board of directors meeting open session ......business arising 6.1 community education media release...

BOARD OF DIRECTORS MEETING

OPEN SESSION

Thursday, November 28, 2019

5:30 pm – Hot Buffet Dinner Provided – Rainycrest LTC – Board Room

6:00 pm – Rainycrest LTC – Board Room

A G E N D A

Item Description Page

1. Call to Order – 6:00 pm – Reading of the Mission Statement *

1.1 Quorum

1.2 Conflict of Interest and Duty

2. Presentation – Board & Social Media Communication – K. Pierroz *3. Patient / Resident Safety Moment4. Consent Agenda

4.1 Board Minutes – October 24, 2019 *4.2 Chair’s Report – J. Ogden *4.3 President & Chief Executive Officer Report – T. Scholten *4.4 Clinical Services Report – J. Loveday *4.5 Corporate Report – H. Gauthier *4.6 Long Term Care Report – B. Harten *4.7 Chief of Staff Report – Dr. M. Kowal *4.8 Governance Committee Report – J. Beazley *4.9 Audit & Resources Committee Report – D. Robinson *4.10 Quality Safety Risk Committee Report – S. Weir *4.11 Riverside Foundation for Health Care Report *4.12 Auxiliary Reports *

5. Motion to Approve the Agenda

6. Business Arising

6.1 Community Education Media Release – Code of Conduct & Consequences - Update

7. Quality, Safety, & Risk Strategic Discussion – Patient Ombudsman – Fairness for Access to Carefor Mental Health & Addictions *

8. New Business8.1 Accreditation Update

9. Opportunity for Public Participation

10. Move to In-Camera

11. Other Motions/Business

12. Date and Location of Next Meeting: January 23, 2020 – La Verendrye General Hospital

13. Adjournment

* denotes attached in board package / **denotes circulated under separate cover / *** denotes previously distributed

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BOARD OF DIRECTORS MEETINGANTICIPATED MOTIONS – OPEN SESSION

Thursday November 28, 2019

5. Motion to Approve the Agenda THAT the RHC Board of Directors approve the Agendaas circulated/amended

10. Move to In-Camera THAT the RHC Board of Directors move to in camerasession at (time)

11. Other Motions/Business

13. Adjournment THAT the RHC Board of Directors meeting beadjourned at (time)


Our MissionImproving the health of every person we serve, responding to the needs of our communities.

MISSION

Innovative, high quality health care - inspired and delivered by our team and partners.

VISION

STRATEGIC PILLARSQuality • Organizational Health • Partnerships • Advocacy

R I V E R S I D E H E A L T H C A R E

Our ValuesVALUESIntegrity • Respect • Excellence • Growth

Our Vision


ORG- COM-O1

SOCIAL MEDIA

RATIONALE

The social media policy is to outline the behavioural expectations when using social media and the

potential repercussions when these expectations are not met. Riverside believes that participation in

online communities is a valuable means of sharing and communicating. This policy is not intended

to restrict the flow of useful and appropriate information.

SCOPE

The scope of this policy includes all sites, departments, programs and services within Riverside

Health Care, including the Riverside Foundation for Health Care; and including all employees,

volunteers, physicians, students, contractors, and to the extent such non-employed individuals that

are contractually or otherwise obligated to follow Riverside policies. These restrictions are intended

to ensure compliance with legal and regulatory restrictions and privacy of personal information,

confidentiality, breach in patient privacy and Riverside policies and procedures.

PURPOSE

This policy includes principles, standards and responsibilities when a user posts on their own

accounts, comments on other sites.

Actions inside and outside of the workplace can affect your relationship with Riverside if such

behaviours may impugn the reputation of Riverside staff, physicians, partners, donors,

residents, clients, and/or patients.

Disclosing information on social media may affect the employment of appointment and privilege

relationship.

Any user who violates this policy may be disciplined under the disciplinary process up to and

including dismissal.

Title: Social Media Document ID: ORG-COM-1 Page: 1 of 4

Manual: Organizational Section: Communications Subsection: General

Original Date: September 7, 2019 Effective Date: October 3, 2019 Issued By: Kathryn Pierroz

Date Generated: November 21, 2019

Generated By: Kathryn Pierroz

Disclaimer: Once printed this document is no longer controlled and

may not be the current version. Approved By: Jason Marchand

Item 2.0


ORG- COM-O1

GUIDELINES

1.0 General Guidelines

1.1 This policy does not apply to social networking software, services or sites that:

A. Are purchased or owned by Riverside Health Care, such as the internal

portal intranet site;

B. AND require employees to use the site as part of their position. (please

see Corporate Social Media Use Policy)

1.2 Follow all applicable Riverside Procedures and Policies at all times.

1.3 Confidentiality of patient health information, personal and organizational information

must be maintained. Consequences of breaches in confidentiality may be far

reaching and in most cases not anticipated at the time of occurrence. Any of these

situations could jeopardize optimal care, effective job performance and place

Riverside and staff member in contravention of legislation and at legal risk.

1.4 Users using personal accounts, and so choosing to represent themselves as

employees of Riverside, must consider how they are representing themselves and

the organization, and how Riverside will thus be perceived.

1.5 Unless approved by the Riverside Communications, your social media name, handle

and URL will not include the Riverside Health Care, its programs and services

names, the Foundation, logos, or an organization-related site/account.

1.6 Institutional representation via online social media platforms can only be initiated and

authorized by the Communications department under authority of the President &

CEO, and in conjunction with IST. Any sites or pages existing without prior

authorization as required above will be subject to review when discovered and may

be amended or removed.

1.7 Employees are encouraged to friend, follow, share and converse with official

Riverside social media.









ORG- COM-O1

2.0 Confidentiality

2.1 Users should be cognizant of standards of privacy and confidentiality that must be

maintained in all environments, including online, and must at all times refrain from

posting identifiable information of any kind online.

3.0 Procedure

3.1 In order to protect Riverside, staff, clients and partners, the following procedures are

in effect regarding participation by users on social media networks, while on

Riverside network computers, Riverside wifi, and personal devices.

3.2 Before publishing any material online, remember that what you post online is legally

considered public material and as such you are personally responsible for their

publications.

3.3 Do not publish materials that are insulting, demeaning, or offensive to fellow staff,

physicians, learners, patients, clients and families, or any community partners, or

that damages the Riverside reputation in any way.

3.4 Do not reveal confidential information related to the organization, our staff, our clients

and families, The Foundation, or any community partners. Do not disclose the names

or personal information of your co-workers, managers or supervisors, or discuss

incidents that have occurred in the workplace and that are not generally known

outside of the workplace. Remember our legal responsibility for our patients’ privacy

and confidentiality.

3.5 Unauthorized use of Riverside brand or patient information or other information

results in legal action of any kind will not be covered by Riverside insurance or legal

coverage.









ORG- COM-O1

Definitions

Staff: All permanent or temporary, full time, part time or casual workers, physicians,

researchers, volunteers, trainees, students or contractors at Riverside Health Care.

Social Media: Media designed to be disseminated through social interaction, created using

highly accessible and scalable publishing techniques using Internet and web-based

technologies. A few prominent examples of social media websites include Facebook, YouTube,

Twitter, LinkedIn, Snapchat, Connections and blogs.

Personal Use of Social Media: Use of social media that is conducted during staff non-work time

for purposes other than accomplishing official or otherwise authorized activities.

Non-Work Time: Time when staff members are not otherwise expected to be addressing official

hospital business (i.e. lunches and breaks).

Personal Health Information: Information in any form that concerns an individual’s health,

medical history or past or future medical treatment and is in a form that enables or could enable

the individual to be identified.

Personal Information: Information in any form that identifies an individual or could enable the

individual to be identified.

User: Staff (see above definition) who use social media.

Management: Individuals directly supervising the work of employees. For the purposes of this

policy, the term manager includes, but is not limited to, supervisor, manager, director and vice-

president.

Administrator: Staff member designated as the person responsible for running one (or several)

of the organizations official social-media applications.









Minutes of the Open Board Meeting – October 24, 2019 Page 1

RIVERSIDE HEALTH CARE FACILITIES INC.MINUTES

OPEN SESSION

Date of Meeting: October 24, 2019 Time of Meeting: 6:00 pm

Location of Meeting: La Verendrye General Hospital – Board Room

PRESENT: T. Scholten Dr. M. Kowal C. Steiner K. LampiJ. Ogden J. Beazley J. Begg P. HowieS. Weir * *via OTN/teleconference

STAFF: J. Loveday, H. Gauthier, B. Harten, B.Booth

REGRETS: D. Robinson, Dr. V. Patel

GUEST: C. Larson

1. CALL TO ORDER:

J. Ogden called the meeting to order at 6:00 pm. B.Booth recorded the minutes of this meeting.K. Lampi read the Mission Statement.

1.1 Quorum

Joanne shared there were 1 regret. Quorum was present.

1.2 Conflict of Interest

No conflict of interest or duty was declared.

2. Presentation – Accreditation Report

Ted reviewed the Accreditation power point presentation in detail acknowledging the entire team for alltheir hard work in achieving the excellent results of 98.6%. Ted acknowledged the changes in the SeniorLeadership team and how this contributes to moving in the right direction. Ted highlighted the successesand opportunities’ sharing the Accreditor’s referred to the opportunities as “nit-picky”. Simone confirmedthat any area of opportunity will have an action plan to improve the standard. Ted discussed the nextsteps. Discussion took place regarding communication. Simone confirmed the action plans and movingforward updates will flow through the Quality Safety Risk Committee. Discussion took place regardingthe 1 ROP not met and Ted noted evidence has been provided to challenge this.

Joanne thanked everyone on behalf of the Board for all their hard work.

3. Patient / Resident Safety Moment

Barb shared a resident safety moment regarding a resident elopement. She discussed the situation andhow it was handled and how the wandering resident was safely brought back into the home.

