PRAIRIE NORTH REGIONAL HEALTH AUTHORITY BOARD REGULAR MEETING Wednesday, 1300 Hours CST/1200 Hours MST Basement Boardroom, Battlefords Union Hospital 1092 107 th Street, North Battleford, SK ATTENDANCE: Bonnie O Grady Chair Leanne Sauer Vice-Chair Ben Christensen Gillian Churn Hélène Lundquist Jane Pike Trevor Reid Glenn Wouters David Fan Chief Executive Officer Lionel Chabot VP Operations and Finance Gloria King VP Integrated Health Services Vikki Smart VP Primary Health Services Rhonda Derkatz Chief Financial Officer Cora Risling Executive Assistant/Recording Secretary REGRETS: Board Member Anil Sharma Board Member Wayne Hoffman Irene Denis VP Quality and Learning GUEST: Glenys Coleman Operational Development Consultant Summary of Approved Motions: Motion #2013/01.003-5 Approval of Practitioner Staff Appointments/Reappointments Motion #2013/01.006-10 Approval of Governance Policies Motion #2013/01.011 Approval of Quality Assurance Committees Motion #2013/01.012 Approval of December 31, 2012 Financial Statements 1.0 OPENING Board Chair Bonnie O Grady called the meeting to order at 1300 hours CST/1200 hours MST. 2.0 AGENDA The agenda was reviewed and amended as follows: Add: 5.3 Quality Assurance Committee 2013/01.001 Moved: Trevor Reid Seconded: Leanne Sauer THAT the agenda be accepted as amended. CARRIED. 3.0 CONFLICT OF INTEREST None declared. PNHR Strategic Plan Pillar & Goal: Sustainability - Governance 4.0 PREVIOUS MEETING December 19, 2012 4.1 MINUTES One revision to the minutes from the Regular PNRHA Meeting held December 19, 2012 was noted as follows:
Page 2 of 11 Page 2, item 5.2, second sentence of second paragraph: Effective January 2, 2013 the Maidstone Clinic will be providing extended hours Monday through Thursday from 8:00 a.m. to 8:00 p.m.; Friday, regular hours from 8:00 a.m. to 4:00 p.m.; and 8:00 a.m. to 12:00 noon on Saturday. 2013/01.002 Moved: Hélène Lundquist Seconded: Gillian Churn THAT the minutes of the Regular Meeting of Prairie North Regional Health Authority held December 19, 2012 be adopted as amended. 5.0 NEW BUSINESS 5.1 PRACTITIONER STAFF APPOINTMENTS/REAPPOINTMENTS PNHR Strategic Plan Pillar & Goal: Better Team Fan presented three new physicians recommended for practitioner staff appointment. Two physicians are full-time and the third is a locum (temporary) physician. According to our records, documentation in all 3 files is complete. 2013/01.003 Moved: Leanne Sauer Seconded: Trevor Reid THAT the following physicians be appointed to Prairie North Health Region 2012 Practitioner Staff in the category noted, with privileges as recommended by the Lloydminster Medical Advisory Committee: Physician Category GP or Specialist Location Dr. Imran Ghauri Associate Practitioner Lloydminster Dr. Niloofar Asgari Associate Practitioner Lloydminster Dr. S. J. (Kobus) Van der Walt Temporary Practitioner Lloydminster. CARRIED. Fan also presented the physician reappointments for the year 2013, as itemized below. 2013/01.004 Moved: Jane Pike Seconded: Ben Christensen THAT the following physicians be reappointed to Prairie North Health Region 2013 Practitioner Staff in the category noted, with privileges as recommended: Lloydminster: Physician Category GP or Specialist Dr. Agiela Abdulla Associate Internist Changes in Privileges Add: Central Line Insertion Limited by Venue Dr. Obiora Ajegbo Ob/Gyn Change from Associate to Dr. Chris Almond GP Change from Associate to Dr. Muhammad Ashraf Associate Surgical Assist
