REPORT FROM THE BOARD
The regular monthly meeting of the Board of Directors was held on 13 January 2015.

BUSINESS ARISING FROM THE MINUTES
Membership Response to Board re Medical Staff Bylaw Amendments: Change to Professional Advisory Committee – Pending.

CORRESPONDENCE
Thank You Card from Michel Bourdeau and Family re Late Yvonne Bourdeau for funeral flowers sent. – Noted by the Board.

CHAIRPERSON’S REPORT
Evaluation of Executive Director — Ms. MacLennan indicated that results for Mrs. Ruest’s performance appraisal from Board Members have been received. These will be reviewed at a meeting of the Governance Committee at the end of January.

ADMINISTRATION REPORT
Mrs. Ruest’s report included information on Outbreaks (now out of enteric and Influenza A outbreaks; 41 facilities in the Champlain Local Health Integration Network are currently in Influenza A outbreak); and Good News Item. Also discussed were:

Budget – Work on the 2015-16 budget is underway. The Ontario Association of Non-profit Homes and Services for Seniors (OANHSS) is lobbying the Government to increase funding. OANHSS is asking member organizations to participate in a pre-budget advocacy campaign to increase Long-Term Care funding to four paid hours of care per resident per day. (St. Joseph’s Villa provides 3.89 hours per resident per day.) Other changes, such as combining the Nursing Care and Personal Support programme envelopes, and additional funding per day for accredited facilities, are also proposed. The Board of Directors approved a motion that Administration support the OANHSS campaign by sending a letter to our Member of Provincial Parliament, in support of these changes.

ADMINISTRATION REPORT (Continued)
Update on Management Goals – Mrs. Ruest reviewed the third quarter update on the status of achievements related to the Management Goals for 2014-15.

Lights of Hope Campaign – This year’s campaign has raised over $13,000 including a generous donation of $5,000 from Medical Arts Pharmacy.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE
Management Fiduciary Statement – Six new items of legislation have been added to this document. The Board of Directors approved the Management Fiduciary Statement for the month of November 2014.

Update on Redevelopment Project – Demolition of the building at 27 York Street was completed during the week of December 15th. The minor variance application has been submitted to the City of Cornwall and a response is awaited. Mr. Ingram will meet with HSP Engineering regarding the design of the electrical systems for the parking lot.

Financial Statements – Mr. Desnoyers reviewed the financial statements. Additional training and orientation costs resulted in a deficit at St. Joseph’s Villa for the month of November. However, this was budgeted. For Hotel Dieu Hospital, the Centre is still awaiting confirming of the 2015-15 funding. Sick costs have risen at Hotel Dieu Hospital. The Board of Directors approved the Financial Statements for the Eight Months Ended 30 November 2014 as presented.

AUXILIARY REPORT
Snowflake Bazaar – This year’s event was very successful. Approximately 180 persons were served lunch. As a result, over $1,700 was cleared. The Snowflake Draw realized a profit of $2,440.

PROFESSIONAL ADVISORY COMMITTEE (PAC)
Dr. Foley noted that this marked the first meeting of the PAC. There was a good exchange of information at the meeting.

EDUCATIONAL OPPORTUNITIES – The Centre’s Education Calendar for January 2015 and Governance educational opportunities were circulated to the Board of Directors for information.

Board Retreat — Mr. Ron Marr of the Catholic Health Association of Ontario (CHAO) has forwarded information regarding Mission. A strategic planning/retreat day will be held in the spring, facilitated by either a Board Member or a representative from CHAO.

The next regular Board of Directors meeting is scheduled for
Tuesday, 03 February 2015 at noon in the Boardroom.

REPORT FROM THE BOARD
The regular monthly meeting of the Board of Directors was held on 02 December 2014.

CORRESPONDENCE
Membership Response re Administrative Bylaw Amendments; and French Language Services Designation of Four Additional Services – As indicated in a memorandum from Dr. Robert Stewart, President of the Corporation, the Members of the Corporation have approved these recommendations made by the Board of Directors.

ADMINISTRATION REPORT
Mrs. Ruest’s report included information on Flu Vaccination, Outbreak on Quinn House (concluded 28 November 2014), Good News Item (visit by Cornwall Rotary Club), and Census data. Also discussed were:

Fire Emergency Exercise – A fire and evacuation exercise was carried out by the Centre on 21 November 2014. The exercise reflected minimum staffing in the building, as required by the Ontario Fire Marshal. The scenario was a fire in a resident room on Kane House, Long-Term Care Level 3 East, at 0200 hours. The time required to evacuate 30 residents from the fire origin on Kane House to the point of safety was less than seven minutes. The subsequent vertical evacuation of the residents down two floors to Jeanne Mance Hall took 28 minutes. The calculated maximum evacuation time for our building in such a situation is 80 minutes. Nursing students and instructors from St. Lawrence College participated as “residents” or observers. Representation from the Cornwall Fire Department was also present.