4. CONSENT AGENDA

The Chair asked if there were any items to be removed from the consent agenda to be discussedindividually. There were no items removed.

5. MOTION TO APPROVE THE AGENDA:

Item 4.1



6. BUSINESS ARISING:

There was no business arising.

7. Quality, Safety, & Risk Strategic Discussion – Patient Ombudsman – No Trespass – S. LeBlanc

Joanne welcomed Simone who discussed the patient ombudsman – no trespass. She discussed therestrictions that need to be in place. Simone referenced RHC’s restricted access policy confirming this isin place. She confirmed RHC does restrict people who do not meet the code of conduct. This list iscontinually monitored. Simone shared we ensure we are being fair and equitable. Simone confirmedthere is a committee that deals with the restricted access list and it is reviewed annually. She furthershared the list is supported by the OPP. Simone explained the process in detail noting a verbal warningis provided first and then a written warning prior to the individual being put on a restricted access list or ano trespass order. She explained the appeal process as well. Simone noted if an individual is on the listit does not prevent them from seeking medical attention. The CEO approves the no trespassorder/restricted access. Simone shared; once the new website is up and running there will be informationregarding the program posted. Discussion took place regarding educating the public regarding the codeof conduct and consequences if this isn’t abided by. It was suggested to put a media release out forcommunity education. Discussion took place around the complexity of LTC.

ACTION: Ted to speak to communications regarding community education media release.

Joanne thanked Simone for attending.

8. NEW BUSINESS:

8.1 OHA – Governance – Advanced Board Portion of the Northern & Rural Health LeadershipConference Board Member Overview – Jon Begg

Jon provided an update on the OHA – Advanced Board session he attended in Toronto. Jon highlightedspeaker, Mr. Richard LeBlanc’s take on the Healthcare system. He discussed the Board’s part and howhe believes Board’s need to be more objective. Jon shared the most important action of the Board is tohire the best CEO. He discussed good qualities of Board members. Jon noted the role of the Board is to“steer the boat, not row the boat”.

Joanne thanked Jon for the update.

9. OPPORTUNITY FOR PUBLIC PARTICIPATION

There was no public participation.

10. MOVE TO IN-CAMERA:

It was,

MOVED BY: J. Begg SECONDED BY: J. Beazley

THAT the Board approves the Agenda as circulated.CARRIED.

It was,

MOVED BY: P. Howie SECONDED BY: C. Steiner

THAT the Board go in-camera at 7:15 pm.CARRIED.



11. OTHER MOTIONS/BUSINESS:

There was no other motions/business.

12. DATE AND LOCATION OF NEXT MEETING:

November 28, 2019 – Rainycrest LTC

13. ADJOURNMENT:

It was,

MOVED BY: J. Begg

THAT the meeting be adjourned at 9:45 pm.CARRIED.

________________________________ ___________________________________Chair Secretary/Treasurer


Board Chair Report – November 2019

• Phone consult with Stephanie from BLG on all the changes since the last CEO contract and those changes have been addressed in thecontract.

Have updated and reviewed the CEO contract with Board Executive as per board input recommendations.

Met with Ted to present and review contract and terms. Anticipate that we will have this process complete well before the January 1,2020 deadline.

• Attended the Foundation Gala on October 26th

, 2019. The Gala was very well attended, well planned and a huge success.Congratulations to the organizers on such a stellar event.

• Will be attending the Board & Foundation Christmas event on December 3rd

. Please all board members advise Brooke ASAP if youplan to attend and please note the $15.00 gift exchange information.

• Attended the Greg Rickford funding announcement for Riverside as well as met prior to the announcement with the Rickfordentourage to advise of the LTC home successes, the accreditation success as well as to re-establish the concerns previously brought tohim for right size funding and other pending concerns.

• Arranged and supported Ted’s meeting with Glibert Smith addressing the acknowledgement of First Nation lands.

• Continue to work with Ted on the agenda for the board retreat. Plans and dates are being reviewed for January 2020 when we areassured that we will have documentation from the BIG Health document.

• We continue to search for another Board director and will have advertising for this vacancy being posted. If you should know ofanyone that may be interested, especially one with strong financial background please forward them to Brooke for a Board Directorapplication package.

• Thank you to all the staff of Riverside, the Management and the Board for a very productive year thus far. Cheers to a happy and safeholiday time as well as a wonderful upcoming 2020.

If you have any questions or concerns, please feel free to contact me at any time.

Respectfully submitted,

Joanne Ogden

Board Chair

Item 4.2


President & Chief Executive Officer Report - November 2019

Page 1

Strategic Pillars & Directions:

Quality

• Patient Census at LVGH has continued to hover mid 40s and above. Again, this appears to be the new normal as ourAlternative Level of Care (ALC) patients awaiting Rainycrest are not the cause. All options are being investigated and weare repatriating District residents as quickly as possible while ensuring appropriate staffing for safe provision of care.Thanks to all involved.

• RR District Ontario Health Team: Riverside and other HSP partners met with GHAC, FFTAHS, and district area ChiefsNovember 1, 2019 to explore interest in expanding the Indigenous OHT Readiness assessment previously submitted (theywere informed they are “In Discovery” and needed to expand their membership in order to advance their submission).This is the logical way to advance towards a RR District submission. The meeting went well and we were informed thatthe Chiefs would need to endorse this as a whole when they met at a future meeting in November. It is anticipated that asmaller group will be meeting to make edits to the Readiness assessment previously submitted.

• NW Ontario Health Team: The "Patient Attribution" data for the NW OHT Submission was reviewed with Ministryofficials November 20, 2019. Following the call, HSP representatives on the OHT Working Group shared perspectives onwhere we go from here. There seemed to be consensus that the benefits of a larger NW OHT were limited. Final decisionon whether to abandon this initiative is pending but likely.

Organizational Health

• Shine the Light Campaign: On November 15, 2019, attended the opening of the newly assigned space for assessingpatients that are suspected victims of Sexual Assault.

• Accreditation Update: Riverside has submitted our request for an appeal to the decision and are awaiting response.

• Communications: There has been much community engagement and press surrounding the Shine the Light campaign asNovember is Woman Abuse and Prevention month. Wear Purple Day had 4 business postings of staff photos on socialmedia. Riverside staff engagement included entire departments like Rehab and Nelson House decorating inside and out.In addition 7 photos have been published in the papers since the last board meeting courtesy of Communication Lead.

• Big Health Care Report: See EVP/COO Corporate Report

• NW LHIN: Met with VP Operations Brian Ktytor regarding the status of BIG Healthcare. We discussed the importance ofthis review capturing an accurate picture of Riverside’s current status as it will help with our Hospital Improvement Plan(HIP) and Hospital Annual Planning Submission (HAPS).

• Ethics Committee: Attended Nov 6, 2019 committee meeting.

Partnerships

• Integrated Care – A Matter of Trust: Riverside is sponsoring attendance at an OHA session in Toronto December 11, 2019.A number of our District Health Service Partners are planning to attend - See EVP/ COO Corporate Report.

• Meeting with OPP: Discussion of support provisions within the ED occurred with multiple leaders and shared challengesin dealing with impaired individuals with Medical/Mental Health and addictions.

• Regional Orthopedics Program: Attended November 13, 2019 Advisory Council. A proposal for additional volumeallocation has been submitted and acknowledged by the MOHLTC. This will also be forwarded to the LHIN forconsideration of year end reinvestments. All regional Ortho Sites plan to be able to offer Total Hip Arthoplasties (THA-lateral and anterior approach).

• Meeting with First Nation Elder Gilbert Smith-November 12, 2019: Discussed Indigenous Acknowledgement andrecognition (Briefing note presented at Governance Committee. Also had opportunity to tour new state-of-the-art NorthWest Bay Health Clinic.

• Remembrance Day Fort Frances- November 11, 2019: Represented Riverside Healthcare at Cenotaph event.

• Attended the Town of Fort Frances Strategic Planning Session on November 7, 2019 at the Civic Centre.

• Physician Recruitment and Retention: Attended Committee Meeting November 19, 2019 and presented currentfinancials and sustainability. Much philosophical discussion around the advantage of having a consolidated Healthcampus. Recruiter shared highlights as follows:

o Todd attended NOAMA annual meeting November 8-9, 2019 Toronto.o Dr. Carolyn Trottier has signed Return of Service. After December 6, 2019, we will learn if she is in PGY3

Anesthesia.o Dr. Botsford and Dr. Burley have announced they will be departing in the spring of 2020.o Dr. Danelle Gustafson-Mitchell should begin practice Summer/Fall 2020

Item 4.3


President & Chief Executive Officer Report - November 2019

Page 2

o Health Force Ontario Jobs postings: Emo Family Medicine (FM) Locum/Full Time, Fort Frances FM Locum/FullTime, ER Locum, GPA/FPA (2) Full Time/Locum, General Surgeon Locum March 16-20, 2020.

o Recruiter is reaching out to all contacts on email list to reconnect/update on opportunities in Fort Francesand Emo

o Northern Ontario Health Recruiter Association continues to meet; the next meeting is November 25, 2019 todiscuss regional efforts to share transparently information and establish standardized recruitment efforts.

o Dr. Laxton, Dr. Arnesen locum December 15, 2019-February 15, 2020. Accommodations, schedule, licensing,privileges, credentials booked and everything is in place.

o Dr. Cory McFarlane, GPA/FPA was here October 21-November 4, 2019. He is visiting every NW Ontariocommunity before he makes plans on future. EVP/ COO and VP LTC joined Dr. McFarlane, Recriuter and localsurgeons and physicians in a dinner meeting to discuss future plans

o January 25, 2020: RRDMA meeting, may present on R&R, time TBA.o Attending Northern Constellations May 8,9 2020 (NOSM event)o Locum housing is working well. HR and Recruiter are maximizing housing options.o Riverside Health Care Physician Recruitment Facebook moved to Riverside’s General Facebook page to

adhere to RHC communication policies. Continue using Twitter, LinkedIn in accordance with RHC policies.

