ST. MICHAEL S HOSPITAL BOARD OF DIRECTORS MINUTES OF REGULAR SESSION Tuesday, February 14, 2017 4 to 6 p.m. Paul & Evelyn Higgins Conference Room, 2-010 Bond Wing DIRECTORS PRESENT: Mr. Tom O Neill, Chair Ms. Nora Aufreiter Dr. Glen Bandiera Dr. Heather Boon Ms. Sonya Canzian Ms. Hazel Claxton Dr. Ralph George Mr. Peter Gordon (via phone) Mr. Tony Graham Mr. Doug Guzman Dr. Bob Howard Ms. Colleen Johnston Mr. Claude Lamoureux Ms. Mary McConville Ms. Noella Milne (via phone) Ms. Kerry O Reilly Wilks Dr. Tom Parker Mr. Frank Techar (via phone) Mr. Darryl White Dr. Trevor Young St. Michael's Hospital Staff: Ms. Bev Bulmer, VP Education Ms. Anne Craig, Recorder, Board of Directors Mr. Michael Keen, Senior Director, Planning & Development Ms. Mary Lowe, VP Strategy and Public Affairs Ms. Mary Madigan-Lee, VP Human Resources Mr. Mike Mendonca, VP Facilities and Support Services Ms. Alayne Metrick, President St. Michael s Foundation Dr. Doug Sinclair, EVP and Chief Medical Officer Ms. Anne Trafford, VP Quality, Performance, IM & CIO Ms. Cathy Yanosik, VP Philanthropy, SMH Foundation REGRETS: Dr. Richard Alway Mr. Wayne Barwise Ms. Ruth dacosta Mr. John Cruickshank Dr. Aaron Hong Mr. David Graham Mr. John Ruetz Dr. Art Slutsky Minutes Board of Directors, February 14, 2017 Page 1
1. CALL TO ORDER The meeting was called to order at 4 p.m. N. Aufreiter opened with a prayer. A. Metrick will be retiring later this year, but has agreed to stay on and assist with major gifts. The board thanked her for her years of service. A. Metrick thanked the board for their continued support and leadership. Dr. Heather Boon, representing the president of the University of Toronto, was welcomed as a new board member. She has been the dean of the Leslie Dan Faculty of Pharmacy since 2014 and is also the vicechair of the Council of Health Faculties at the university. 2. DECLARATION OF CONFLICT OF INTEREST No board conflicts were declared. 3. APPROVAL OF PREVIOUS MINUTES (Dec. 13, 2016) N. Aufreiter moved that the minutes of Dec. 13, 2016 be approved. The motion was seconded by R. George and carried. 4. REPORT OF THE CHAIR Deferred to the GNC report and in-camera discussion. 5. REPORT OF THE PRESIDENT A report from the President and CEO was included in the board package. Items of note: St. Michael s will be celebrating its 125 th anniversary on July 1. Planning is underway for celebrations to mark this achievement. Finance is now predicting a small surplus for the end of the year, mostly due to one-time funding amounts that have recently been received from the MOHLTC, a small and unexpected increase in global funding received mid-year and an overestimation in salary calculations. Budgeting for 2017-18 is underway, with planning for a 0% increase to the global funding from the MOHLTC. The stairwell demolition, as part of the 3.0 project, is ongoing and the team is currently on the 12 th floor. Progress is being closely monitored by a committee that meets twice daily to receive updates and manage any issues as they arise. 6. REPORT OF THE FOUNDATION A. Metrick reported the following: C. Yanosik, vice-president, Philanthropy, was introduced. The foundation has reached its cash and fundraising goal for 2016-17. Recent donations of note: o An anonymous gift of $1M for the Centre for Urban Health Solutions; o A company has provided another $2M and will be acknowledged through the naming of an oncology project in the new Peter Gilgan Patient Care Tower; o $1M pledge to assist with facilities in the Respirology program; o Support for Dr. N. Fam s tricuspid valve project Minutes Board of Directors, February 14, 2017 Page 2
Four Innovations Nights have been held since the last board meeting. In the 10 years that these events have been held, over $65M has been raised. A reception will be held on Mar. 7 to thank Bondfield for their work on the 3.0 project. All board members are invited to attend. The President s Council will be hosting an event on Mar. 29 at Corus Quay and will feature a performance by the Jim Cuddy Trio. Approximately $2.5M has been raised for the Angel Ball to date. 7. MOTIONS AND COMMITTEE HIGHLIGHTS 7.1. Governance and Nominating Committee 7.1.1. Report Feb. 8, 2017 T. O Neill reported the following: Planning for the Executive Compensation Framework was reviewed. Both H. Claxton and N. Aufreiter will participate on the committee which will be chaired by M. Madigan- Lee. 7.2. Business Services Committee 7.2.1. Minutes Dec. 8 2016 Minutes of the June 6, 2016 meeting were distributed for information. 7.2.2. Report Feb. 2, 2017 C. Johnston reported the following: An anticipated surplus for 2016-17 was reported. Finance is refining the budget figures for 2017-18. A summary of savings achieved through operational efficiency was provided. A presentation was provided on legislative requirements regarding privacy and the work St. Michael s is undertaking in this matter. Following an open and competitive RFP process, K-Bro Linen Systems Inc. has been selected as the vendor of choice for the hospital s linen and laundry services. The negotiated contract is for five years with the option to add one or two additional years, for a total value of $20.3M. C. Johnston moved that the contract with K-Bro Linen Systems Inc. be approved as presented. The motion was seconded by T. Graham and carried. 7.3. Audit Committee 7.3.1. Minutes Jun. 6, 2016 Minutes of the June 6, 2016 meeting were distributed for information. 7.3.2. Minutes Jan. 30, 2017 (draft) C. Johnston reported that the pre-audit meeting included a review of the audit plan. Under D. Graham s leadership some finance practices will be amended to reflect current auditing practices. PwC has agreed to continue to hold its fees constant as it has over the last few years. T. Nieminen has been selected as the new deputy CFO. He was previously director, Decision Support. A new candidate for the Decision Support role is expected to be named shortly. 7.4. Planning and Construction Committee 7.4.1. Minutes Dec. 5, 2016 (draft) Minutes Board of Directors, February 14, 2017 Page 3