QUALITY IMPROVEMENT (QI) / SAFETY COMMITTEE
Balanced Scorecard — The scorecard data for the second quarter ending 30 September 2014 was favourable with no significant concerns. Statistics for the Resident/Patient Satisfaction Survey were included.

QI Initiatives – Work to reduce the use of antipsychotics continues and the goal is to have our risk-adjusted rate in line with the national average.

QUALITY IMPROVEMENT (QI) / SAFETY COMMITTEE (Continued)
Safety – The Annual Safety Inspection was conducted in August by the Public Services Health and Safety Association. We have received a positive verbal report and expect the written report will be available soon. The inspection must be conducted annually in order to be in compliance with the Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation standards.

CARF Accreditation – We have submitted our intent to survey and we expect to be surveyed in March or April 2015.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE
Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for the month of October 2014.

Update on Redevelopment Project – Demo Plus started demolition on the building at 27 York Street on 24 November 2014 and it is anticipated it will be completed by mid December. The redevelopment is expected to be completed in the spring. The new parking lot will have 113 parking spots.

Financial Statements – Mr. Desnoyers reviewed the financial statements. He noted there were not many variances for the month. We are still waiting for confirmation of 2014/15 funding for the hospital operation. Meanwhile, the Hospital Annual Planning Submission (HAPS) must be submitted by 15 January 2015. The Board of Directors approved the Financial Statements for the Seven Months Ended 31 October 2014 as presented.

MEDICAL ADVISORY COMMITTEE (MAC)
Professional Advisory Committee (PAC) – As recommended by the MAC, the Terms of Reference for the Profession Advisory Committee were recommended by the Board to the Members of the Corporation for approval along with the necessary Medical Staff Bylaw revisions.

EDUCATIONAL OPPORTUNITIES – The Centre’s Education Calendar for December 2014 and Governance educational opportunities were circulated to the Board of Directors for information.

The next regular Board of Directors meeting is scheduled for
Tuesday, 13 January 2015 at noon in the Boardroom.

The regular monthly meeting of the Board of Directors was held on 04 November 2014.

CORRESPONDENCE

Card from St. Joseph’s School of Nursing Alumnae re Donation – In this card, the alumnae generously offer $1,400 for the purchase of an infection control cart.

ADMINISTRATION REPORT

Mrs. Ruest’s report included information on Flu Vaccination, Good News Item (performance of our Restorative Care Programme), Mandatory Staff Training, and Census data. Also discussed were:

Website Project – Mrs. Ruest demonstrated the proposed revised website which will be launched in January 2015. The revised site will be fully compliant with requirements under the Accessibility for Ontarians with Disabilities Act. The required content has been submitted for French language translation.

Mock Disaster Exercise – The Centre is mandated to hold a mock disaster exercise every three years. This year’s scenario will involve a fire on Level 3 in Long-Term Care. Students from St. Lawrence College will be given assigned roles (i.e. blindness; unable to walk alone) and will portray the victims who are evacuated.

Memorial Service – This will be held on Friday, 07 November 2014 at 1400 hours in Jeanne Mance Hall.

Mission Week – November 03 to 07 is Mission Week. A tea with area religious Sisters will be held this afternoon at 1400 hours in the Gathering Space. Employees, residents, and patients will be invited to sign the Mission Board on display there.

Meetings in Wisconsin – Mrs. Ruest showed photographs of her recent trip to our sister facility in Wisconsin. Of interest were the artifacts preserved and also the history wall.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for the month of September 2014.

Financial Statements – Mr. Desnoyers reviewed the Financial Statements. He noted there were not many variances for the month. Sick costs and orientation costs remain high. We are still waiting for confirmation of funding for the hospital operation. The Financial Statements were approved by the Board of Directors.

EDUCATIONAL OPPORTUNITIES – The Education Calendar for November 2014 and Governance educational opportunities were circulated to the Board of Directors for information.

The next regular Board of Directors meeting is scheduled for

Tuesday, 02 December 2014 at noon in the Boardroom.

The regular monthly meeting of the Board of Directors was held on 07 October 2014.