Advocacy

• Greg Rickford - November 1, 2019 - Pre-meeting/announcement of additional 1 % funding (1 time Base funding).

• Small Rural and Northern Hospital Council Meeting (SRN Council) - October 31, 2019 - Agenda Items and discussionincluded:

o Credentialing Issues- need for standardization across province.o Hospital Infrastructure Renewal Fund (HIRF) - General update provided by James Stewart, Director, Health

Capital Investment Branch led a discussion on exceptional circumstances MOHLTC.o OHA Update- current initiative.o Rural Health Hubs- how they fit within future OHTs.o Changes to Pharmacies within LTC Home- impacts to funding.

Respectfully Submitted,

Ted ScholtenPresident and CEO


Clinical Services & CNE Report – November 2019

Strategic Pillars & Directions

Quality

• Shine the Light CampaignShine the Light Campaign was Friday, November 15, 2019. The goal of the Shine the Light on Woman Abuse campaign is toraise awareness of violence against women. This is to stand in solidarity with abused women and support them inunderstanding that any shame and/or blame they may feel does not belong to them but to the perpetrators of their abuse;and to raise the profile of the community agencies that can provide abused women with help as they attempt to live theirlives free from violence and abuse. Purple is worn. Purple is a symbol of courage, survival and honour, and has come tosymbolize the fight to end woman abuse.On Friday, November 15, 2019, cutting of the ribbon, for our new sexual assault space, was done by Lori Green, NursingSupervisor and Sexual Assault Nurse Examiner (SANE nurse). This was done in conjunction with Shine the Light Campaign.Community partners attended the ribbon cutting ceremony.

• Regional Mental Health Assessment Team (RMHAT)The region is looking to submit a proposal to implement this. This would provide our Emergency physicians and staffaccess to mental health nurses and psychiatrists. The model they are looking at is similar to the Regional Critical CareResponse (RCCR) model. This would use a portable unit, Tandberg, to connect via OTN. The RCCR program has beenextremely successful for Riverside and for Thunder Bay Regional.

• Asthma Care PathwaysExploring the implementation of Emergency Asthma Care Pathway. This pathway is created by the Ontario LungAssociation.

• Surge LearningContinued work on Surge policies & procedures.


• Education Palliative Care Booster attended by two staff members, in Thunder Bay, this was followed by a presentation to our

Palliative Care Committee. Health System Navigator attended Homelessness Symposium in Edmonton, Alberta. Annual Duluth Breast Imaging Symposium was attended by mammography technicians. In-house obstetrical course continues, every Thursday, with buddying or mentoring in between class sessions. The

goal is that this course will be complete December 19, 2019. There is positive feedback from the 3 Registered Nurses(RNs) taking this course.

Fetal Health Surveillance Course in Thunder Bay will be attended by 3 RNs being trained in obstetrics on December 4,2019.

Basic Life Support (BLS) Courses-October 31, November 5, and November 12, 2019. Advanced Cardiac Life Support (ACLS)-December 10 & 11, 2019. Cardiac Rhythm Course-November 4, 2019. Continued MoreOB Sim Labs, lunch & learns, skills drills, and chapters review.

• Recruitment & RetentionOngoing recruitment and staffing efforts. Actively training RNs in specialty areas (obstetrics, ICU, and EmergencyDepartment).

• Operational ReviewAssisting Henry Gauthier in reviewing the document submitted by Big Health Care.

Partnerships

• Mental HealthMeeting with Ontario Provincial Police (OPP), regarding patients that require a mental health assessment but are underthe influence of drugs or alcohol. We are unable to complete an assessment while under the influence. The OPP areunable to keep these patients in their cells. The OPP are agreeable to attend the hospital should staff feel unsafe or weare unable to control an aggressive patient. Riverside is advocating for a “Safe Space” in the Emergency Department. (Seebelow under Advocacy)

• Wound Care Centre Of ExcellenceWith our community partners, we are reaching out to patients, residents and clients of the district to review the needsassessment for a wound care centre of excellence, which would include 2 barometric chambers.

• Proceeds of Crime (POC) Front-Line Policing (FLP) Grant Program

Item 4.4


Clinical Services & CNE Report – November 2019

Meetings with community partners, led by the Ontario Provincial Police (OPP), to provide input and assistance to submit aproposal for POC FLP Grant.

• Northwest LHIN Home & CommunityExploring the opportunity to assist NWLHIN Home & Community with nursing services.

Advocacy

• Confederation College Strategic PlanParticipated in Confederation College Strategic Plan Community Engagement on October 23, 2019.

• Mental Health & AddictionsAttended and participated in the Community Mental Health & Addiction Design Event from November 13-15, 2019,located in Thunder Bay. This was arranged by the NWLHIN and facilitated by Jessica Logozzo. This was a time fornumerous districts and resources to come together to discuss services, identify gaps, and develop a plan forward. This willbe followed by teams to address action plans. There were 12 action plans, which will result in 12 teams.

• Safe Space in Emergency DepartmentAdvocating for available funding opportunity towards capital for a safe space in the Emergency Department. This wouldbe a safe, secure, area for our mental health and addiction patients.

• Nursing NOW 2020 Planning Together in Northwestern OntarioAttending Nursing NOW Planning Together in Northwestern Ontario on November 21 & 22, 2019. Facilitators andspeakers include:

o Mrs. Carole Timmings, Director, Practice Quality, College of Nurses of Ontario (CNO)o Dr. Michelle Acorn, Provincial Chief Nursing Officer (PCNO), Ministry of Healtho Dr. Valerie Grdisa, Executive Vice President of Research, Quality & Academics and Chief Nursing

Executive (CNE), Thunder Bay Regional Health Sciences Centre

• Greg Rickford Funding AnnouncementAttended Greg Rickford funding announcement on November 1, 2019 at Riverside Health Care-LVGH.

Thank you to the Clinical Services leaders for their submissions that prove to be invaluable in the preparation of this report.

• Tammy McNally, Director Nursing Practice & Manager of Care Rainy River Health Centre

• Glenna Morand, Director Outpatient Services & Manager of Care Emo Health Centre

• Cindy Cole, Director Patient Safety & Perioperative Services

• Julie Cousineau, Director of Inpatient & Emergency Services

• Toni Benning, Manager, Laboratory

• Bernie Rittau, Manager, Diagnostic Imaging

• Marty Nelson, Health System Navigator

• Joelle Buist, Patient Experience & Flo Coordinator

• Jodi Jewell, Infection Control Practitioner

• Stephanie Cousineau, Pharmacist


Julie LovedayVice President, Clinical Services & CNE


Corporate Report – November 2019

Strategic Pillars & Directions


• Operational ReviewA draft version of the operational review was received on November 1, 2019 from Big Health Care. During a 2 ½ weekstretch senior leadership committed countless hours to properly review the report in advance of providing feedback to theconsultant (Big Health Care). It was determined that the report does not meet critical deliverables originally agreed toand noted that there were significant contextual and interpretation issues in the findings. On November 20, 2019 RHCprovided a document to Big Health Care outlining the numerous concerns.

• Mental Health & AddictionsCommunity counselling representatives and the VP, Clinical Services & CNE attended the NW LHIN Mental Health &Addiction Design Event held in Thunder Bay in November. The outcome of this event is a summary of priorities, and teamsare being formed from across the NW LHIN health service providers to assist with development of action plans for each.

• Human Resource Information SystemThe external consultant contracted to extract payroll information from our database has completed his preliminary workand human resources has completed its initial data tables. Finance and Human Resources are now preparing for upload ofthe preliminary information into the new Logibec HRIS system in order to begin initial testing. Payroll and HumanResources revised timeline is set at 10 months, with the scheduling system to follow this initial implementation.

• PSW ProgramConfederation College engaged RHC’s human resources team after considerable interest was received from an agency inIndia that would like to assist in identifying applicants for a personal support worker program in Fort Frances. The agencyhas indicated that time is of the essence, but they remain confident they could recruit a minimum of 15 students for theprogram. However, we have to explore the intake model that moves from funding the $4,000 cost of education toproviding free accommodation during the program. This proposal would likely be cost neutral and would come with a twoyear offer of full time employment. Having just received this request, Human Resources is evaluating it at this time asthere are other important issues to consider before proceeding.

Partnerships

• District of Rainy River Ontario Health Team (DoRR OHT)On November 1, 2019 representatives from the senior leadership team met with a number of Chiefs from across theDistrict and other health partners. In addition to the Chiefs, executives from RRDSSAB, FFTAHS, GHAC, CMHA-FF, NWHAand RHC were in attendance. A transparent discussion occurred and the general view was that we should continue toadvance the concept of a District OHT. Most importantly, it was identified that governance, at some level, would need tobe addressed to ensure the Indigenous communities were appropriately represented, and it was noted that authenticrelationship building would need to occur (not mere ‘tokenism’). On November 19, 2019 a draft terms of reference wasreceived from the FFTAHS CEO that was reviewed and approved by the Chiefs. We are now contacting additional partnersto expand the OHT membership, reviewing the draft terms of reference, and preparing for the looming December 4, 2019.Ontario Health Team self-assessment deadline.

• Connecting CaregiversOur community support services program is working with the Alzheimer society to assist in a new initiative calledConnecting Caregivers through Technology. The concept is to support caregivers geographically isolated or home bounddue to circumstances in utilizing web conferencing to participate in virtual support groups.

