ST. MICHAEL S HOSPITAL BOARD OF DIRECTORS

Transcription

1 ST. MICHAEL S HOSPITAL BOARD OF DIRECTORS MINUTES OF REGULAR SESSION Tuesday, April 14, :00 pm. 5:40 pm. 2 Bond Paul & Evelyn Higgins Conference Room DIRECTORS PRESENT: Mr. Tom O Neill, Chair Dr. Richard Alway Ms. Nora Aufreiter Dr. Andrew Baker Mr. Ian Clarke Mr. John Cruickshank Ms. Ruth dacosta Mr. Bill Etherington Ms. Ella Ferris Mr. Peter Gordon Mr. Doug Guzman Dr. Aaron Hong Dr. Bob Howard Ms. Colleen Johnston Mr. Claude Lamoureux Ms. Mary McConville Dr. Cheryl Misak Dr. Kenneth Pace Dr. Tom Parker Mr. Harry Singh Mr. Frank Techar Dr. Trevor Young 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 Mr. Mike Keen, New Construction Planning 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: Ms. Julie DiLorenzo Mr. Tony Graham Ms. Noella Milne Mr. John Ruetz GUEST: Ms. Sharon Freitag, Dir. Res. Ethics, Research Office Minutes Apr Page 1

2 1.0 CALL TO ORDER The meeting was called to order at 4:00 pm. Mr. Gordon opened with a prayer. 2.0 APPROVAL OF PREVIOUS MINUTES Mr. O Neill moved that the minutes of March 10, 2015 be approved as circulated. 3.0 REPORT OF THE CHAIR Mr. O Neill reported the following items: The annual Board Recognition Dinner will take place following the May 12 Board meeting. On April 17 th, the Foundation is hosting a Breaking New Ground ceremony for St. Michael s 3.0. Many significant donors will be in attendance along with the Minster of Health, Dr. Eric Hoskins. Mr. O Neill will report back to the Board on the outcome of the upcoming hearing on Bill 8 - Public Sector and MPP Accountability and Transparency. 4.0 REPORT OF THE PRESIDENT Dr. Howard reported the following items: The fiscal year is now complete and overall, the hospital performed well against budget with a $5M surplus expected. Significant end-of-year, one-time funding was received. The audited financial statements will be presented to the Board in June. Written approval on the Regent Park Family Health Centre has been received from the Ministry. This is St. Michael s sixth Family Health site and is targeted to open in July. Approximately 45,000 will ultimately be registered as receiving primary care at St. Michael s Hospital. The TAHSN hospitals are conducting an evaluation of the influenza management campaign undertaken this year. The campaign was very successful and St. Michael s vaccination rate increased from 50% last year to close to 75% this year. Discussions regarding our flight path have involved municipal, provincial and federal levels. The Province will now take the lead in moving this matter to resolution. Dr. Hazel Markwell, director of Ethics and Spiritual Care is the recipient of the Alumnus of the Year award from Saint Paul University. Dr. Howard recently presented on Leadership in Catholic Healthcare at the annual meeting of Catholic Health International. Consideration will be given to presenting the report to our Board members at a future meeting. 5.0 REPORT OF THE GOVERNANCE AND NOMINATING COMMITTEE March 25, /15 Corporate Objectives Summary Report and Corporate Objectives Dr. Howard provided a full presentation of the Corporate Objectives Summary Report and the final draft Corporate Objectives. 2014/15 Corporate Objectives Summary Report The most significant achievements from 2014/15 are seen as completion of the new strategic plan, advancement of the Quality agenda at St. Michael s Hospital, success of the Foundation fundraising initiatives, implementation of the business systems project and signing of the contract for SMH 3.0. In the Education Portfolio the Education Strategic Plan is viewed as a strong enabler along with the opening of the new student resource centre. In the Research Portfolio the ibest collaboration between St. Michael's and Ryerson University to blend advances in technology and biomedical science is moving forward with significant funding having been received. Goals not achieved from the 2014/15 Objectives were reviewed: Minutes Apr Page 2

