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Board of Directors Meeting Minutes Thursday, April 19, 2012 Trillium Health Centre West Toronto Site Ursaki Auditorium Elected Directors Ex-Officio Directors Senior Management Team/Guests Resource Regrets Mr. Alan Torrie (Chair), Mr. William Rogers, Mr. J. Fred Kuntz, Mr. Edward Sellers, Mr. Nicholas Zelenczuk, Mr. Wayne Bossert, Ms. Joanne Rogers, Mr. Lee Stem, Ms. Pam Turner, Mr. Sacha Ghai Ms. Michelle DiEmanuele, Dr. Mathias Gysler, Dr. Gopal Bhatnagar, Ms. Patti Cochrane, Ms. Kathryn Hayward-Murray,Dr. Jamie Newman, Dr. John Langlois, Dr. Bill Wong, Dr. Naveen Dayal Ms. Krista Finlay, Ms. May Chang, Mr. Stephen Hall, Dr. Norman Hill, Ms. Morag McLean, Mr. Ron Noble, Ms. Karli Farrow, Ms. Katherine Hay, Mr. Steve Hoscheit, Mr. Bill MacLeod, Mr. Ron Haines, Narendra Shah Odelia Andrea, Nicole Gaertner Mr. Neil Skelding, Mr. Tim McGuire, Dr. Sarita Verma, Ms. Karen Wensley 1.0 Call to Order The chair called the Board of Directors meeting to order at 5:45 p.m. The chair confirmed the quorum. 1.1 Approval of Agenda The members reviewed the agenda. MOVED by Mr. Edward Sellers and seconded by Mr. Bill Rogers that the agenda for the April 19, 2012 Board of Directors, be approved. 1.2 Declaration of Conflict of Interest The Chair reminded the Board that conflicts are to be declared as the agenda item arises. 2.0 Consent Agenda The Credit Valley Hospital and Trillium Health Centre Page 1 of 6

MOVED by Mr. Fred Kuntz and seconded by Ms. Pam Turner that the Consent Agenda for the April 19, 2012 Board of Directors meeting, be approved. 3.0 Reports 3.1 Chairs Report The Chair provided general announcements and updates: The Credit Valley Hospital Foundation has contributed $3.5 million to Phase 2 of our Major Redevelopment Initiative at the Credit Valley Hospital. This completes the $20 million commitment made by the Foundation for Phase 2 Initiative. Capital funding to assist with the cost of planning and designing the Priority Areas Redevelopment/Expansion project at Credit Valley has been approved by the Ministry of Health and Long Term Care, bringing the total planning and design grant to up to $13 million approved for the Priority Areas Redevelopment/Expansion project. The Ministry of Health and Long-Term Care has provided the hospital with new base funding of up to $186, 800 for Trillium site effective in 2011/12, to support additional hospital operating costs and academic costs related to the additional medical trainee days at the Trillium site. The Ministry of Health and Long-Term Care has approved the organization s application to establish a Centre for Complex Diabetes Care at the Trillium Site. This will be supported by funding over two years to support implementation of the Centre. Twenty-one (21) Long Term Care beds opened at the McCall Centre at Trillium West Toronto site in April. These long term care beds will complement the existing 120 complex continuing care beds at McCall. Development of the CEO goals and objectives are in progress, and will be brought forward for Board resolution at the May 2012 Board meeting. The Chair brought forward a recommendation for approval of the membership of the Strategic Planning Sub-Committee of the Board. MOVED by Mr. Lee Stem and seconded by Mr. Nick Zelenczuk that the membership of the Strategic Planning Sub-Committee, as circulated to the Board of Directors at April 19 th meeting, be approved. Clarification was provided that work being done by the Strategic Planning Sub-Committee will be brought back to the full Board for discussion and approval. The Chair shared with the Board that an internal working group, which will include an external advisory component, will support the Strategic Planning Sub-Committee of the Board. It was also noted that as part of the strategic planning engagement process the CEO and the Chair will be meeting with several external stakeholders throughout the month of May. The Credit Valley Hospital and Trillium Health Centre Page 2 of 6