• Health Service Partner - Team BuildingRHC and select health service partners will be attending the OHA’s “Integrated Care – A Matter of Trust” one day trainingsession on December 11, 2019 in Toronto. RHC has the benefit of small hospital transformation funding available tosupport attendance costs for both RHC and its partners. In addition, our partners will be attending a meeting with us onDecember 10, 2019 to discuss the vision of an Ontario Health Team & District Health Campus(es) for the Rainy RiverDistrict. Attendees with include associate and assistant deputy ministers and the OHT Executive Lead.

Quality

• Shine the Light Campaign - Refer to VP, Clinical Services & CNE report.

• Patient/Resident TVsIn addition to new television programming, twenty three new televisions were installed at the LaVerendrye GeneralHospital in November. Television programming surveys are being completed for Rainycrest, Emo and Rainy River prior toconfirming the new packages at each location. This change in TV programming will enhance the patient/residentexperience.

Item 4.5


Corporate Report – November 2019

• Community Services SoftwareIn addition to our existing community support services program, including assisted living, RHC recently expanded intopersonal support services and, through the leadership of the VP, Clinical Services & CNE, is also in the planning stages ofexpanding into the nursing home care sector. With this expansion comes the need to view our community programs in amore integrated manner. While we continue to explore how to best achieve this structurally, the team has taken theinitial step of exploring standardized documentation, results reporting and service scheduling software that will supportthe full continuum of community services, to the greatest extent possible.

• Personal Support ServicesCommunity support services began receiving personal support service referrals from the NW LHIN H&CC division inNovember. This contract with H&CC is an overflow contract intended to meet district demand that exceeds the resourcesof existing providers.

• NW LHIN – Opioid & Crisis ResponseIn November, the NW LHIN confirmed RHC funding agreements for the After Hours Crisis Response program atLaVerendrye General Hospital and for the initial development of a Rapid Access Addiction Medicine (RAAM) clinic at theRiverside Counselling location.

• Nursing Home Care ServicesAs noted in the VP, Clinical Services and CNE report, RHC has agreed to support the delivery of day time nursing home careservices to a select client of H&CC. RHC has also been asked to contract with H&CC to provide nursing home care to meetexcess demand for these services. It is anticipated that the nursing home care service agreement with H&CC will becomplete by December 2019 and that service delivery will begin in January 2020.

Advocacy

• Greg Rickford Announcement - Refer to CEO and VP, Clinical Services & CNE reports.

• Associate & Assistant Deputy Minister MeetingsRHC has scheduled a number of meetings with Assistant Deputy Ministers (ADMs) on December 10 and 12, 2019 inToronto. RHC’s senior leadership team is meeting with ADMs and/or MOHLTC leads for OHTs, hospitals, long term care,capital, emergency services, mental health/addictions and non-urgent/medically stable patient transport. These meetingsare an important opportunity to discuss opportunities, achievements, challenges and ‘get to know’ key MOHLTCrepresentatives.

Thank you to the following individuals for their contributions this report.

• Brenda Wood, Manager of Community Support Services, Assisted Living Services and Transportation

• Gwen Miller, Manager, LaVerendrye Non Profit Supportive Housing

• Lisa Belluz, Director, Counselling Services

• Ed Cousineau, Director of Capital Planning, Engineering & Environmental Services

• Simone LeBlanc, Director, Food Services & Coordinator, Quality, Safety, Risk Management and Privacy

• Jason Marchand, Director of Human Resources

• Carla Larson, Director of Financial & Patient Information Services

• Marie Brady, Director of Information Systems & Technology

• Barbara Harten, Vice President Long Term Care & Administrator

• Julie Loveday, Vice President Clinical Services & Chief Nursing Executive


Henry GauthierExecutive Vice President & Chief Operating Officer


Long Term Care Services Report – November 2019

Page 1

Strategic Pillars & Directions:

Quality

• Medication Management – implementation of the Medisystems Pharmacy: Touchpoint calls continue as well as onsitevisits to ensure system processes are clarified and following current policies and procedures.

• Main Dining Room Renovations: November 25th

to December 3rd

: Removal and replacement of dining room flooring andbaseboards, flooring based on Tarkett Granite. This entire Dining Room area will be painted during this time.New Accessible tables & chairs for the dining room to arrive Dec 2

nd.

Project detailed document sent to Ministry of Health & Long Term Care – approval received Nov 14th

• Ministry of Health and Long Term Care Compliance report: Inspection Date: October 21st to October 24th 2019.Review of three Complaints: Results: 2 written notifications; 1 voluntary plan of correction.Review of Three Critical Incidents: Results: 3 Written Notification/1 Voluntary Plan of Correction and 1 Compliance order

• Influenza VaccinationResidents: 143/146 = 98% received the vaccineClinics are being available to staff.

• Wheelchairs – Infection Control and Restorative Care Project Initiative: The Rainycrest team with the leadership/expertise of IPAC Coordinator has taken the initiative to clean and complete an audit of wheelchairs – Nov 7

thcompleted

cleaning/review for all West Wing wheelchairs. Plan to schedule two to three more night shifts to review the remainderof wheelchairs. Investigating the option of purchasing steamers (1 for each unit) – Steam King – easy to operate;decreases infection rates.

• Resident /Family Satisfaction Survey - We have commenced the distribution of Annual Resident Satisfaction survey inOctober 2019.

• Mandatory Program by MOHLTC - We are currently reviewing/re-organizing the mandatory program committees toensure the leads have the time to complete committee work and that we are up to date with IPs (Inspection Protocols)and PE (Program evaluations). As we start to stabilize staffing resources, our goal is to have each committee chair have 1day a month (likely date of meeting) paid to work on committee duties (meeting, minutes, initiatives, education, monthlyreport to CQI)

• Skin, Wound & Continence Committee has developed and circulated an internal newsletter. November 20, 2019 iscelebrated as Worldwide Pressure Injury Prevention Day. Pressure Injuries affect millions of people worldwide and are ahuge burden on both the resident and the healthcare system. Within the last quarter (July to September), Rainycrest hasseen 13 new internally acquired pressure injuries.

• Spiritual Care Coordinator attends morning meetings and is included in interdisciplinary discussions. Spiritual care hasbecome an integral part of care for our residents. The Coordinator helps residents, regardless of their denominationalbackground, to express their values and wishes.

• Activation department is in the process of updating their assessment tool thus enabling the staff to have backgroundinformation on present and new residents. “All about Me” forms are in the current Admission package; the content willbe in the activation assessment. The software “Activity Pro” will be revisited as an option for the Activation departmentto enhance documentation of their programs. Our residents’ health will be more reflected in this process as well as itdrills down more effectively their involvement and any declines. (inactivity could be change of status such as depression,disease progression of dementia etc.)

• Falls & Restraints Committee is held to ensure that our residents and their families understand the importance of fallprevention/restraint reduction in our long term care facility and to promote resident-centred care. At our falls meetingswe review our falls statistics, identifying trends about the falls; such as, but not limited to location of fall, activity residentwas doing prior to fall, and time of falls. Reviewing the fall trends helps our interdisciplinary team identify what we can doto help prevent these falls such as resident-specific care planning, staff structural changes, and/or environmentalmodifications and improvements.

Organizational Health2019 Occupancy Report for the month of October

Rainycrest: MTD YTD Basic Beds: 93.82 % 80.53% (Occupancy Target: 97%) Private/Semi Private 74.63% 63.83% Interim Beds: 50.00% 43.42% (Occupancy Target: 90%) Convalescent Beds: 00.00% 00.00% (Occupancy Target: 80%)

Item 4.6


Long Term Care Services Report – November 2019

Page 2

Respite Beds: 25.81% 32.89% (Occupancy Target: 50%)

Rainy River MTD YTD LTC Eldcap Beds: 97.2% 98.60% (Occupancy Target: 97%)

EMO MTD YTD LTC Eldcap Beds: 100 % 98.4% (Occupancy Target: 97%)

• Staffing changes:Assistant Director of Care – Crystal Duhaime start date: Nov 13th 2019Scheduling Clerk – April Boileau started October 28

th, 2019

• Recruitments Efforts - Human resources and the Nursing Leadership Team are being extremely diligent on all nursingrecruitment for Rainycrest, inclusive of the exorbitant amount of time and effort going into national recruitment.From November 21, 2018 to November 6, 2019 for Full time Health Care Attendants:Applicants - 2,827 FT Offers Sent Out - 24 (Plus 2 LMIA offers) Hired - 7 FT, 8 Casual (4 interim seasonal workers)As for RPNS from May 8, 2019 to November 6, 2019: Applicants - 70 applicants Hired - 2 FT, 1 PT, 4 Casual

• Interdepartmental Rainycrest weekly meetings commenced November 7th

. Purpose of the meeting: To create aneffective teamwork system that can immediately and positively affect resident safety and outcome.Focus: Long term Care standards operationally infiltrated in the HomeFuturistic journey – develop a long care service model that is an integrated health care solution.

Partnerships

• Motion is one of Canada’s leading mobility and accessibility solutions providers to serve Riverside Health Care as apreferred vendor. Notification to Family Council and Resident Council members at the November monthly meeting of theservices and related costs.

• Community invited to the home to celebrate Halloween – Residents participated in handing out bags of candy to over200 trick–or—treaters that visited.

Advocacy

• Family Council meeting – Oct 16th

2019Resident Council meeting – Oct 24

th, 2019

• 10 day written response letter sent to both the Family and Resident Council addressing their concerns as per MOHLTCregulation.

• A Memorial Service at the Home on Nov 27th

at 10:30 am for the 29 residents who have deceased from January 2019 toNovember 2019. Family, residents and staff are invited to attend.

• The Legion has been assisting Rainycrest in remembering our Vets. Thursday, a Tea was held with one of our musiciansplaying music related to the wartimes. Each Vet was introduced and presented a red carnation on their lapel. One of ourVets stood up and made a brief speech of appreciation for recognition. Also, on Remembrance Day, a colour partybagpipes and flags for our vets was onsite at the Home. The same resident who spoke at the tea also assisted in thisceremony by reciting in Flanders Fields.