3 Hand hygiene showed significant improvement but is a complex and difficult target to achieve. ED wait times - time to admit showed improvement but ED volumes keep increasing. Business systems a huge initiative for HR with a number of pieces complete and a few left to finalize. Development of the new Foundation Strategic Plan - delayed due to the transfer of the Foundation chairmanship however, it appears on this year s forecast. Rounding - study group model of engagement between management and front line staff was not as successful as anticipated. Overall, Dr. Howard felt that 2014 was a good year for St. Michael's Hospital with significant work accomplished Corporate Objectives The 2015/16 Objectives outline a number of initiatives under each quadrant with many directly linked to our new Strategic Plan. Promoting comprehensive care of the urban community will involve the most work. Each task in achieving the objectives has accountability assigned and will be important to communicate as the plan moves through the organization. Integration of research, education and patient care are noted and patient centredness remains key. There was discussion on how the organization will monitor progress toward the objectives and what areas should be revisited half way through the year. Key in determining the success of the plan is a shift for health care organizations toward a culture of profit centres as opposed to cost centres. Our physicians are being well engaged to partner with the hospital in achieving the plan. Mr. O Neill moved that the 2014/15 Corporate Objectives Summary Report and the Corporate Objectives be approved. 5.2 New Director Ms. Hazel Claxton The Governance and Nominating Committee recommends the approval of Ms. Claxton as a member of the Board of Directors. Mr. O Neill moved that the appointment of Ms. Hazel Claxton for a three-year term to St. Michael s Board of Directors be approved. Ms. Claxton will attend the May Board meeting. 6.0 REPORT OF THE FOUNDATION Ms. Metrick reported the following items: New pledges for last year show $61.9m of the $72m stretch goal has been achieved. The Campaign goal ($210m) and the SMH 3.0 goal ($132m) are both well on the way to being achieved. The plan is to complete the campaign in the next fiscal year. A number of events are planned including the June 25 Angel Den Innovation event and the annual Golf Tournament on July MOTIONS AND COMMITTEE HIGHLIGHTS 7.1 From the Medical Advisory Committee April 6, 2015 That the medical appointments be approved as follows: Minutes Apr Page 3

4 NEW APPOINTMENTS Change from Courtesy to Active Jon Novick, Department of Psychiatry Courtesy William Lam, Department of Family & Community Medicine, ICHA Rupinder Brar, Department of Family & Community Medicine, ICHA Alpna Munshi, Department of Psychiatry, ICHA Michelle Klaiman, Department of Emergency Medicine Samuel Vaillancourt, Department of Emergency Medicine Active Michaela Beder, Department of Psychiatry Samantha Green, Department of Family & Community Medicine Chris Teshima, Department of Medicine, Division of Gastroenterology Retirements and Resignations Alan Gerulath, Department of Obstetrics & Gynaecology (Retiring effective June 30, 2015) Antony Raikhlin, Department of Medical Imaging (Resigned effective November 1, 2014) Sadiq Hasan, Department of Psychiatry, ICHA (Resigned effective December 31, 2014) 7.2 From the Business Services Committee April 9, 2015 PWC has been retained to provide support as the hospital moves through the year end cycle during the interim period while the search for a new hospital CFO is underway. They will also provide a financial function assessment noting the significant shift in the health care environment. Adapting to this new way of doing business will necessitate that the right set of skills be employed with the hiring of the new CFO. One Motion is presented for Board approval: Motion Re TC-LHIN H-SAA Agreements St. Michael s has assumed stable funding and estimates a $10m global challenge for the hospital. Management is addressing the challenges and identifying strategies to achieve a balanced position. Mr. Clarke moved that the Hospital Services Accountability Agreement between the TC LHIN and St. Michael s Hospital be approved. 7.3 From the Research & Education Committee February 23, 2015 At the last meeting the Education Portfolio presented an overview on St. Michael s Centre for Faculty Development (CFD) a partnership between the University of Toronto & St. Michael's Hospital. The CFD teaches health professionals how to teach and learn, while also providing leadership and generating the evidence needed to improve the delivery of patient care. Dr. Houston was congratulated on the successful event to celebrate the opening of the Alan Walters Simulation Centre. The Research Portfolio provided an update on the Research Ethics Board activities and is seeking approval of one motion in connection with a Board of Record delegation: Minutes Apr Page 4

5 Ms. Aufreiter moved that the Women s College REB be approved as a qualified REB, based on the qualification results received, and can act as a delegated board of record for St. Michael s Hospital when participating in multi-centre clinical research; And further that: The St. Michael s Hospital REB be approved as qualified to act as a delegated board of record for Women s College Hospital when participating in multicenter clinical research 7.4 From The Quality Committee March 26, 2015 This year s Quality Improvement Plan is again linked to our corporate strategies and places a new emphasis on patient centredness. The work is measured by 8 indicators and is only part of the larger quality framework in place at St. Michael's. It was noted that senior executives at the hospital receive a certain percentage of compensation based on our overall achievement of the targets. The QIP will be posted on our website. Mr. Etherington moved that the Quality Improvement Plan 2015/16 be approved. 7.5 From the Community Advisory Committee March 16, 2015 The main concern identified by the Community Advisory Panels is the changing face of the downtown core and the impact on the disadvantaged populations served by the hospital. In particular there has been significant impact to the men s shelters in the George Street area. A more detailed presentation on these concerns will be made at a future Board meeting. 7.6 From the Planning and Construction Committee The project continues to move along. A more detailed update will be provided at the May Board meeting. 8.0 DATE OF NEXT MEETING Tuesday, May 12, 4:00 pm 5:30 pm followed by the Board Recognition Dinner 9.0 CLOSURE The meeting was brought to closure at 5:45 pm. Mr. T. O Neill, Chair Date Dr. B. Howard, Secretary Date Minutes Apr Page 5