s. 65 (6) 3 Dr. Matt Gysler joined the meeting at 6:00 p.m. 3.2 President and CEO Report The CEO discussed the importance of maintaining and in some cases further strengthening our relationships with community partnership (i.e. the CCAC). Ms. DiEmanuele and Mr. Bill McLeod, CEO, MH-LHIN have been meeting on a regular basis to discuss how to position the broader LHIN strategy in comparison with that of hospital and related funding. The CEO presented her report, as pre-circulated, and highlighted the following: 4.0 Strategic Direction ONA arbitration will occur in third week of May CIHI both sites have done very well and when looking at all 21 indicators we have a very strong position at both sites Foundations CEO met with a donor of $5M gift to the hospital On Friday, April 13, 2102 Michelle and Alan opened the first Ronald McDonald room at CVH The week of April 23 rd an announcement will go out regarding a major gift for robotics. This will be the third robotics purchase in Ontario, in a hospital. Merged volumes are a contributing factor making this possible. CEO acknowledged CNEs and nursing staff in the collaboration of flow of patient through all sites CEO thanked the members of the Board for their support in attending various non- Board related events. Their presence is greatly appreciated. Seniors Complex at Trillium West Toronto site is currently on pause pending new strategic plan 5.0 Quality and Patient Safety 6.0 Excellent Management The Credit Valley Hospital and Trillium Health Centre Page 3 of 6

7.0 Program Quality and Effectiveness 7.1 Medical Advisory Committee Dr. Gopal Bhatnagar, Chief of Staff-THC Site, reviewed the following pre-circulated recommendations from the Medical Advisory Committee (MAC) with amendment s from the meeting held on April 10, 2012: Appointment MOVED by Mrs. Joanne Rogers and seconded by Mr. Wayne Bossert that the Professional Staff Appointments recommendations, brought forward from the April 10, 2012 Medical Advisory Committee meeting, as amended, be approved. Reappointment MOVED by Mr. Fred Kuntz and seconded by Mr. Bill Rogers that the professional staff recommendations for reappointment brought forward from the April 10, 2012 Medical Advisory Committee meeting, as amended, be approved. Change in Status MOVED by Mr. Wayne Bossert and seconded by Mrs. Joanne Rogers that the professional staff recommendations for change of status being brought forward from the April 10, 2012 Medical Advisory Committee meeting, as amended, be approved. Dr. Mathias Gysler, Chief of Staff-CVH Site and Chair of the MAC provided a report highlighting the following: Dr. Gysler shared that a protocol is needed to address the matter of transfer of critically ill patients between sites. This should be addressed as one organization. The use of CritCall as a primary communicator during the patient transfer process vs. physician to physician communication during transfer of care was discussed. 8.0 Financial and Organizational Viability 8.1 Finance and Audit Committee Mr. Nicholas Zelenczuk reviewed the briefing materials, as pre-circulated, for the Finance and Audit Committee motions below. Financial Statements for February 2012 Compensation related accruals for the past fiscal year discussed. MOVED by Mr. Nick Zelenczuk and seconded by Mr. Wayne Bossert that the Financial Statement for February 2012, as circulated, be approved. The Credit Valley Hospital and Trillium Health Centre Page 4 of 6

9.0 Ensure Board Effectiveness 9.1 Governance Committee Mr. Edward Sellers, Chair of the Governance Committee, reviewed the briefing materials, as precirculated, for the Governance Committee motion below. Governance Board Policy for Review The following policy was brought forward for approval: V-A-7 Board Standing Committee Principles MOVED by Mr. Edward Sellers and seconded Mr. Lee Stem that the Governance Board Policy, V-A- 7Board Standing Committee Principles, as circulated, be approved. 10.0 Risk Management 11.0 Professional Staff Association Dr. Jamie Newman, President of the Professional Staff Association (PSA), provided the following updates: For the Annual General Meeting there will be two new elected executives members Dr. Naveen Dayal with assume the role of President, and Dr. Bill Wong Vice-President. As well there will be a new Secretary and Treasurer identified. Request to have transfer of patient care between sites clarified through policy development. Strategic planning underway 2012-13 budget approved PSA inaugural Dinner Dance in September 12.0 External Relationships 12.1 MH LHIN Presentation to the Board Mr. Bill MacLeod, CEO, MH-LHIN presented to the Board of Directors Mr. Ronald Haines, Vice Chair MH LHIN Board of Directors, and Narendra Shah, Chief Operating Officer MH LHIN were also in attendance. Ms. DiEmanuele thanked Mr. McLeod and the MH LHIN for their ongoing support during the organization s transition process. 13.0 Adjournment MOVED by Mr. Wayne Bossert and seconded by Ms. Pam Turner that the meeting be adjourned. The Credit Valley Hospital and Trillium Health Centre Page 5 of 6

The Board of Directors meeting was adjourned at 7:32 p.m. 13.0 In Camera Meeting An in camera meeting was held following the formal portion of the meeting. Board approved: May 31, 2012 The Credit Valley Hospital and Trillium Health Centre Page 6 of 6