• Safeway assisted Rainycrest n celebrating on one of our residents 107th

Birthday. They donated half the price of abeautifully decorated cake that was shared with other residents helping bring in this special event.

Thanks to the management team for providing information on their departments for this report.


Barbara HartenVice President Long Term Care Services & Administrator


Chief of Staff Report – November 2019

Flu season is upon us and numerous options are available around the community for flu vaccinations, including flu clinics,pharmacies and the Fort Frances Medical Clinic and Family Health Team. We have seen suspected cases of the flu in theEmergency Room and at the clinic. Our medical staff has been diligent in reminding patients seen through the ER and thoseadmitted to the hospital to get their flu shots. Medical staff are immunized each year in an effort to decrease the incidence ofinfection and transmission of the flu virus. Medical staff are continually educating the public on the benefits of the flu shot,including during pregnancy. We anticipate an influx of patient admissions over the next few months due to flu infections.

Our medical staff has been trialing more home based education in the form of simulation teaching. Several simulation sessionshave been completed, with the aim of one per month. These have been focusing on emergencies in a “mock event” simulation,with a multidisciplinary base to ensure interprofessional involvement with other health care providers. Physicians are signingup on a volunteer basis to run the simulation sessions, in an effort to cover a broad area of topics. One example was an“imminent birth” that involved the simulation of an imminent birth in the ambulance, involving physicians, nurses and severalparamedics. Each session is completed with a debriefing to discuss process, medical treatment, communication, and teamdynamics and to identify areas of improvement. Feedback has been excellent on the learning from these sessions.

Other forms of education that ran in the Fall included the completion of another NRP (Neonatal Resuscitation Program) thatwas full with a waiting list and an upcoming ACLS (Acute Care Life Support) program is to run this December. These programsare run by physicians and nurses locally, ensuring that our medical and nursing staff have the opportunity to stay up to datewithout having to travel to other communities.

Our medical students Jeremy and Jilayne have settled nicely into Fort Frances and their roles as third year medical students intheir clerkship. They are involved with all aspects of hospital care, including our visiting specialists such as orthopedics, clinicand Family Health Team, emergency services and a multitude of interdisciplinary care options to foster their interprofessionalunderstanding and collaboration.

Respectfully submitted,

Dr. M. KowalChief of Staff

Item 4.7


Governance Committee Report – November 2019

4.8.1 Community Engagement Initiatives Briefing Note *

4.8.2 Ontario Health Communication *

Item 4.8


BRIEFING NOTE

TO: RHC Board Governance CommitteeFROM: Ted Scholten, President and CEODATE: Nov 6, 2019SUBJECT: Community Engagement SummarySUMMARYRiverside Leadership regularly engages Community in meetings with key stake holders, bothHealth Service Providers (HSPs) and Non-Health Service Providers (internal and external).Engagement can be a result of Local Health Integration Network (LHIN) initiatives thatrequire partnership. It can also be a result of new funding opportunities, problem resolutionfor issues of common interest, as well as emerging local / regional health system initiatives.

It is important to note that volunteer community members are enlisted to serve on our boardand board committees, Corporate Committees and facility specific committees includingPatient Family Advisory Council (PFAC), Resident and Family Councils, Auxiliaries,Riverside Foundation, and others. Though these committees are both internal and externalto the corporation, an invaluable and important community perspective is gained by havingthese volunteer community members serve. Listed below are the primary ExternalStakeholder engagement activities, onetime and ongoing, that have taken place within eachof our Partnership and Advocacy Strategic pillars in the past year:

Partnership Engagement• Sub Region Collaborative- We have met twice this fiscal year and continue to deal

with massive change. The NW LHIN has limited influence under the newgovernment and is expected to soon be dissolved. Facilitation of initiatives remainstheir focus as issues arise and initiatives are rolled out. Teleconference and RRDistrict Meetings have been held with system partners including but not limited toNWLHIN, FFTAHS, Northwestern Health Unit (NWHU), Gizhewaadiziwin HealthAccess Centre (GHAC), Firefly, DSSAB, FFFHT, Home and Community CareDivision of NWLHIN.

• Ontario Health Teams- Engaged in NW OHT Submission (serve as Hospital Rep onWorking Group) as well possibility of a RR District OHT. Multiple meetings with HSPsboth Regional and local.

• Mobile Crisis Response- Engaged with multiple mental health partners to ensure thisimportant service remained a coordinated effort (CMHA, Victim Services Support)

• Rapid Access Addictions Management (RAMM) Clinic- in combination with FFTAHSand CMHA.

• Auxiliaries- CEO attends meeting in Rainy River, Emo, LVGH, and RainycrestAuxiliary Annually

• NW CEO Meetings- approximately every 6 weeks we meet to discuss and addressregional priorities.

• RR District Regional Economic Development Committee- member of REDC.• Town of Fort Frances- met with Mayor to discuss current challenges and high level

future planning, including wood yard/ Mill property/ Helipad / as well as Town of FortFrances Strategic Planning.

• Palliative Care Committee- RHC is in partnership with NWLHIN Home andCommunity Care, FFTAHS, and GHAC.

• Regional Pharmacy- Continuing coordination of pharmacy service delivery withRegional Tele-pharmacy through TBRHSC and Northwest Tele-pharmacy.

• Kenora RR District Regional Laboratory- Presently Chair of Western CEOs Board asBoard of Directors. LVGH provides laboratory support services for Atikokan and


Kenora.• Pre-Natal Care in the Community- RHC hosts annual events attended by NWHU (all

sites), GHAC, FFTAHS, local area physicians, as well as NOSM Students.• Northern Teaching Council- CEO serves on Council to provide input on efforts of

NOSM, NOAMA supporting physician training and education to enhance recruitmentand retention of physicians in the north.

• RR District Recruitment and Retention Committee- Attend monthly meetings of FortFrances FHT, Foundation, GHAC, Town of Fort Frances, Nelson Medicine.

• Health Links- RHC along with NWLHIN, CHMAFF, DSSAB and Family Health Teamcontinue to collaborate service delivery model.

• Helipad Initiative- Engaged Resolute Forest Products, Town of Fort Frances, andDistrict Social Services Administration Board (DSSAB).

• North West Health Alliance- Regional NW Hospital CEOs.• Health System Navigator- Engagement and partnership with NWLHIN, FFTAHS to

provide assistance in managing patients with addictions that present in theEmergency Department.

• Mino-ayaa-ta-win Healing Centre– FFTAHS and RHC continue to work together toenable smoother transitions of patients to be admitted for addictions treatment anddetox.

• Ontario Provincial Police (OPP) - Ongoing meetings to facilitate cooperation inmanaging difficult patients for Form 1 transfers.

• Colleges and High Schools- Confederation College, Lakehead University, FFHS toname a few. Partnership with Confederation College for offering of “LivingClassroom” for Personal Support Worker training.

Advocacy Engagement• Local MPP Greg Rickford - Meetings have continued and are ongoing given current

system and fiscal challenges.• LWLHIN / Ministry / LTC division- meetings to address need for cooperative

approach to solve system challenges specifically within our integrated corporatestructure.

• Small Rural and Northern Council (SRN Council) - Have officially taken former BoardChair’s place on this OHA council.

• Hosted OHA Leadership in summer- President Anthony Dale and his team.• Hosted TBRHSC CEO Jean Bartkowiak and toured RHC Sites across the district.• Pre Budget Advocacy- providing feedback to the OHA, via SRN Council, on small

Hospital provincial priorities and challenges specific to the North.

RECOMMENDATIONFor information Purposes


1

Date: November 13, 2019 To: All Staff From: Bill Hatanaka Susan Fitzpatrick

Ontario Health Board Chair Ontario Health Interim CEO

Re: Ontario Health Transitional Regional Leadership We are writing to provide you with two updates taking place today. In order to provide ongoing oversight of the 14 LHINs while enabling the continued delivery and coordination of regional care across the health care system, we are aligning the LHINs during this transitionary period to five interim and transitional regions. This is not a merger of the LHIN boundaries. Rather, these changes are a means of streamlining the regional oversight as an interim measure as the ministry continues its work to integrate home and community care supports with Ontario Health Teams. Effective today, 14 LHINs have been clustered into five interim and transitional geographic regions that are to be led by five LHIN CEOs who have been cross-appointed as Transitional Regional Leads and will report to Susan Fitzpatrick, Interim CEO of Ontario Health, in addition to the LHIN boards, to support Ontario Health with transition planning. The five Transitional Regional Leads are responsible for the ongoing management of operations including:

Coordinating patients’ access to home and community care and long-term care; Continuing the day-to-day administrative oversight of health service providers; Engaging with patients and families through your patient and family advisory councils; Engaging with Indigenous and Francophone peoples, and; Leading and managing the LHIN workforces within their region.

Please join us in welcoming the following leaders in their new roles:

Bruce Lauckner will become the Transitional Regional Lead in western Ontario (and managing Erie St. Clair, Hamilton Niagara Haldimand Brant, South West and Waterloo Wellington).

Renato Discenza will become the Transitional Regional Lead in eastern Ontario (and managing Champlain, South East and Central East).

Scott McLeod will become the Transitional Regional Lead in central Ontario (and managing Central, Central West, Mississauga Halton, and North Simcoe Muskoka).

Tess Romain will become the Transitional Regional Lead in Toronto (and managing Toronto Central).

Rhonda Crocker Ellacott will become the Transitional Regional Lead in northern Ontario (and managing North East and North West).