Draft minutes of the Dec. 5, 2016 meeting were distributed for information. 7.4.2. Report Feb. 3, 2017 Meeting D. Guzman advised that due to the complexity and sequencing activities for the 3.0 project there have been some delays in scheduling that could impact the critical path. A proposal has been drafted that involves accessing some of the hospital s contingency funds to accelerate progress through targeted shift and overtime work. The committee reviewed and supported the proposal. Legal confirmation that St. Michael s will not be placed at any increased risk or liability with this strategy was also requested and has been provided. Infrastructure Ontario will also review the plan at its next Claims Committee meeting where their approval will be requested. D. Guzman moved that the board approve access to $750K from the contingency funds to allow the mitigation strategy to proceed as presented. The motion was seconded by C. Johnston and approved. 7.5. Medical Advisory Committee 7.5.1. Minutes Dec. 5, 2016 Minutes of the Dec. 5, 2016 meeting were distributed for information. 7.5.2. Minutes Jan. 9, 2017 Minutes of the Jan. 9, 2017 meeting were distributed for information. 7.5.3. Medical Staff Appointments Jan. 9, 2017 and Feb. 6, 2017 The following medical staff appointments were approved at the Jan. 9 Medical Advisory Committee meeting. Active to Courtesy Michael Evans, Department of Family & Community Medicine Colleen McDermott, Department of Obstetrics & Gynaecology Courtesy Karen Hernandez, Department of Medicine, Division of Endocrinology Retirements and Resignations Patricia Yee-Ling Chang, Department of Family & Community Medicine (resigning eff. Feb. 28, 2017) Sarah Callaghan, Department of Family & Community Medicine (resigned eff. Oct. 1, 2016) Gerard Curley, Department of Anaesthesia (resigned eff. Aug. 26, 2016) John McLean, Department of Anaesthesia (resigned eff. Jan. 1, 2017) Honorary Consultant Brenda McDowell The following medical staff appointments were approved at the Feb. 6 th Medical Advisory Committee meeting. Active to Courtesy Donna Ouchterlony, Department of Surgery, Division of Neurosurgery Minutes Board of Directors, February 14, 2017 Page 4
Bill Weiser, Department of Medical Imaging Clinical Associate Vanessa Palter, Department of Surgery, Division of General Surgery Tulika Shinghal, Department of Otolaryngology Head & Neck Surgery Retirements and Resignations Khai Minh Tram, Department of Medicine, Division of GIM (resigned eff. Jan. 5, 2017) Bridget Lynch (midwife), Department of Obstetrics & Gynaecology (resigned eff. Jan. 4, 2017) That the above medical appointments be approved. The motion was moved by H. Claxton. It was seconded by C. Lamoureux and carried. 7.6. Community Advisory Committee 7.6.1. Minutes Nov. 28, 2016 Minutes of the Nov. 28, 2016 meeting were distributed for information. 7.7. Research and Education Committee 7.7.1. Minutes Dec. 5, 2016 Minutes of the Dec. 5, 2016 meeting were distributed for information. 7.7.2. Report Jan. 27, 2017 Meeting N. Aufreiter reported the following: o The Office of Research Administration provides several key functions including management and oversight of research grants and contracts (approximately 1,700 contracts per year worth approximately $70M) and review and supervision of conflicts of interest. In addition, all research contracts are thoroughly reviewed before receiving final approval. Through the hard work of the leadership team, the average time to adjudicate contracts has decreased significantly in the last year from 161 to 88 days. 7.8. Quality Committee 7.8.1. Minutes Nov. 24, 2016 Minutes of the Nov. 24, 2016 meeting were distributed for information. 7.8.2. Draft Minutes Jan. 24, 2017 Draft minutes of the Jan. 24, 2017 meeting were distributed for information. A. Trafford provided an overview of contributing factors to ED wait times and some of the initiatives that have been undertaken to help address them. Improvements in the new and expanded ED are also expected to help with some of the challenges. St. Michael s has recently released a new whiteboard video featuring Dr. Mike Evans which helps to teach the general public about why patients have to wait in the ED. It can be found at https://www.youtube.com/watch?v=mygmouzjrb4. 8. IN CAMERA SESSION Minutes Board of Directors, February 14, 2017 Page 5
9. CLOSURE AND DATE OF NEXT MEETING The regular session of the meeting was adjourned at 5:12 p.m. The next meeting will be held Tuesday, Mar. 14, 2017 from 4 to 6 p.m. Mr. T. O Neill, Chair Date Dr. R. Howard, President and CEO Date Minutes Board of Directors, February 14, 2017 Page 6