GUEST: Maryanne Janssen, General Manager, Marshall s Ambulance Care Ltd.

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1 PRAIRIE NORTH REGIONAL HEALTH AUTHORITY BOARD REGULAR MEETING Wednesday, 1300 Hours CST/DST Greedharry Conference Room, Saskatchewan Hospital #1 Jersey Street, North Battleford, SK ATTENDANCE: Bonnie O Grady Chair Leanne Sauer Vice-Chair Ben Christensen Gillian Churn Wayne Hoffman Hélène Lundquist Jane Pike Trevor Reid Glenn Wouters David Fan Chief Executive Officer Lionel Chabot VP Operations and Finance Irene Denis VP Quality and Learning Glennys Uzelman VP Primary Care Rhonda Derkatz Chief Financial Officer Kerilyn Voigt Communications Officer Cora Risling Executive Assistant/Recording Secretary REGRETS: Board Member Anil Sharma GUEST: Maryanne Janssen, General Manager, Marshall s Ambulance Care Ltd. Summary of Approved Motions: Motion #2012/ Approval of Practitioner Staff Appointment Motion #2012/ Approval of R.M. of Wilton Trust Fund Request Motion #2012/ Approval of 2013 PNRHA Board Meeting Schedule Motion #2012/ Approval of Board Policies Motion #2012/ Approval of September 30, 2012 Financial Statements 1.0 OPENING Board Chair Bonnie O Grady called the meeting to order at 1310 hours CST/DST. 2.0 AGENDA The agenda was reviewed and approved with the following addition: Provincial Auditor s Proposed Survey on Governance 2012/ Moved: Gillian Churn THAT the agenda be adopted as amended. CARRIED. 3.0 CONFLICT OF INTEREST PNHR Strategic Plan Pillar & Goal: Sustainability - Governance None declared.

2 Page 2 of PREVIOUS MEETING September 26, MINUTES The minutes from the Regular PNRHA Meeting held September 26, 2012 were reviewed with no errors or omissions noted. 2012/ Moved: Ben Christensen Seconded: Hélène Lundquist THAT the minutes of the Regular Meeting of Prairie North Regional Health Authority held September 26, 2012 be adopted as presented. 4.2 BUSINESS ARISING Orthopedic Program In response to Board member Sauer s request for an update, Fan advised that the new orthopaedic surgeon started September 4, 2012 and has been slowly building his practice. The region has also been assisting with setting up visiting clinics for Dr. E. Kowalczyk in Vermillion. Operating Room staff has visited other sites to receive training to handle orthopedic cases, and we have also been training one of the LPNs in the ER to do casting. 5.0 NEW BUSINESS 5.1 PRESENTATION MARSHALL S AMBULANCE CARE LTD. PNHR Strategic Plan Pillar & Goal: Better Care Board Chair Bonnie O Grady s introduction of Maryanne Janssen, General Manager of Marshall s Ambulance, was followed by round table introductions. Janssen proceeded with a review of the presentation she circulated to all Board members requesting that Prairie North reconsider 100% funding of licensing fees for all private ambulance employees in the region. Board member Trevor Reid expressed interest in reviewing the details of the 2001 wage parity agreement Janssen referenced in her presentation. Janssen was unaware that a written agreement exists; she has never seen one. Janssen was thanked for her presentation and the information shared with the Board. O Grady also took the opportunity to express the Board s appreciation for the services provided by Marshall s Ambulance and its employees. In closing, O Grady noted that Janssen s request will be considered and she will receive the Board s response in writing. Janssen thanked the Board for the opportunity to speak today and excused herself from the meeting. 5.2 PRACTITIONER STAFF APPOINTMENTS PNHR Strategic Plan Pillar & Goal: Better Team One appointment to the Resident Practitioner Staff as recommended by the Lloydminster Medical Advisory Committee was presented for Board approval. 2012/ Moved: Trevor Reid THAT the following physician be appointed to Prairie North Health Region 2012 Resident Practitioner Staff, with privileges as recommended by the Lloydminster Medical Advisory Committee:

3 Page 3 of 6 Physician Category GP or Specialist Location Dr. Asef G. Javan Resident GP (SIPPA Participant) Lloydminster. CARRIED. 5.3 R.M. OF WILTON TRUST FUND PNHR Strategic Plan Pillar & Goal: Better Value As background information, Fan explained that trust funds were established in the mid-1990s when the government of the day created 32 health districts. Prior to that there were individual boards for each healthcare facility operating in the province. These facilities and communities had in the past built up significant reserves and because they wanted to preserve those funds for their facility an agreement was struck to set up trust funds which can be accessed to support local health care delivery. Fan went on to note that this Board has received requests from time to time from individual municipalities to access trust funds for various reasons. In this case, the R.M. of Wilton is requesting to turn over the entire trust fund balance ($41, as at September 30, 2012) to the STARS program in the province. During discussion it was noted that the request falls within the mandate of the trust fund in that it is being used for health care services. It was further noted that the area in and around the R.M. of Wilton has a lot of oil-related activity and workers in the field who would benefit from the STARS helicopter service. 2012/ Moved: Gillian Churn Seconded: Wayne Hoffman THAT the PNRHA Board approves the request from the R.M. of Wilton to access the balance of the R.M. of Wilton 472 Twin Rivers Trust Account for donation to the STARS program in Saskatchewan. CARRIED. 5.4 DRAFT 2013/14 STRATEGIC HEALTH SYSTEM PLAN PNHR Strategic Plan Pillar & Goal: Connecting the Dots Fan presented the above-noted draft plan for information purposes PNRHA BOARD MEETINGS - PROPOSED SCHEDULE Two schedule options for the 2013 PNRHA Board meetings were circulated for review. Option 1 included meetings split between Lloydminster, Meadow Lake, and North Battleford, while Option 2 included the same sites along with one meeting annually in Turtleford. Board Chair O Grady noted that public attendance at Board meetings has been significantly less, particularly in the rural sites. It was suggested that perhaps local meetings in the rural sites are a more favorable forum for discussion of local issues, such as the regional Community Health Advisory Network meeting held in Mervin sometime ago. Following discussion, the Board agreed to proceed with Option 1 of the meeting schedule, and to continue holding regional CHAN meetings as an opportunity for discussion of local issues. 2012/ Moved: Hélène Lundquist Seconded: Glenn Wouters