2

As we transition to five Transitional Regional Leads, patient safety and quality care will not be affected, and home and community care services will not be impacted. Your workforces will be well supported in their delivery of critical services on the frontlines. Together, as a leadership table with the Ontario Health Transition Team, the Transitional Regional Leads will have a view of the big picture across the province, ensuring effective transition planning for LHIN functions. The Transitional Regional Leads will soon be in touch with staff in their respective regions about next steps. We also want to share that the Ontario Health Board of Directors express their sincerest and deepest appreciation to the departing CEOs for their tremendous contributions and years of dedicated service. Ontario has greatly benefitted from their leadership, commitment, ongoing professionalism and excellence in ensuring high quality health service planning and delivery in their regions. And lastly, we want to share with you that transfer orders were issued today by the Honourable Christine Elliott, Deputy Premier and Minister of Health, to Cancer Care Ontario, eHealth Ontario, HealthForceOntario Marking and Recruitment Agency, Health Shared Services Ontario and Ontario Health Quality Council operating as Health Quality Ontario. The transfer orders state that those agencies will be transferred to Ontario Health on December 2, 2019. Your organizations and the Trillium Gift of Life Network are not transferring into Ontario Health at this time as the ministry and Ontario Health are taking every precaution to ensure the continuity of direct patient care and services are maintained while their detailed planning moves forward, enabling a smooth transition at the right time and in the right way. Looking Ahead Since the proclamation of the Connecting Care Act, 2019 last June, the agencies that will eventually form Ontario Health have been working diligently and cooperatively towards the goal of transferring. We would like to thank all of you for your patience, professionalism, and ongoing commitment to high-quality patient care during this transition. Continuity of patient care will remain a top priority. This is an exciting time for health care delivery in the province and you are all part of its evolution. We will continue to update you on our progress. In the meantime, we look forward to our continued work together – improving health care delivery for all Ontarians. Until next time, Bill and Susan


Audit & Resources Committee Report – November 2019

4.9.1 A&R Annual Reporting Schedule *

4.9.2 Financial Report – October 2019 *


Item 4.9

Audit & Resource Committee

Annual Reporting ScheduleJULY

Meeting – None

Distribution – July 31

AUGUST

Meeting – None

Distribution – August 30

SEPTEMBER

Meeting - September 19

Distribution - September 13

• Financial & OT/Sick reports distributedJuly 31.

• Financial & OT/Sick reports distributed

August 30.

• Financial Report

• OT, Sick & FTE Reports

• Master Plan Update

OCTOBER

Meeting - October 17

Distribution - October 11Exception - Financial Report distributed October 15

NOVEMBER

Meeting - November 21

Distribution - November 15

DECEMBER

Meeting - None

Distribution – December 16



• Performance Conversations

• Insurance Review

• Talent Management



• Board & Management Travel

• Bad Debts

• Budget Planning

• CEO Compliance

• Operational Reviews

• Financial & OT/Sick reports distributedDecember 16.

JANUARY

Meeting - January 16

Distribution - January 10Exception - Financial Report distributed January 15

FEBRUARY

Meeting - February 20

Distribution - February 14

MARCH

Meeting - March 19

Distribution - March 13Exception - Financial Report distributed March 16




• Terms of Reference Annual Review

• Capital Equipment Approval

• Budget



• Declaration of Compliance – LSAA





• HSAA extension

• MSAA extension

• LSAA extension

• Non Union Wage Review

• Line of Credit


• Talent Management • Review BDO Engagement Letter

APRIL

Meeting – April 16

Distribution – April 10

MAY

Meeting - May 21

Distribution - May 15

JUNE

Meeting - June 18

Distribution - June 12

• Financial Report (no report)



• Bad Debts

• BDO Audit Engagement Board &

Management meeting(s)

• Talent Management

• Financial Report (draft unaudited yearend) OT, Sick & FTE Reports

• Attestation – BPSAA

• Use of Consultants – BPSAA

• BDO Board & Management meeting(s)

• Bad Debts

• Declaration of Compliance – HSAA

• Declaration of Compliance - MSAA

• Compliance Attestation – CritiCall

• Board & Management Travel

• CEO Compliance


• Financial Reporto Prior Year Audited Statementso Current Year April Financial

Report



• Investments Update


LNPSHC bricks and mortar has its own Board of Directors consisting of the Riverside Board Chair, Vice Chair, CEO and EVP/COO.


LHIN - Base Funding A-1 $25,872,723 $15,092,422 $15,272,943 $180,521 1.20%

Bundled Care A-2 $651,610 $380,106 $340,654 ($39,452) -10.38%

LHIN - One Time Funding A-3 $162,080 $94,547 $168,709 $74,162 78.44%

MOHLTC - One Time Funding A-4 $222,275 $129,660 $129,662 $2 0.00%

Other Revenue MOHLTC - HOCC A-5 $488,505 $284,961 $246,262 ($38,700) -13.58%

Paymaster A-6 $426,839 $248,989 $702,435 $453,445 182.11%

Cancer Care Ontario A-7 $10,052 $5,864 $5,026 ($838) -14.29%

Recoveries & Miscellaneous A-8 $1,400,005 $816,670 $1,019,360 $202,690 24.82%

Amortization of Grants/Donations Equipment A-9 $320,000 $186,667 $156,366 ($30,301) -16.23%

OHIP Revenue & Patient Revenue from Other Payors A-10 $1,640,505 $956,961 $1,041,425 $84,464 8.83%

Differential & Copayment A-11 $968,015 $564,675 $645,576 $80,900 14.33%TOTAL REVENUE A-12 $32,162,609 $18,761,522 $19,728,417 $966,895 5.15%

Compensation - Salaries & Wages A-13 $18,024,753 $10,567,937 $11,295,681 $727,744 6.89%

Benefit Contributions A-14 $4,960,161 $2,908,149 $2,960,114 $51,965 1.79%

Future Benefits A-15 $163,200 $95,200 $104,475 $9,275 9.74%

Medical Staff Remuneration A-16 $1,443,525 $842,056 $855,395 $13,339 1.58%

Nurse Practitioner Remuneration A-17 $122,800 $71,633 $65,093 ($6,540) -9.13%

Supplies & Other Expenses A-18 $4,872,095 $2,842,055 $3,013,497 $171,442 6.03%

Amortization of Software Licenses & Fees A-19 $69,135 $40,329 $20,350 ($19,979) -49.54%

Medical/Surgical Supplies A-20 $788,077 $459,712 $432,909 ($26,803) -5.83%

Drugs & Medical Gases A-21 $783,807 $457,221 $957,098 $499,877 109.33%

Amortization of Equipment A-22 $705,000 $411,250 $374,734 ($36,516) -8.88%

Rental/Lease of Equipment A-23 $144,364 $84,212 $81,461 ($2,751) -3.27%

Bad Debts A-24 $82,000 $47,833 54,411$ $6,578 13.75%

TOTAL EXPENSE A-25 $32,158,917 $18,827,588 $20,215,218 $1,387,630 7.37%

SURPLUS/(DEFICIT) A-26 $3,692 $2,154 ($486,801) ($488,955) -22703.37%

YTD Budget

YTD Actual Dollars

Over(Under) YTD

Budget

YTD Actual Percent

Over(Under) YTD

Budget

Fund Type 1 - LHIN Funded - Hospital Services

REVENUE

Operating Revenue & Expense Summary

YTD Actual2019/2020 Annual

Budget

April 1, 2019 to October 31, 2019

Submitted By: Henry Gauthier, Senior Director, Corporate Services (CFO/CIO) Printed: 2019-11-18 at 12:13 PM Copy of OCTOBER 2019 Financial Report DRAFT rev2 with Asupreme and Arvan accruals


YTD Budget

YTD Actual Dollars

Over(Under) YTD

Budget

YTD Actual Percent

Over(Under) YTD

Budget

Operating Revenue & Expense Summary

YTD Actual2019/2020 Annual

Budget

April 1, 2019 to October 31, 2019

TOTAL REVENUE B-1 $1,523,053 $888,448 $909,744 $21,297 2.40%

TOTAL EXPENSE B-2 $1,523,053 $888,448 $915,902 $27,454 3.09%SURPLUS/(DEFICIT) - DUE To LHIN B-3 $0 $0 ($6,158) ($6,158) 0.00%

TOTAL REVENUE C-1 $203,436 $118,671 $122,812 $4,141 3.49%

TOTAL EXPENSE C-2 $203,436 $118,671 $121,891 $3,220 2.71%SURPLUS/(DEFICIT) - DUE To Other C-3 $0 $0 $921 $921 0.00%

TOTAL REVENUE D-1 $1,465,516 $854,884 $812,655 ($42,229) -4.94%

TOTAL EXPENSE D-2 $1,465,516 $854,884 $804,199 ($50,685) -5.93%

SURPLUS/(DEFICIT) - DUE To LHIN D-3 $0 $0 $8,456 $8,456 0.00%

TOTAL REVENUE E-1 $12,767,160 $7,447,510 $6,400,057 ($1,047,453) -14.06%

Compensation & Benefits E-2 $11,266,297 $6,605,445 $6,226,880 ($378,565) -5.73%

Supplies E-3 $1,315,360 $767,293 $846,210 $78,916 10.29%

Service Recipient Specific Supplies E-4 $0 $0 $0 $0 0.00%

Sundry E-5 $700,226 $408,465 $262,964 ($145,501) -35.62%

Equipment E-6 $230,000 $134,167 $388,823 $254,656 189.81%

Contracted Out E-7 $37,140 $21,665 $197,234 $175,569 810.38%

Building & Grounds E-8 $26,350 $15,371 $7,057 ($8,314) -54.09%

TOTAL EXPENSE E-9 $13,575,373 $7,952,406 $7,929,168 ($23,239) -0.29%SURPLUS/(DEFICIT) including unfunded liabilities E-10 ($808,213) ($504,896) ($1,529,111) ($1,024,214) 202.86%

