lyons, Plastic Surgery Associate RHA #44-15 [Carried]. Moved by J. Davis and seconded by L. Miskiman that: The Regina Regina Qu Appelle Regional Health Authority Minutes Page 2

1.2 Elevations 1.2.1 Dr. A. Ahmed, Cancer Services elevation from Associate to Active 1.2.2 Dr. J. Baldwin, Family Medicine elevation from Associate (Limited) to Limited 1.2.3 Dr. F. Girgis, Family Medicine elevation from Associate to Active 1.2.4 Dr. M. Zahidullah, Surgery, Section of Surgical Assists elevation from Associate (SA) to Assistant (SA) 1.2.5 Dr. B. Ebrahim, Emergency Medicine elevation from Associate to Active (effective July, 2015) 1.2.6 Dr. A. O Malley, Emergency Medicine elevation from Associate to Active (effective July, 2015) 1.2.7 Dr. K. Mieske, Family Medicine elevation from Associate to Active (effective July, 2015) 1.2.8 Dr. N. Youssef, Family Medicine elevation from Associate to Active (effective June 2015) 1.2.9 Dr. I. Othman, Medicine, Section of Internal Medicine elevation from Associate to Active (effective June 2015) RHA #45-15 [Carried]. Moved by J. Davis and seconded by L. Miskiman that: The Regina 1.3 Extension of Associate Status 1.3.1 Dr. I.T. Izekor, Family Medicine 1.3.2 Dr. M. Arwini, Surgery, Section of Urology 1.3.3 Ms. T. Hydeman, Family Medicine (Midwifery) RHA #46-15 [Carried]. Moved by S. Quinlan and seconded by P. Woidyla that: The Regina 1.4 Additions & Deletion Privileges 1.4.1 Dr. C. Talukdar, Pediatrics requesting the additional privilege of Perioperative admission fo day stay procedures and Pediatric Dermatology Consultation as general paediatrician. Requesting the deletion of Admit privileges for Pediatric General and Normal Newborn PAC Report to RQRHA - 2 - May 27, 2015 Nursery; deletion of consultation privileges for Normal Newborn Nursery; deletion of Venous Cutdown; deletion of Bone Marrow Aspiration Trephine 1.4.2 Dr. D. Seibel, Family Medicine requesting deletion of intrapartum obstetrical privileges effective January 8, 2015 RHA #47-15 [Carried]. Moved by J. Davis and seconded by G. Semenchuck that: The Regina 1.5 Cross Appointments 1.5.1 Dr. R. Hughes, Emergency Medicine requesting a Cross Appointment in the Department of Family Medicine to provide rural coverage RHA #48-15 [Carried]. Moved by B. Barber and seconded by J. Davis that: The Regina 1.6 Category Change 1.6.1 Dr. I. Caburao, Family Medicine requesting a category change from Active to Limited 1.6.2 Dr. D. Emokpare, Family Medicine requesting a category change from Active to Limited 1.6.3 Dr. W.W. Clarke, Imaging Retirement effective January 1, 2015 Department Head recommending Honorary status RHA #49-15 [Carried]. Moved by J. Davis and seconded by L. Jijian that: The Regina 1.7 Reappointments 2015/2016 (Enclosures) 1.7.1 Department of Anesthesiology (see privilege request changes) 1.7.2 Department of Cancer Services Regina Qu Appelle Regional Health Authority Minutes Page 3