Page 3 of 11 Dr. M. Rizwan Aslam Associate Internist Add: Central Line Insertion Limited by Venue Dr. Mohamed Cassim GP/Anaesthetist Dr. Chris Chan GP Dr. Mark Chapelski GP Delete: Admitting privileges Maternity, Medical & Surgical Dr. Marissa Dry GP Dr. Rian Du Plooy GP Dr. Lionel Du Toit GP Change from Associate to ; Delete Obstetrics Privileges Dr. Henry Ekwueme Associate Anaesthetist Dr. Christian Gerber GP Dr. Kevin Govender GP Dr. Tinesha Govender Associate GP Dr. Lewko Gusztak Radiologist Dr. Matilde Ilagan-Nyame GP/Anaesthetist Dr. Nasreen Kadodia GP Dr. Mandy Kamyar GP Dr. Jolene Kenyon GP Dr. Thomas Kerlis GP Dr. Allan Kloppers Associate GP Dr. Zlatko Kostic Internist Dr. Amie Kowalczyk Associate Pediatrician Dr. Earl Kowalczyk Associate Orthopedic Dr. Hesli Landsberg GP/Anaesthetist Dr. Krithesh Maharaj Change from Associate to Dr. Mohamed Mohamed ENT Specialist Change from Associate to Dr. Deshinee Moodley GP Dr. Karun Naidoo Dr. Adel Naude GP Dr. Sagren Reddy Dr. Ray Rogers Internist Dr. Olafimihan Shinyanbola Associate Psychiatrist Dr. Annamarie Snyman GP Dr. John Van Der Merwe GP Change from Associate to Dr. Con Van Vuuren GP Delete: Admitting privileges Maternity, Medical & Surgical Dr. Shiu Kee Yen GP
Page 4 of 11 Dr. Casey Young Associate Radiologist Visiting Physicians: Dr. Morley Kutzner Visiting Ophthalmologist Dr. Matthew McIsaac Visiting ER/GP Dr. M. Bryson Rogers Visiting Dermatologist Dentists: Dr. Raegan Eliasson Dental Dentist Dr. Stephen G. Jones Dental Dentist Dr. Craig Oster Dental Dentist Dr. Ramesh Raja Dental Dentist Dr. Chelsea Schmidt Dental Dentist Honorary Physicians: Dr. Alfred E. Blitz Honourary Dr. Stanley Crossley Honourary Dr. Jill Lakins Honourary The Battlefords: Physician Category GP or Specialist Changes in Privileges Dr. S. Ahmad GP Dr. M. Anees Pediatrician Dr. N. Bairagi Dr. M. Botha GP-Anaesthetist Dr. P. Campbell Associate GP Dr. B. Cholin Medical Health Officer Dr. G. Craib GP-Anaesthetist Dr. A. du Plessis-Prollius GP Dr. H. du Plessis Dr. D. Duncan Psychiatrist Dr. A. Dunhin Associate GP-Obstetrician Dr. F. Engelbrecht Dr. K. Fadare Associate ERP/GP- Anaesthetist Obstetrician/Gy necologist Dr. G. Fernandes Otolaryngologist Dr. M. Gieni Associate Dr. J. Hesselson GP-Anaethetist Dr. P. Holtzhausen GP
Page 5 of 11 Dr. N. Ibarreta Psychiatrist Dr. J. C. Johnson GP Dr. W. G. C. Lipsett GP Dr. Y. Mahmood Psychiatrist Dr. M. Marcelo Psychiatrist Dr. M. Moolla Limited GP Dr. C. Moolman Limited Surgical Assist./Minor Surgery Dr. R. B. Murray Pathologist Dr. K. Nwachukwu Associate Psychiatrist Dr. O. Obikoya Psychiatrist Dr. P. O Keeffe Ophthalmologist Dr. O. Oyewole Obs/Gyn Dr. A. Prollius Obs/Gyn Dr. K. V. Ramachandran Psychiatrist Dr. N. Ramachandran Psychiatrist Dr. M. W. Retief Dr. A. N. Rodriguez Associate GP-Obstetrician Dr. B. D. Selhi GP Dr. A. Van der Merwe GP Dr. W. Viviers Visiting Physicians: ERP/GP- Anaesthetist Dr. R. Baltzan Visiting Nephrologist Dr. J. W. Barton Visiting Nephrologist Dr. B. A. Bernacki Visiting Physiatrist Dr. S. Burwell Visiting Plastic Dr. M. Ernst Visiting Orthopedic Dr. A. Hassan Visiting Nephrologist Dr. J. E. Kappel Visiting Nephrologist Dr. J. T. Klassen Visiting Nephrologist Dr. R. Mainra Visiting Nephrologist Dr. G. Pylypchuk Visiting Nephrologist Dr. A. Rosenberg Visiting Pediatric Rheumatologist Dr. R. Stryker Visiting Nephrologist Dr. M. Taillon Visiting Orthopedic