Less: Unfunded Future Benefits E-11 $0 $0 $47,250 $47,250 0%

Less: Unfunded Amortization Expense E-12 $0 $0 $3,920 $3,920 0%

SURPLUS/(DEFICIT) excluding unfunded liabilities E-13 ($808,213) ($504,896) ($1,477,941) ($973,044) 192.72%

Operating Surplus(Deficit) - Hospitals &

Long Term Care ONLY ($804,521) ($502,743) ($1,964,742)

Total Operating Margin - Hospitals & Long

Term Care ONLY -1.79% -1.92% -7.52%

Fund Type 2 - LHIN Funded - RainyCrest

Long Term Care

Fund Type 2 - LHIN Funded - RainyCrest Community Support Services

(Home Support, Assisted Living, Adult Day, Meals on Wheels)

Fund Type 3 - Other Ministry/Agency Funded - Non Hospital Services

Partner Assault Response - Family Violence

Fund Type 2 - LHIN Funded - Counselling & Non Profit Housing Programs

Mental Health - Case Management - Housing - Addictions - Problem Gambling

Submitted By: Henry Gauthier, Senior Director, Corporate Services (CFO/CIO) Printed: 2019-11-18 at 12:15 PM Copy of OCTOBER 2019 Financial Report DRAFT rev2 with Asupreme and Arvan accruals


Quality, Safety, Risk Committee Report – November 2019

4.10.1 Board Quality Metrics *


Item 4.10

INDICATOR SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG YTD Actual Target Variance Notes

1. Participation A 63% 88% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 75% 75% 0%

2. Participation B 70% 92% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 83% 75% 8%

3. Reflection A 63% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 63% 100% -38%

4. Reflection B #DIV/0! #DIV/0! 100% #DIV/0!

5. Decision Making 100% 100% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 100% 90% 10%

6. Education A 100% 100% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 200% 100% 100% min of 1 session/mtg

7. Education B 100% 100% #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 100% 100% 0% min of 2 items/mtg

8. Composition #DIV/0! #DIV/0! 89% #DIV/0! 16/18 skills met

9. Compliance 100% 100% 90% 10%

BOARD OF DIRECTORS - QUALITY METRICS - 2019-2020

Regional Sales chart plots the sales of up to eight regions from January through December. Enter Notes in cell N3 at right and sales data for each month in cells below.

INDICATORS:

1. Participation A - # of voting board members attending

board meetings monthly.

2. Participation B - # of voting board members attending

committee meetings monthly.

3. Reflection A - # of completed board meeting evaluation

surveys bi-monthly.

4. Reflection B - # of members that complete the board self-

assessment questionnaire annually (June).

5. Decision Making - # of board decisions made by detailed

briefing notes/supporting documentation done monthly.

6. Education A - # of education sessions at board meetings

monthly.

7. Education B - # of board meeting agenda items related to

integration, quality or strategy monthly.

8. Composition - # of categories in the skills based board

matrix met annually (March).

9. Compliance - # of new directors that attend board

orientation annually (Sept).

0%

20%

40%

60%

80%

100%

120%

SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG


Riverside Foundation for Health Care

Board of DirectorsMinutes of Meeting

DATE: Monday, October 28, 2019 TIME: 11:30 a.m.

LOCATION: LVGH Board Room

PRESENT: Carla Larson Tyler Cousineau Paul BrunettaDelaine McLeod Bev Langner Susan IvineLivia Lundon Janet Lambert Allison CoxBill Gushulak Kim Jo Bliss Ted ScholtenTammy Kellar

TELECONFERENCE: Carlene Steiner

1. Call to Order

Delaine McLeod called the meeting to order at11:42 p.m. Sandra Beadle recorded theminutes of this meeting.

2. Adoption of Agenda

IT was,MOVED BY: Bill Gushulak SECONDED BY: Livia LundonTHAT the Agenda be amended as follows:ADD: On-going Business: 6.6 Christmas Appeal

New Business: 7.1 TD InvestmentsCARRIED.

3. Conflict of Interest

There was no Conflict of Interest.

4. Approval of Minutes

IT was,MOVED BY: Tammy Kellar SECONDED BY: Paul BrunettaTHAT the minutes from the September 30, 2019 meeting be accepted as circulated.

CARRIED.

5. Correspondence

There was no Correspondence


Item 4.11

6. On-going Business

6.1 Planned Giving Launch

Now that the Gala is complete, Allison will be scheduling a time for the Committee tomeet. (Paul & Rob)

6.2 Garden of Life

Allison has been in touch with Daryl, he will be providing an update quote. Tabled untilSpring.

6.3 Donor Walls

Ed has said that the relocation of the LVGH Donor wall to the wall beside the Foundationdoor will work, and will actually be easier for him. It has been asked if the FoundationOffice door could swing into the room instead of out and due to accessibility regulationsthat is not a possibility. Digitality has sent a contract which Allison has forwarded on toPaul to review. Paul has given his approval. The contract can be amended as workmoves along but must be signed before any movement can start on the project. IST isalso reviewing the contract.

IT was,MOVED BY: Bev Langner SECONDED BY: Tammy KellarTHAT the Digitality contract be signed.

CARRIED.

6.4 Capital Equipment Updates

Leo, Lindsay and Allison haven’t had a chance to meet since the last Board Meeting;however Allison has received updates on the following:

Emo Auxiliary pledges:- Cafeteria tables have been selected and have come in at a much lower price than

the capital list price. Allison and Leo will be engaging the Auxiliary and Dorothy(Food Services Supervisor) to see if they would like to replace more than the 3originally requested as up to 6 can be purchased with the pledged amount ofmoney.

- Privacy curtains have been installed.Rainycrest Auxiliary pledges:

- Have all either arrived or are on order. (Hot Food Table, Resident RoomFurniture)

LaVerendrye Auxiliary pledge:- Panic Alarm Pendants (Allison will follow up)

Foundation Purchases:- Wheelchair accessible tables arriving December 3rd


6.5 Riverside Bursary

We had 4 applicants this year but only 3 application packages were complete. Scoresfrom the Selection Committee were collated and the recipients of this year’s Bursary are:

Rebecca Armit – Residential Support Worker at Non-Profit Housing, enrolled inHR through Confederation College with ambitions to become part of theSupervisor or Management Team.Johanna Strahl – RN, enrolled in the Critical Care Nursing Program at DurhamCollege

All applicants have been notified via mail and photo shoots are being arranged with thewinners. Once the photos are complete a public announcement will be made. Thank youto the Selection Committee for reviewing the applicants.

6.6 Christmas Appeal

Allison has engaged the Fort Frances Times and they are working on a design for theappeal. The letter that goes along with it will be completed this week and sent out toBoard Members for review by week end. Allison is aiming to have the appeal mailed outby November 18th. To allow time for printing and envelope stuffing, the letter needs tobe finalized no later than November 7th. The Christmas Appeal will be sponsoring theMIS Tower for the Operating Room.

7. New Business

7.1 TD Investments

Allison, Delaine, Carla and Dawn met with Chris Nicol our Account Manager from TD todiscuss investment options and possibilities. Carla said the bank is pushing moreprofitable investments, but this is not our mandate. They discussed GIC and marketed acouple options with GICs that can roll over. We could stager 3 different renewal monthsand the amounts could vary and would not be locked in for a long time. They alsodiscussed Term Deposits or Strip Bonds. The Term Deposits would be for one month upto 336 months, or Strip Bonds (not sure on renewal) but the interest would start at 1.85(we are now at 1.95) however; it would increase in one to 6 months to 2.1 and 2.12 etc.This discussion is in very initial stages. Allison has an email from Chris and she willforward it to Carla and schedule some time to review. Allison said she will needassistance with this.

Dawn mentioned to Chris that our bank fees are quite high each month and Chris wasgoing to look into our account to see if there is any way that these can be reduced.

Signing authorities have to be changed and it is being worked on.


8.0 Standing Reports

8.1 Finance Report

Carla reviewed the Revenue & Expense Summary for April 1, 2019 to September 30,2019. There is a surplus of $50,588. There is an increase from August but may bemisleading as there were no approved Foundation services during that time. Someexpenses are recorded for the Gala but there is more to put thru and more revenue as well.Carla said pacing quite well no concerns. The other handout was the Fund BalanceSummary.

It was,MOVED BY: Kim Jo Bliss SECONDED BY: Janet LambertTHAT the Finance Report be accepted.

CARRIED

8.2 Physician Recruitment and Retention Report

There has been no meeting since our last meeting. Ted has some highlights in hisCorporate Report. The next meeting is November 19th, 2019 at 9:00 a.m. at NelsonMedicine. Ted will ensure Tammy is invited.

8.3 Special Event Committee Report

Before Livia’s report Delaine shared that the Gala was a fantastic night, and shecongratulated the Special event Committee on the great job they did.Livia reported that they had received a lot of compliments on the evening; everythingwent very smoothly with the only kick back being the long line at the bar.Delaine did a very good job with her first time doing a speech as Foundation Chair.The ball park figure is $27,000. But not everything has been counted yet. The equipmentpurchase of a Microbiology System was $35,000 but came in at $25,000 so this event wasa great success. Now onto the Christmas Party get together to celebrate.

It was,MOVED BY: Susan Irvine SECONDED BY: Janet LambertTHAT the Special Event Committee Report be accepted.

CARRIED

8.4 Hospital Auxiliaries Update

Bev – reported for Rainy River Auxiliary – The Halloween party for the residents isscheduled for Thursday, they sent a financial donation to the Fall Gala. Bev asked wherethe status of the wireless cart for electronics was. Carla had sent a memo to TammyMcNally but has not hear back, she will follow up. The Rainy River Auxiliary ChristmasBazaar is coming up on Sunday, December 1st and it will be held at the Legion Hall inRainy River.


Susan – reported for Emo Auxiliary – The Fall Tea went over very well she passed on a“thank you” from Mary to Allison for assistance. They had lots of donations and lots ofpeople made monetary donations. They will be doing their annual collection of foodsupplies during the Parade at Holly Daze on December 6th.