1.7.3 Department of Emergency Medicine(see privilege request changes) 1.7.4 Department of Laboratory Medicine 1.7.5 Department of Obstetrics & Gynecology 1.7.6 Department of Psychiatry 1.7.7 Department of Critical Care 1.7.8 Department of Family Medicine (see privilege request changes) 1.7.9 Department of Imaging 1.7.10 Department of Medicine (see privilege request changes) 1.7.11 Department of Pediatrics 1.7.12 Department of Surgery 6.0 Reports 6.1 Chairpersons Report Chairperson, D. Carter, presented his report to the Board. Key highlights were the Accreditation Canada process and his attendance in the Treasury Board meeting. 6.2 CEO Report K. Dewar presented his report to the Board. Key highlights included the Accreditation Canada process and the Budget approval process. 7.0 Approval of Minutes March 31, 2015 RHA #50-15 [Carried]. Moved by B. Barber and seconded by L. Miskiman that: the minutes of the Regina Qu Appelle Regional Health Authority meeting of March 31, 2015 be approved. On item #8.0 need to add the motions for the approval of the 2015/16 Business Plan and the 2015/16 Budget in principal. 8.0 Business Arising from the Minutes No items were discussed on the Action Item List. 9.0 STARS Presentation J. Prokopetz gave a presentation on STARS Air Ambulance which included an overview of what STARS does including emergency dispatch and education. 10.0 RHA Accountabilities Reports from: 10.1 March 19, 2015 Policy & Governance Committee Meeting Report Policy & Governance Chairperson, L. Jijian, presented the written report which was included in the Authority s meeting package. The Committee meeting was held on March 19, 2015. RHA #51-15 [Carried]. Moved by J. Davis and seconded by B. Barber that: that the Policy & Governance Committee meeting report be 10.2 May 14, 2015 Policy & Governance Committee Meeting Report Policy & Governance Chairperson, L. Jijian, presented the written report which was included in the Authority s meeting package. The Committee meeting was held on May 14, 2015. Regina Qu Appelle Regional Health Authority Minutes Page 4

RHA #52-15 [Carried]. Moved by J. Davis and seconded by B. Barber that: that the Policy & Governance Committee meeting report be 10.3 March 25, 2015 Audit, Finance & Risk Committee Meeting Report Audit, Finance & Risk Acting Chairperson, P. Woidyla, presented the written report which was included in the Authority s meeting package. The Committee meeting was held on March 25, 2015 and included the following motions: AFRC #09-15 [Carried]. Moved by J. Davis and seconded by L. Miskiman that: the Audit, Finance and Risk Committee recommends that the Regina Qu Appelle Regional Health Authority approve the Management Compliance and Financial Statements as at January 31, 2015. RHA #53-15 [Carried]. Moved by J. Davis and seconded by L. Miskiman that: AFRC #09-15 be AFRC #10-15 [Carried]. Moved by J. Davis and seconded by L. Miskiman that: the Audit, Finance and Risk Committee recommends that the Regina Qu Appelle Regional Health Authority approve the Management Compliance and Financial Statements as at February 28, 2015. RHA #54-15 [Carried]. Moved by J. Davis and seconded by L. Miskiman that: AFRC #10-15 be RHA #55-15 [Carried]. Moved by B. Barber and seconded by G. Semenchuck that: that the Audit, Finance & Risk Committee meeting report be 10.4 May 21, 2015 Audit, Finance & Risk Committee Meeting Report Audit, Finance & Risk Chairperson, G. Semenchuck, presented the written report which was included in the Authority s meeting package. The Committee meeting was held on May 21, 2015 and included the following motions: AFRC #14-15 [Carried]. Moved by P. Woidyla and seconded by J. Davis that: the Audit, Finance & Risk Committee recommends that the Regina Qu Appelle Regional Health Authority approve the Regina Qu Appelle Regional Health Authority s Year-end Financial Statements as of March 31, 2015, as presented, subject to final report of the Office of the Provincial Auditor of Saskatchewan. RHA #56-15 [Carried]. Moved by P. Woidyla and seconded by J. Davis that: AFRC #14-15 be AFRC #15-15 [Carried]. Moved by J. Davis and seconded by P. Woidyla that: the Audit, Finance and Risk Committee recommends that the Regina Qu Appelle Regional Health Authority approve the change in cheque signatories from Keith Dewar and Lloyd Boutilier to Keith Dewar and Robbie Peters. RHA #57-15 [Carried]. Moved by J. Davis and seconded by P. Woidyla that: AFRC #15-15 be Regina Qu Appelle Regional Health Authority Minutes Page 5