Page 6 of 11 Dentists: Dr. S. Churchill Dental Dentist Dr. A. Dhir Dental Dentist Dr. Erin Ellis Dental Dentist Dr. J. F. Glen Dental Dentist Dr. J. Langin Dental Dentist Dr. M. Pruden Dental Dentist Chiropractor: Dr. R. Runge Chiropractic Chiropractor Add diagnostic musculoskeletal ultrasound Meadow Lake: Physician Category GP or Specialist Changes in Privileges Dr. B. Geller GP- Dr. S. Loden Associate GP-Anaesthetist Dr. L. Loots GP Dr. A. Seguin Associate GP- Dr. J. Titus Associate GP Dr. G. Van de Venter GP- Visiting Physicians: Dr. R. Shannon Visiting Orthopedic Dr. P. Spafford Visiting Otolaryngologist Dr. T. E. Thiessen Visiting Orthopedic Dr. K. E. Yeboah Visiting Obstetrician/Gynecologist Rural Sites: Physician Category GP or Specialist Changes in Privileges Dr. L. Bekker GP (Loon Lake) Dr. S. Roman Associate GP (Maidstone) Dr. D. F. Spangenberg GP (Maidstone) Dr. I. Stander Limited GP (Maidstone) Request to add Admitting Privileges at Maidstone Health Complex not recommended pending outstanding chart completion. Continuation of Limited Membership/Privileges recommended. Dr. J. W. Steenkamp GP (Cut Knife) Dr. L. Stephen Gnanaraj Associate GP (Maidstone) Dr. M. Warburton GP (Onion Lake)
Page 7 of 11. CARRIED. Extension of Current Privileges: In addition to the reappointments, Fan presented several extensions of privileges requested to March 31, 2013 with a proviso that the physicians must satisfy certain requirements. Extending privileges has not been done in the past, however, subsequent to the provincial audit process we are tightening up the appointment/reappointment process to ensure physicians have the required training for certain things. They must provide evidence to confirm they have the training required prior to full reappointment. 2013/01.005 Moved: Jane Pike Seconded: Ben Christensen THAT the following physicians 2012 privileges be extended to March 31, 2013 pending receipt of required documentation: Lloydminster: Physician Category GP or Specialist Outstanding Documentation Dr. Musbah Abouhamra Ob/Gyn Dr. Turia Elghdewi Ob/Gyn ALARM Jan/13 & NRP Mar/13 wait list ALARM Jan/13 & NRP Mar/13 wait list Dr. Shamira Lowton GP ACLS complete Jan/13 Dr. Ali Reza Mahdavifar Associate GP Dr. Vernon Naidoo GP ACLS complete January 2013. Approve to 31 Mar 2013 Pending ALARM & NRP NRP complete Dec 12 & ACLS Jan 13 pending documentation. Approve to 31 Mar 2013 Pending ALARM; Dr. F. Paul Naude GP NRP booked Feb 2013 Dr. Obafemi Ogunlewe Associate OB / GYN ALARM; NRP booked Feb 2013 Dr. M.A.Raffeth Sayeed GP Need NRP ALARM (Delete: Obstetrics Privileges end of March 2013) Dr. Iftikhar Uddin Assistant OR Assistant NRP complete Dec 12 Dr. Cornelis Van Der Merwe GP ACLS booked 2013; NRP complete pending documentation The Battlefords: Physician Category GP or Specialist Outstanding Documentation Dr. R. Bairagi Associate GP-Anaesthetist ACLS & NRP Certification registered in March 2013 Dr. K. Bezuidenhout Associate GP ACLS & NRP Certification Dr. M. La Cock GP NRP Recertification registered for February 21, 2013 course Dr. M. Mehboob GP NRP Recertification Dr. D. Morton GP NRP Certification Dr. A. Prystupa GP NRP Certification registered in February 2013