CORRESPONDENCE

Thank You Card from Sister Cuddihy – In this card, Sister Cuddihy thanked the Board of Directors and Staff for the flowers sent during her illness.

ADMINISTRATION REPORT

Mrs. Ruest’s report included information on the Ministers’ Mandate Letters, Good News Items (thank you letters from two summer students), and Census data. Also discussed were:

Policy Review – The Board of Directors Annual Evaluation policy has been revised to better reflect our operation. The Board approved the revisions.

French Language Services — We have received feedback from our FLS Planning Officer of the FLS Network of Eastern Ontario. In order to submit our request for FLS designation, there remains one criterion for designation that is unmet: “that provisions for effective representation of Francophones on the Board of Directors and its Committees are included in the Administrative Bylaws and must reflect the proportion of the Francophone population within the community served.”

Therefore, the Board of Directors recommended to the Members of the Corporation two Bylaw revisions to this effect. The Board also recommended that that St. Joseph’s Continuing Care Centre request designation under the French Language Services Act for the four additional services to be added to the Centre’s existing partial designation, specifically: Complex Continuing Care Therapy, Long-Term Care Therapy, Environmental Services, and Spiritual Care.

Catholic Health Association of Ontario (CHAO) Conference – Mrs. Ruest, Mrs. Konink and Ms. Gillet will attend the CHAO Conference as alumnae of the Catholic Health International (CHI) Leadership Course. CHI will cover their expenses.

Quarterly Catholic Health International (CHI) Meetings – Mrs. Ruest will travel to Antigo, Wisconsin in two weeks to attend quarterly Catholic Health International (CHI) meetings and also to visit the newly-developed Langley Hospital and St. Joseph’s Residence.

QUALITY IMPROVEMENT (QI) / SAFETY COMMITTEE

QI Collaborative to Reduce Antipsychotic Medication Use in Long-Term Care – The Centre applied to participate but was not selected to be a member of the collaborative. However, we will continue this initiative independently.

Risk Management Plan 2014 – This was accepted by the Committee.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for the month of August 2014.

Financial Statements – Mr. Desnoyers reviewed the financial position of the Centre. The statements reflect the recently-announced 2014-15 Long-Term Care funding. The forecasts to year end for both operations remain on budget. The Board approved the statements.

MEDICAL ADVISORY COMMITTEE

Professional Advisory Committee (PAC) – Dr. Foley explained that other professions can participate on the PAC (i.e. Occupational Therapist, Physical Therapist, Dietitian, Pharmacist, Nurse Practitioner). Some disciplines attend every three months. This structure is working well at other facilities.

EDUCATIONAL OPPORTUNITIES – The Education Calendar for October 2014 and Governance educational opportunities were circulated to the Board of Directors for information.

The next regular Board of Directors meeting is scheduled for

Tuesday, 04 November 2014 at noon in the Boardroom.

The regular monthly meeting of the Board of Directors was held on 02 September 2014. New Board Member, Mr. Ted Naugler, was welcomed to the meeting.

BUSINESS ARISING FROM THE MINUTES

Membership Response to Board Requests re Budget, Auditor, Annual Meeting Recommendations, and Appointment of Mr. Naugler – Circulated was the correspondence from Dr. Stewart, President of the Corporation, informing that all of the above matters had been approved by the Members of the Corporation.

CORRESPONDENCE

Thank You Card from Religious Hospitallers of St. Joseph (RHSJ) re Sister Leonard – The card received from the RHSJ Community in appreciation of the flowers sent for Sister Leonard’s funeral was noted by the Board of Directors.

ADMINISTRATION REPORT

Mrs. Ruest’s report included information on the Resident Quality Inspection (RQI) Follow-up, Partnership Agreements (with Nipissing University – for RPN to BScN Programme; and with the University of Ottawa – for Nurse Practitioner Programme), Enteric Outbreak concluded 23 August 2014, the French Language Services Team’s June 2014 minutes, and Census data. Also discussed were:

Policy Review – Four policies have been reviewed and were appended to the Administration Report. No changes are recommended at this time. The following policies were approved by the Board as presented (no changes):

-*Introduction and Organization Policy #1-a-10 re Mission and Vision Statements; -Introduction and Organization Policy #1-a-15 re Values;

-Introduction and Organization Policy #1-a-35 re Organization Chart – Areas of Responsibility; and

-Introduction and Organization Policy #1-a-36 re Organization Chart – Personnel.