AFRC #16-15 [Carried]. Moved by P. Woidyla and seconded by D. Carter that: the Audit, Finance and Risk Committee recommends that the Regina Qu Appelle Regional Health Authority approve the Management Compliance and Financial Statements as at April 30, 2015. RHA #58-15 [Carried]. Moved by P. Woidyla and seconded by D. Carter that: AFRC #15-15 be RHA #59-15 [Carried]. Moved by G. Semenchuck and seconded by P. Woidyla that: that the Audit, Finance & Risk Committee meeting report be 10.5 April 23, 2015 Human Resources Committee Meeting Human Resources Committee Chairperson, B. Barber, presented the written report which was included in the Authority s meeting package. The Committee meeting was held on April 23, 2015 and included the following motions: HRC #11-15 [Carried]. Moved by S. Quinlan that: the Human Resources Committee recommends that the Regina Qu Appelle Regional Health Authority approve an increase for Chief Executive Officer, K. Dewar from step 4 to step 5 in pay band 15. RHA #60-15 [Carried]. Moved by S. Quinlan and seconded by P. Woidyla that: HRC #11-15 be HRC #12-15 [Carried]. Moved by S. Quinlan that: the Human Resources Committee recommends K. Dewar implement a succession planning strategy that begins with SLT and then cascades down through the organization. RHA #61-15 [Carried]. Moved by S. Quinlan and seconded by G. Semenchuck that: HRC #12-15 be RHA #62-15 [Carried]. Moved by B. Barber and seconded by S. Quinlan that: that the Human Resources Committee meeting report be approved, as amended. Change the title from Meeting of the RHA to Meeting of the Human Resources Committee. 10.6 March 31, 2015 In-Camera Dinner Meeting B. Barber, as Acting Chairperson of the In-Camera Dinner meeting, presented the written report which was included in the Authority s meeting package. The In-Camera dinner meeting was held on March 31, 2015. RHA #63-15 [Carried]. Moved by B. Barber and seconded by P. Woidyla that: that the In- Camera meeting report be 10.7 May 19, 2015 Quality & Safety Committee Meeting Quality & Safety Committee Chairperson, S. Quinlan, presented the written report which was included in the Authority s meeting package. The Committee meeting was held on May 19, 2015. Regina Qu Appelle Regional Health Authority Minutes Page 6

RHA #64-15 [Carried]. Moved by S. Quinlan and seconded by L. Jijian that: that the Quality & Safety Committee meeting report be 11.0 RQHR Naming Policy K. Dewar presented the RQHR Naming Policy to the Board. The following motion was brought forward: RHA #65-15 [Carried]. Moved by B. Barber and seconded by S. Quinlan that: the Regina Qu'Appelle Regional Health Authority approve the Regina Qu Appelle Health Region Naming Policy as submitted. 12.0 2015/16 Strategic Direction 12.1 2015/16 Budget Approval K. Dewar gave a brief introduction on what was brought forward to the March 31, 2015 Public Board meeting and introduced R. Peters to walk through presentation. R. Peters presented the changes that have been made to the 2015/16 Budget since the March 31, 2015 meeting. The balanced budget has to be submitted to the Ministry by June 5, 2015. Approval of the Capital Budget will be brought forward at the July 15, 2015 Public meeting. The following motion was brought forward: RHA #66-15 [Carried]. Moved by G. Semenchuck and seconded by P. Woidyla that: the Regina Qu'Appelle Regional Health Authority approve the 2015/16 Budget as submitted. 12.2 Multi-Year Strategic Plan K. Dewar updated the Board on the finalization of the Multi-Year Strategic Plan. The Region is waiting for the final matrix from the Provincial Leadership Team. The Multi-Year Strategic Plan will be brought forward for approval at a later date. 13.0 2014/15 Year End Audited Statements There was nothing further to present on the 2014/15 Year End Audited Statements. 14.0 Information Updates 14.1 Auditor s Follow-Up Report on the Regina Qu Appelle Health Region s Use of Surgical Facilities K. Dewar explained the process around this specific audit. There were nine recommendations and the Regina Qu Appelle Health Region has addressed eight out of the recommendations with the ninth to be finalized shortly. 14.2 Q4 Dashboard K. Dewar gave a brief update on what the Dashboard entails. 15.0 Other Business K. Dewar brought forward a question regarding how we get information to the Board (i.e. Pioneer Village water issue). The Board responded by saying that they appreciated the briefing notes and periodic updates are very helpful. They would like the communication brief with the option to ask questions if needed. The Board would like the briefing notes posted to Diligent. 16.0 Notice of Motion There were no notices of motion brought forward. Regina Qu Appelle Regional Health Authority Minutes Page 7

17.0 Next Meeting Wednesday, July 15, 2015 in Raymore, Saskatchewan. 18.0 Motion to Adjourn RHA #67-15 [Carried]. Moved by G. Semenchuck that: the meeting of the Regina Qu Appelle Regional Health Authority of May 27, 2015, be adjourned at 21:08 hours. APPROVED THIS 15 day of July, 2015. Recorder (D. Wood) Chairperson (R.W. Carter) Regina Qu Appelle Regional Health Authority Minutes Page 8