4 Page 4 of 6 THAT Option 1 of the proposed 2013 PNRHA Board Meeting Schedule be approved. CARRIED. 5.6 GOVERNANCE POLICY REVIEW PNHR Strategic Plan Pillar & Goal: Governance RR-2-70 Authority Committees Upon review, minor discrepancies from current practice were noted in numbers 8, 9 and 10. It was therefore agreed to table policy RR-2-70 Authority Committees for revision and review at the next meeting RR-2-80 Community Advisory Networks 2012/ Moved: Trevor Reid Seconded: Hélène Lundquist THAT Policy RR-2-80 Community Advisory Networks be reaffirmed as presented. CARRIED RR-2-90 Authority Sponsorships Financial Support for Community Events 2012/ Moved: Leanne Sauer THAT Policy RR-2-90 Authority Sponsorships Financial Support for Community Events be reaffirmed as presented. CARRIED GP-3-10 Authority Communication 2012/ Moved: Gillian Churn THAT Policy GP-3-10 Authority Communication be reaffirmed as presented. CARRIED Provincial Auditor s Proposed Survey on Governance Fan advised the Board of the Provincial Auditor s intention to conduct a governance study of regional health authorities. He circulated the correspondence received and noted that Board members will receive a survey and further correspondence from the Provincial Auditor directly. 6.0 REPORTS 6.1 FINANCIAL STATEMENTS PNHR Strategic Plan Pillar & Goal: Governance CFO Rhonda Derkatz presented and reviewed the Financial Statements for the period ending September 30, Further to last month s clarification of the Travel expenses, it was suggested to add a footnote indicating the majority of that expenditure is physician recruitment related. 2012/ Moved: Leanne Sauer Seconded: Ben Christensen THAT the September 30, 2012 financial statements of the Prairie North Regional Health Authority be approved as presented. CARRIED.

5 Page 5 of BOARD CHAIR REPORT PNHR Strategic Plan Pillar & Goal: Governance Bonnie O Grady presented her written report for information. 6.3 ADMINISTRATIVE REPORTS PNHR Strategic Plan Pillar & Goal: Outcome & Monitoring CEO Report David Fan reviewed his CEO Report, as presented. He noted that interviews for the two Vice- President positions were held yesterday. Two candidates have been selected and we are proceeding with reference checking and negotiations. VP Primary Health Services Uzelman presented her report, as circulated. Further to the Board s tour of SHNB and Corrections this morning, Uzelman noted that because Corrections would also like a new facility they are proposing to government that they again combine the new SHNB facility with a new Corrections facility so that utilities, etc., can be shared. Uzelman noted that this is not a good idea for various reasons, and Prairie North does not support it. In follow-up discussion, the Board agreed to officially make our opinion known to government that SHNB does not wish to share a building with Corrections, and to copy the City of North Battleford on said letter. Fan will draft the correspondence. VP Finance & Operations VP Lionel Chabot reviewed his report in detail, updating the Board on the recently held 3P event for planning the new endoscopy suite and new ICU at Battlefords Union Hospital. He noted the 3P event is an amazing process worth seeing and/or taking part in. The Board requested a tour of the 3P warehouse to see first hand the work that was done. This will be arranged for their December 19, 2012 meeting in North Battleford. VP Quality & Learning VP Irene Denis presented her report as circulated. 6.4 SBAR DUAL LICENSING IN LLOYDMINSTER PNHR Strategic Plan Pillar & Goal: Better Team CEO Fan presented a Situation, Background, Assessment and Recommendation (SBAR) document for informational purposes. The SBAR relates to the ongoing challenges of dual licensing for physicians in Lloydminster with both the Alberta and Saskatchewan Colleges of Physicians and Surgeons. The Chamber of Commerce in Lloydminster has been pursuing resolution of the issues and has invited Alberta College officials to a meeting being held this evening () in Lloydminster. Board members interested in attending were encouraged to do so. 7.0 COMMUNICATION/CORRESPONDENCE Correspondence received was reviewed as circulated, along with the calendar of upcoming events for Board members.

6 Page 6 of ADJOURNMENT 2012/ Board Chair Bonnie O Grady declared the regular meeting adjourned at 1550 hours CST/DST. Chair Secretary