ADMINISTRATION REPORT (Continued)

Annual Report – Mrs. Ruest revealed the 2013-14 Annual Report of the Centre. The format will be very similar to last year’s. The document will be translated into French and posted on our website and circulated electronically to our community partners soon.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for the months of May, June and July 2014.

Update on Redevelopment of 27 York Street – The application process with the City of Cornwall is in process.

Resident Quality Inspection (RQI) – An inspector was on-site for a follow-up visit and concluded that St. Joseph’s Villa is now in compliance with respect of the Inspectors’ Order. Mattresses have been purchased and the Dining Room furniture purchase is in process. There are savings in the capital items which will allow sufficient funding to purchase an additional overhead lift.

Financial Statements – Both operations are on budget. The Board of Directors approved the financial statements for the four months ended 31 July 2014.

Mrs. Ruest noted that during a recent visit by Mr. Cal Martell, Senior Director, Health System Integration for the Champlain Local Health Integration Network (LHIN), he discussed Transitional Complex Continuing Care.

EDUCATIONAL OPPORTUNITIES – The Education Calendar for September 2014 and Governance educational opportunities were circulated to the Board of Directors for information.

GOOD NEWS ITEM – Mrs. Ruest explained that, upon admission, every new resident receives an SJCCC pen, a writing pad, and a quilt or blanket made by volunteer quilters and knitters. As a result, the President of the Residents’ Council has received a thank you card from a newly-admitted resident for the above efforts to welcome her to her new home.

The regular monthly meeting of the Board of Directors was held on 24 June 2014.

EDUCATIONAL SESSION

Mission — Mrs. Ruest reviewed the Mission information which she recently presented to Catholic Health International. The presentation will be integrated into our Centre’s staff general orientation programme.

CORRESPONDENCE

Thank You Card from Ms. Adams re Retirement from Board — In this card, Ms. Adams thanked the Board of Directors and staff for the dish garden at the time of her retirement from the Board in June.

ADMINISTRATION REPORT

Mrs. Ruest’s report included information on the Attestation (approved as presented) as required by the Broader Public Sector Accountability Act, and Census data. Also discussed were:

Resident Quality Inspection (RQI) – A team of inspectors from the Ministry of Health and Long-Term Care was in our facility from 26 May 2014 to 05 June 2014 to complete our first RQI. The final report was received on 13 June 2014. The report includes one Compliance Orderand 16 Written Notifications and/or Voluntary Plans of Correction. (There are over 500 sections included in both the Act and the Regulationand in 2014 the average number of findings of non-compliance per facility was 14.) Mrs. Ruest reviewed in detail the areas of non-compliance and corrective actions that have been or will be taken to address deficiencies. The public document will be posted in the Centre and also forwarded to the Residents’ Council. The Senior Team and managers have met to address each of the issues. All of the necessary work and corrective actions will be completed well in advance of the 25 July 2014 deadline.

Fire Training in Long-Term Care Home Operators – Mr. Ingram and Mr. Gauthier have attended training offered by Cornwall Fire Department (CFD). The CFD has conducted inspections of our facility, all with excellent results.

ADMINISTRATION REPORT (Continued)

Clergy Luncheon – Clergy members of the community have been invited to this event which will be hosted by our Centre on Friday, 27 June 2014 at noon.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for April 2014.

EDUCATIONAL OPPORTUNITIES – The Education Calendar for June 2014 and Governance educational opportunities were circulated to the Board of Directors for information.

The regular monthly meeting of the Board of Directors was held on 27 May 2014. The Annual Meeting of the Board was held immediately after the regular meeting (see Governance Committee section).

ADMINISTRATION REPORT

Mrs. Ruest’s report included information on the upcoming the upcoming Ontario Election, Catholic Health International (CHI) Reports, and Census data. Also discussed were:

Annual Resident Quality Inspection – After five years, the process of Annual Inspections for Long-Term Care by the Ministry of Health and Long-Term Care (MOHLTC) has resumed. Inspectors arrived unannounced on May 26^th for approximately two weeks. During the review, they will interview forty residents and observe charting, care, and activities. A written report is expected two weeks after the inspection. The results and findings will be posted on the MOHLTC website and on our bulletin Boards.