Page 8 of 11 Dr. J. Tootoosis GP NRP Certification Dr. W. Van der Merwe ERP Meadow Lake: ACLS Recertification registered in March 2013 Physician Category GP or Specialist Outstanding Documentation Dr. A. Babkis GP-Anaesthetist ACLS Certification Dr. S. Funk Associate GP ACLS/NRP/ALARM Certification Dr. T. (Willy) Kalala GP ACLS/NRP Certification Dr. J. A. Labrador Febles GP ACLS/NRP/ALARM Certification Dr. J. A. Letkeman GP/Obs/Ultrasound NRP/ALARM Certification Dr. A. Viljoen GP NRP Certification Rural Sites: Physician Category GP or Specialist Outstanding Documentation Dr. R. Dandugula Associate GP Dr. M. Tshatshela Associate GP. CARRIED. ACLS Certification registered for January 2013 ACLS Certification registered for January 2013 Lastly, Fan presented the following list of physicians who are not recommended for reappointment to the 2013 Practitioner Staff as they have either not submitted an application for reappointment, or have not included proof of 2013 College of Physicians and s of Saskatchewan licensure and/or proof of 2013 Canadian Medical Protective Association membership, both of which are required for any and all privileges. Physician Category GP or Specialist Outstanding Documentation Lloydminster Dr. Nekky Jamal Dental Dentist The Battlefords: Dr. M. C. Khurana GP-Internal Medicine Visiting Physicians The Battlefords: Dr. R. Basi Visiting Internist Dr. J. V. Best Visiting GP-Anaesthetist Dr. N. Shiff Visiting Pediatric Rheumatologist Reappointment form & documentation not submitted 2013 CPSS; 2013 CMPA; Current NRP Certification; Current ALARM Certification Reappointment form & documentation not submitted Reappointment form & documentation not submitted Reappointment form & documentation not submitted
Page 9 of 11 5.2 GOVERNANCE POLICY REVIEW PNHR Strategic Plan Pillar & Goal: Governance 5.2.1 GP-3-90 Authority Planning Cycle (revised) 2013/01.006 Moved: Jane Pike Seconded: Gillian Churn THAT Policy GP-3-90 Authority Planning Cycle be accepted as revised. CARRIED. 5.2.2 GP-3-100 Monitoring Organizational Performance 2013/01.007 Moved: Trevor Reid Seconded: Hélène Lundquist THAT Policy GP-3-100 Monitoring Organizational Performance be reaffirmed as presented. CARRIED. 5.2.3 GP-3-110 Client Concern Handling One revision was noted under Statement of Responsibility, second paragraph, last sentence: A written response will also be provided to the Board Member who initiated the concern, if applicable. 2013/01.008 Moved: Hélène Lundquist Seconded: Glenn Wouters THAT Policy GP-3-110 Client Concern Handling be approved as revised. CARRIED. 5.2.4 ER-4-10 Authority/CEO Relationship 2013/01.009 Moved: Gillian Churn Seconded: Jane Pike THAT Policy ER-4-10 Authority/CEO Relationship be reaffirmed as presented. CARRIED. 5.2.5 ER-4-20 CEO Expectations & Authority 2013/01.010 Moved: Ben Christensen Seconded: Jane Pike THAT Policy ER-4-20 CEO Expectations & Authority be reaffirmed as presented. CARRIED. 5.3 Quality Assurance Committees PNHR Strategic Plan Pillar & Goal: Quality &Safety Fan explained that the region has a number of committees, part of whose responsibilities are to deal with critical, sensitive matter in relation to patient care in a quest to determine the root cause of any identified problems in order to address the issues and prevent recurrence. It is not about finding fault or placing blame, but improving the quality of care and services. In this context of Quality Assurance, Section 10 of the Saskatchewan Evidence Act provides the legal basis for these committees to have frank discussion without the fear of such discussion being subpoenaed by the courts.