Janet – reported for the LaVerendrye Hospital Auxiliary – The Fall Tea was not a hugemoney maker, attendance was down, but they did make their pledge presentation of$26,000 to the Foundation which is the whole purpose of having the tea along with theirannual membership drive. Janet shared the great news that Linda Booth has agreed tostep in as President of the Auxiliary for a 3 month trial period. They also have a 50/50Raffle going on with only 1,000 tickets available. These tickets are available in the GiftShop. Their Lobby Sale is November 29th and they are going to work with Allison todecorate the Front Entrance in proper style.

Rainycrest Auxiliary – still no representative but Allison will attend their meeting nextweek to try to recruit a representative.

It was,MOVED BY: Kim Jo Bliss SECONDED BY: Tyler CousineauTHAT the Auxiliary updates be accepted.CARRIED

8.5 Foundation Director Report

Major Gifts received:- $1000 – Robert Ewald IM of Elsie Ewald- $1000 – Northern Lights Credit Union IM of Ken Hampton

The Foundation was in the News:- October 9th – Fort Frances Times – AGM Press Release & Gala Plug- October 17th – Fort Frances Times – Cheque presentation from the Fort Frances

Legion.- October 22nd – West End Weekly - Cheque Presentation for the LVGH Auxiliary- October 23rd – Fort Frances Times – Gala Plug.

Most of Allison’s time the past month was tied up with Gala planning and prep; howevershe did attend both the Emo and LVGH Auxiliary Fall Teas. Congratulations to bothAuxiliaries for putting on such great events.

It was,MOVED BY: Bill Gushulak SECONDED BY: Paul BrunettaTHAT the Foundation Director Update be accepted.

CARRIED

8.6 Riverside Corporate Report


Ted started by saying how much he enjoyed the Gala and what a fantastic job was done inplanning the event. He thought it was well attended and all had a good time.

UpdatesFrom report (attached)

• Attended the last monthly Conference call with MOHLTC October 10, 2019. MOHLTCdecided that scheduled monthly calls were no longer necessary and if future meetingswere necessary calls could be scheduled on an ad hoc basis.

• Attended Rainycrest Family Council meeting on October 15, 2019. This highly engagedCouncil asks many questions and provides feedback as liaison for the residents infulfillment of its mission to facilitate communication and to work with the staff in thepromotion and encouragement of programs and decisions for the ultimate benefit to theresidents.

• Accreditation Canada visited October 6-10, 2019. Preliminary results indicate a verysuccessful survey with 4 sites being surveyed and Riverside meeting 98.6% of the 2,108required standards focusing on quality, safety and health care delivery.

• Working on what to do to celebrate with staff of RHC post accreditation.• Physician recruitment – A husband/wife team will be here for 3 months, they will be at

the Fort Frances Clinic, Gizhewaadiziwin Health Access Centre and Emo Health Centre.Dr. Cory McFarlane, GPA/FPA booked October 21-November 4, 2019. Possibleprospect for full time.

• This Friday, November 1st, 2019 the Hon. Greg Rickford, MPP will be at LVGHbeginning at 2:15. Mr. Rickford will be making an announcement related to funding.

It was,MOVED BY: Bill Gushulak SECONDED BY: Kim Jo BlissTHAT the Riverside Corporate Report be accepted.CARRIED

8.7 Other

Tentative date for the Christmas party is Tuesday, December 3rd.

9. Next Meeting

The next regular meeting will be on Monday, November 25, 2019, LVGH BoardRoom.

10. Adjournment

It was,MOVED BY: Tyler Cousineau SECONDED BY: Paul BruenttaTHAT the meeting be adjourned at 1:00 p.m.CARRIED._________________________________Delaine McLeod , Chair/sb30/10/2019


Auxiliary Report – November 2019

Emo

The Emo and District Hospital Auxiliary held its November meeting and paid the bill for the tracking andprivacy curtains and ice dispenser $10.503.83. Gifts for the residents and patients and the Christmasparade float were discussed. We will have a float in the parade and again collect food for the Emo FoodBank. The Cabin Quilt Guild donated a queen size quilt for us to raffle. Tickets are available.

La Verendrye General Hospital

See Attached.

Rainycrest

No Report.

Rainy River

No Report.


Item 4.12

LAVERENDRYE GENERAL HOSPITAL AUXILIARY

EXECUTIVE MEETING MINUTES

NOVEMBER 5, 2019

ATTENDANCE: Judy Webster, Dolores Fraser, Lenore Cates, Sandra Robertson, Marnie Cumming, Donna

Penney, Bev Bond, Joy Lockman, Janet Lambert, Helene Cone, Diane Glowasky & Joyce Lafreniere

REGRETS: Laureen Vandetti & Linda Booth

Meeting was called to order at 12:30 P.M. Auxiliary pledge was read.

AGENDA: accepted as distributed

MINUTES: accepted as distributed

No Conflicts of Interest were declared.

TREASURER’S REPORT accepted as distributed

BUSINESS ARISING:

PRESIDENT, V.P. AND ADVERT/PROMOTION POSITIONS: Linda Booth has agreed to be Acting President

for the next three months. Lenore Cates is considering taking on Publicity and will do the Newspaper

Report for this month. Conveners are to do own advertising. Plan to discontinue newspaper advertising

for Luncheons but will distribute posters to senior apartments and a few more obvious locations around

town. Items for Facebook page and group can be sent to Janet Lambert for posting on our page.

FALL TEA REPORT: Very grateful to all the volunteers. Would be nice if volunteers in kitchen could get a

break. Recommend six workers initially then two breaks of three volunteers each. Overall, attendance

was down this year. There was a miscommunication with donations to Bake Table which was very low

this year and there was an oversupply for the tea tables. Hopefully, we will keep this in mind for next

year, so it is more equal to needs.

CHRISTMAS RAFFLE: Tickets are going well. Deposit of over $500. May do one day of selling at

Safeway.

VOLUNTEERS TO FILL VENDING MACHINE: Michael Graham is now filling the pop machines; but, still in

need of a backup person. Diane Noonan is doing ordering and orders extra when she knows she will be

away.


CORRESPONDENCE: none

DIRECTOR AND COMMITTEE REPORTS:

LOBBY LOTTERY: Deposit of $827. Bank Balance on Nov. 1 is $15,739.37. The ticket booth has been

moved so workers are away from the draft of opening door. New list of those willing to sell pull tabs

and tickets was received.

SHOP: Pop-up Shop is Curvy Chicks. BOGO sale on slippers. Planning Lobby Sale Friday November 29

from 10 to 3:30. Donations of baking, crafts, knitting will be needed. Also, donations of Christmas

Stocking Stuffers, décor and gift items needed. E-mail notices sent to membership. Phoners will be

notifying membership about Lobby Sale and needs as well as Christmas Luncheon.

MEMBERSHIP/PHONING/E-MAILING: There are 114 paid members. Seventeen are new members.

There are 248 on last year’s list so approximately half have paid their dues for this year. E-mail notices

have gone out with reminders. Volunteer interest lists were distributed to Shop and Lobby Lottery and

are available for other volunteer needs (such as bakers etc.).

SOCIAL: Christmas Luncheon is on track. There will be games and prizes of poinsettias. Joy Lockman

will say grace. Diane will send copy of Christmas Luncheon poster to Marnie for e-mail distribution and

will place posters around town.

ADVERTISING AND PROMOTION: no report, position is vacant.

NEWSLETTER: Fall Newsletter was distributed in October. A big thank you to Sandy Beadle who was

very helpful. Lenore Cates will do Spring Newsletter in absence of Joyce.

FOUNDATION: Donor wall has received go ahead and Auxiliary’s will be approached about possibly

contributing. Capital equipment updates received. Christmas Appeal is for MIS Tower in O.R. Gala sold

out and met cost of Laboratory Equipment. Riverside received a three year Accreditation with

Commendation scoring 98.6. Allison will be doing “something” in Lobby at Christmas. Gift Shop will

discuss with her to see if we can help.

SICK AND VISITING: Cards sent to members. Let Donna know if you know a member who requires a get

well or sympathy card or thinking of you.

HISTORIAN: No Report

PATIENT SERVICES: There have been eleven more baby kits recently distributed. Since mid-June there

have been a total of 52 kits distributed to babies born at LVGH.


NEW BUSINESS:

CHRISTMAS GIFTS:

MOTION TO PURCHASE CHRISTMAS GIFTS FOR SANDY BEADLE, ADMINISTRATION ASSISTANT, ALLISON

COX, FOUNDATION DIRECTOR, DIETARY DEPARTMENT STAFF AND MAINTAINANCE STAFF. Moved by

Judy Webster. Seconded by Janet Lambert. CARRIED.

CHANGE OF DAY FOR EXECUTIVE MEETINGS: Many of our Executive are unable to attend on Tuesdays.

MOTION: TO MOVE MONTHLY EXECUTIVE MEETINGS TO THE FIRST MONDAY OF EACH MONTH

BEGINNING DECEMBER 2019 WITH THE EXCEPTION OF SEPTEMBER WHICH WILL REMAIN ON

TUESDAY. THERE ARE NO MEETINGS IN JANUARY, JULY AND AUGUST. Moved by Janet Lambert.

Seconded by: Helene Cone. CARRIED.

POLICY AND PROCEDURE MANUALS: Manuals are outdated. All Executive and Chairpersons are to

review their job description, policies and guidelines in order to update manuals to meet present job

duties. Please bring to next meeting.

Meeting adjourned at 1:45

Next Meeting will be Monday, December 2, 2019. Room will be distributed with agenda

_______________________________________ _______________________________________

Judy Webster, Past President Janet Lambert, Secretary



Item 7.0

board of directors meeting open session ......business arising 6.1 community education media release...

Documents