Minutes of Hospital Authority Board Meeting held on Thursday 24 March 2016 at 4:30p.m. in Conference Hall, 2/F, HA Building, 147B Argyle Street, Kowloon Present : Prof John LEONG Chi-yan, SBS, JP (Chairman) Dr Constance CHAN, JP Director of Health Prof Francis CHAN Ka-leung, JP Mr William CHAN Fu-keung, BBS Ms CHIANG Lai-yuen, JP Ms Quince CHONG Wai-yan, JP Mr Andrew FUNG Hau-chung, JP Mr Ricky FUNG Choi-cheung, SBS, JP Mr HO Wing-yin Mr Lester Garson HUANG, JP Dr KAM Pok-man Prof Diana LEE Tze-fan Mr Stephen LEE Hoi-yin Ms Esther LEUNG, JP Representing Deputy Secretary for Financial Services and the Treasury (Treasury)1 Prof Gabriel LEUNG, GBS, JP Miss Linda LEUNG Representing Permanent Secretary for Food and Health (Health) Dr P Y LEUNG, JP Chief Executive
- 2 - Prof Raymond LIANG Hin-suen, SBS, JP Dr LO Wai-kwok, SBS, MH, JP Mr Ivan SZE Wing-hang, BBS Prof Maurice YAP Keng-hung, JP Mr Jason YEUNG Chi-wai Mr Charlie YIP Wing-tong Miss Margaret CHEUNG Head of Corporate Services (Secretary) Absent with : apology (*Out of HK) * Ms Anita CHENG * Mr WONG Kwai-huen, BBS, JP Ms Winnie NG Mr PANG Yiu-kai, SBS, JP Ms Priscilla WONG Pui-sze, JP In attendance : Dr Hobby CHEUNG Deputising Cluster Chief Executive (Kowloon Central) Dr W L CHEUNG, JP Director (Cluster Services) Ms Clara CHIN Director (Finance) Mr Michael FUNG Representing Head of Information Technology and Health Informatics Dr C T HUNG, JP Cluster Chief Executive (New Territories East) Dr Tony KO Cluster Chief Executive (New Territories West)
- 3 - Dr C C LAU Cluster Chief Executive (Hong Kong East) Dr Theresa LI Head of Human Resources Dr S H LIU Deputising Director (Quality and Safety) Dr S V LO Director (Strategy and Planning) Dr C C LUK Cluster Chief Executive (Hong Kong West) Dr K T TOM Representing Cluster Chief Executive (Kowloon East) Dr Nancy TUNG, MH Cluster Chief Executive (Kowloon West) Mr Frankie YIP Chief Manager (Corporate Communication) Dr Ian CHEUNG Chief Manager (Cluster Performance) [For discussion of HAB Papers No. 236] Dr Libby LEE Chief Manager (Strategy, Service Planning and Knowledge Management) [For discussion of HAB Papers No. 237] Dr WONG Wing-nam Chief Manager (Electronic Health Record) [For discussion of HAB Papers No. 238] Ms LAM Woon-or Ward Manager, Renal Division, Department of Medicine & Geriatrics, United Christian Hospital [For discussion of HAB Papers No. 239] Mr Andy LAU Chief Manager (Boards & General) Ms Natalia LI Senior Manager (Boards & Support)
- 4 - Ms Eva HUI Manager (Boards & Support) In attendance (Attachees of the Corporate Development Programme) : Dr Rico LI Associate Consultant, Clinical Management Teams and Clinical Services Department, Kwai Chung Hospital Dr K S TANG Service Director, Cluster Quality & Safety Division, Tuen Mun Hospital Dr Anna TONG Senior Health Informatician (Public Health & Information Service), Information Technology and Health Informatics Division, HAHO Dr WONG Tak Wai Senior Medical Officer, Department of Paediatrics & Adolescent Medicine, Alice Ho Miu Ling Nethersole Hospital
- 5 - Declaration of Interest The Chairman invited Members to declare conflict of interest, if any, arising from the agenda items of, or discussion at, the meeting. There was no declaration from Members. Confirmation of Minutes 2. The draft minutes of the Board Meeting held on 17 December 2015 were confirmed with the following amendments printed in italics as proposed by Dr Constance CHAN: - Paragraph 12 : Dr Constance CHAN responded that vaccination at OAHs for their residents and workers had been started some years ago and the vaccination rate among residents was satisfactory at around 80%. Matters Arising 3. There was no outstanding item arising from the minutes of the last meeting. Report on Outcomes of the Administrative & Operational Meeting 4. The Chairman reported that the following matters were discussed or noted by the Hospital Authority (HA) Board at the Administrative and Operational Meeting held on 24 March 2016 : i. Appointment of Cluster Chief Executive (New Territories East) via Senior Executive Job Rotation; ii. iii. iv. 2016/17 Hospital Authority Budget; Overseas Recruitment of Associate Consultants for the Specialties of Anatomical Pathology as well as Obstetrics and Gynaecology; Membership of the Trust Board of the Hospital Authority Provident Fund Scheme; v. Winding up of The Hong Kong Eye Hospital Charitable Trust; vi. Update on the Termination of Management and Control Rights on Rehabaid Centre;
- 6 - vii. Forecast of Agenda Items for the Hospital Authority Administrative and Operational Meetings and Open Board Meetings in 2016/17; viii. Update on Hospital Authority s Public-Private Partnership Programmes; ix. Report on Capital Works Projects in Hospital Authority; and x. Progress Reports of Committees of the Hospital Authority Board. Winter Surge Situation Update (HA Board Paper No. 236) 5. Dr Ian CHEUNG updated Members on the winter surge service demand and the response measures of HA for the 2015/16 winter surge. 6. Dr Ian CHEUNG briefly recapped the key strategies and measures under HA s overall response plan on winter surge, which had been reported to the Board in December 2015. He then highlighted the step up measures taken by HA to cope with the recent upsurge in service demand which had significantly affected the waiting time in the Accident and Emergency (A&E) departments and admission to inpatient wards. The step up measures included enhancing infection control measures; managing service demand in the community; minimizing unnecessary admissions; facilitating early discharge of patients; strengthening service capacity; re-prioritizing service needs; and enhancing communication with the public. The Chairman added that HA had indeed made early planning and implemented a range of measures to cope with the challenge. 7. Members noted that while some gradual easing of the surge had been observed since mid-march 2016, HA would keep close monitoring of the situation and take extra measures when required. Overall for 2016/17, HA would continue to augment service capacity through opening new beds and increasing healthcare manpower. With the Government s dedicated provision of $200 billion for a ten-year hospital development plan for HA, as well as anticipated completion of other hospital and community health centre programmes, HA s service capacity would be further enhanced in the long run to better cope with the service demand. (Prof Gabriel LEUNG left the meeting at this juncture.)