Page 10 of 11 In accordance with the Act, Fan went on to advise that the region s legal counsel is suggesting the Board pass a formal motion declaring the Quality Assurance activities of the following committees in order to protect the minutes of said committees: Practitioner Advisory Committee Medical Advisory Committees in Lloydminster, Meadow Lake and North Battleford Continuous Safety & Quality Improvement (CSQI) Committee 2013/01.011 Moved: Leanne Sauer Seconded: Trevor Reid THAT the above-noted committees be categorized as Quality Assurance Committees effective immediately as provided by in Section 10 of the Saskatchewan Evidence Act. CARRIED. 6.0 REPORTS 6.1 FINANCIAL STATEMENTS Chief Financial Officer Rhonda Derkatz presented the Financial Statements for the period ending December 31, 2012 which marks the end of the third quarter in the region s fiscal year. Derkatz reviewed the statements in detail. 2013/01.012 Moved: Leanne Sauer Seconded: Jane Pike THAT the PNRHA Financial Statements for the period ended December 31, 2012 be accepted as presented. CARRIED. 6.2 BOARD CHAIR REPORT Board Chair O Grady presented her report as circulated with nothing new to add. 6.3 ADMINISTRATIVE REPORTS PNHR Strategic Plan Pillar & Goal: Outcome & Monitoring CEO Report David Fan presented his CEO Report, noting that the next Visual Wall Walk will be presented at the February Board meeting. Board members suggested actually going to the wall to have a visual aid to go along with the report. In response to a question from Board member Sauer, Fan noted that the suggestions that the CEC be staffed by an RN/LPN combination rather than an RN/Paramedic team came from the RNs and LPNs in Maidstone. Fan further indicated that the LPNs are worried they will lose their skills if they are not part of the CEC. The paramedics, however, bring with them very specific training that deals with trauma; LPNs do not have that training. VP Quality & Learning Fan presented Irene Denis report as circulated in her absence. With regard to the WCB update appended to her report, Board member Trevor Reid commented that the status of WCB hours is a wonderful change in trend.
Page 11 of 11 VP Primary Health Services VP Vikki Smart presented her report, adding that the clerical staff from Population Health and Primary Health participated in a 5S to revamp their space. It was a big success and very well received by staff. VP Integrated Health Services Gloria King presented her report as VP of Integrated Health Services. She commended all staff dealing with the outbreaks in some of the region s long-term care facilities. VP Finance & Operations VP Lionel Chabot presented his report with nothing new to add. 7.0 COMMUNICATION/CORRESPONDENCE Communication/Correspondence was provided for informational purposes. 8.0 NEXT MEETING The next regularly scheduled PNRHA meeting will be held on Wednesday, February 27, 2013 in Lloydminster. 10.0 ADJOURNMENT 2013/01.013 Board Chair Bonnie O Grady declared the regular meeting adjourned at 1500 hours CST/1400 hours MST. Chair Secretary