- 7 - Hospital Authority Annual Plan 2016-17 (HA Board Paper No. 237) 8. Dr Libby LEE briefed Members on the draft HA Annual Plan 2016-17 (the Annual Plan) which mapped out HA s work plans in the coming year on the following six strategic intents : (a) (b) (c) (d) (e) (f) Allay staff shortage and high turnover; Better manage growing service demand; Ensure service quality and safety; Enhance partnership with patients and community; Ensure adequate resources for meeting service needs; and Enhance corporate governance. 9. Members noted the major programmes and activities to be undertaken in 2016-17 as outlined in the Annual Plan and the budget allocation from the Government to HA for the year. Action items for implementation of the recommendations in the Report of the Steering Committee on Review of HA were suitably included and highlighted in the Action Plan. 10. The final draft Annual Plan (English and Chinese) appended to the HA Board Paper No. 237 were endorsed by Members for publication. Progress Update of Electronic Health Record Programme Undertaken by Information Technology and Health Informatics Division of the Hospital Authority and the Hospital Authority s Participation as a Major User (HA Board Paper No. 238) 11. Dr WONG Wing-nam updated Members on the progress of the Electronic Health Record (ehr) programme undertaken by HA s Information Technology and Health Informatics Division as the Government s technical agent, as well as HA s participation in the ehr Programme as a major user. 12. Members noted that the Stage 1 ehr Sharing System (ehrss) was commissioned on 13 March 2016. As of 18 March 2016, over 33,000 patients, 11 services of the Department of Health, 11 private hospitals and over 300 private medical practitioners had joined the ehr Programme. Patients who had previously joined the pilot programme, i.e. the Public Private Interface-Electronic Patient Record system, would also be invited by batches to migrate to the new Programme. Members also noted the progress of the Stage 2 ehrss development plan which aimed to expand the scope of data sharing and enhance functionalities in the ehrss.
- 8-13. Mr HO Wing-yin said that concern was raised about the possible lengthened registration time required in private hospitals at the initial phase of implementation, and said that well-planned working arrangements at the frontline level would facilitate smooth implementation of the System. Besides, the balance between patient privacy and the need to facilitate treatment by healthcare professionals would need further discussion particularly in future development of the ehrss. (Ms Quince CHONG left the meeting at this juncture.) Chief Executive s Progress Report on Strategic Priorities (HA Board Paper No. 239) 14. Dr P Y LEUNG updated Members on the implementation progress of HA s strategic priorities for the first quarter of 2016 (1Q16). Among the 89 targets planned for completion in 1Q16 including 80 on corporate targets and nine on cluster targets, 84 were achieved on schedule and five programmes were in progress. The respective positions of the five programmes in progress were elaborated to Members. Cluster Presentation Programme Kowloon East Cluster (KEC) Enhancement of Renal Services in KEC in 2015/16 (HA Board Paper No. 240) 15. Ms LAM Woon-or briefed Members on the initiatives taken by the Kowloon East Cluster in 2015/16 to enhance its renal services with particular focus on the establishment of a nocturnal home haemodialysis (HD) training centre for training patients to perform HD at home, thereby increasing in-centre HD places, and the provision of four additional places funded by the Jockey Club Programme for home automated peritoneal dialysis. These measures not only helped address the significantly increasing service demand, but also enhanced the service quality which was very much welcomed by patients. 16. The Chairman congratulated the team for the achievements. Date of Next Meeting 17. The next Open Board Meeting was scheduled for Thursday 30 June 2016 at 3:30p.m. in the Conference Hall, HA Building.
- 9-18. There being no other business, the meeting was adjourned at 5:05 pm. Hospital Authority HAB\MINUTES\65 MC/AL/NL/wm 22 April 2016