Management Goals and Priorities – Mrs. Ruest presented and explained the proposed Management Goals and Priorities recommended by the Leadership and Partnerships Team. These are aligned with the Strategic Directions and were approved by the Board of Directors. They are:

Strategic Direction Goal and/or Priority

Deepen the Mission -sponsor senior team member to participate in Catholic Leadership Programme

-Participate in the Values Integration Appraisal

Process with Catholic Health International

Respond to Growth and Change -Continue implementation of information technology solutions for St. Joseph’s Continuing Care Centre

-Complete identified LEAN projects

-Prepare for the CARF Accreditation expected in

Spring 2015

-Complete the plan for development of the 27 York Street property

Strategic Direction Goal and/or Priority

Community Engagement/Profile -Work with system partners in the advance of various senior strategies

-Launch St. Joseph’s Continuing Care Centre’s new website

QUALITY IMPROVEMENT / SAFETY COMMITTEE

Update on Accreditation Survey – We have been notified that the Commission on Accreditation of Rehabilitation Facilities (CARF) will be at the Centre in March or April 2015. They will be utilizing the 2014 CARF Accreditation Standards for our survey.

Balanced Scorecard – This was noted by the Board of Directors.

QI Initiative – The Board acknowledged the ongoing Drug Utilization Review of Antipsychotic Drugs.

Safety – The Health and Safety Physical Site Inspection for St. Joseph’s Continuing Care Centre was referred to. The Centre scored 85 percent on the inspection; corrective action has been taken on all of the recommendations. This inspection was part of a CARF Accreditation requirement to have an external party conduct a safety inspection.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for March 2014.

Statement of Administrative Responsibility – This statement describes the roles of Administration and the Audit Committee with respect to year-end financial statements. The Board approved the document and referred it to the Members of the Corporation for information. The Audited Financial Statements were recommended by the Board to the Members of the Corporation at the Annual Meeting.

MEDICAL ADVISORY COMMITTEE (MAC)

Medical Staff Reapplication – Dr. Patel was reappointed to the medical staff for 2014.

GOVERNANCE COMMITTEE – In preparation for the Annual Meeting, the Committee made recommendations regarding appointment and reappointment of Directors including Ex-officio Members, and changes to Board Committees. The Board approved these and forwarded the recommendations to the Members of the Corporation.

EDUCATIONAL OPPORTUNITIES – The Education Calendar for May/June 2014 and Governance educational opportunities were circulated to the Board of Directors for information. Mr. Samson summarized the two conferences which he attended.

The next regular Board of Directors meeting is scheduled for Tuesday, 24 June 2014 at noon in the Boardroom.

The regular monthly meeting of the Board of Directors was held on 01 April 2014. Ms. Juliette Payette, 2014-2015 President of the Auxiliary, was welcomed to her first meeting. The following matters were discussed:

CORRESPONDENCE

Thank You Card from Fry Family re Death of Mr. Arthur John (Jack) Fry, Former Executive Director – Ms. Cindy Fry and Family thanked the Board of Directors for the flowers sent at the time of their father’s death.

ADMINISTRATION REPORT

Mrs. Ruest’s report included Ontario Regulation 150/13 under the Fire Protection and Prevention Act, 1997, Health-based Allocation Model (H-BAM), Accountability Legislation, Ontario Budget 2014, and Census data. Also discussed were:

Resignation of Dr. Shah – Dr. Shah has resigned from the Medical Staff. The Board of Directors accepted Dr. Shah’s resignation, with regret.

Hospital Service Accountability Agreement (HSAA) – The present HSAA expired 31 March 2014. The Board of Directors approved a motion that Mrs. Ruest and Ms. Adams, Vice-chairperson, sign an Extension Agreement of the HSAA Agreement for the period 01 April 2014 to 30 June 2014 in order to allow the Local Health Integration Network (LHIN) to continue to fund our operations during this time until the 2014-15 funding allocations are known.

Second Annual Volunteer of Excellence Award – Mrs. Ruest announced this year’s recipient of the 2014 Catholic Health International Volunteer of Excellence Award: Ms. Gloria Hoggett. The award will be presented on April 9th at the Volunteers’ Tea.

QUALITY IMPROVEMENT / SAFETY COMMITTEE

Quality Improvement (QI) Plan 2014/15 — Mrs. Ruest reviewed the QI Plan in detail and responded to questions. She noted that the Centre has set meaningful goals, and executive compensation (up to five percent) can be clawed back if the targets are not achieved. At present, the Centre is already high-performing in many areas, making it challenging to improve on these numbers. The QI Plan 2014/15 was approved.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Redevelopment of Land – The Board of Directors approved a motion that the Centre move forward with a Request for Proposal for professional services required for the redevelopment of 27 York Street.

Financial Statements – Mr. Desnoyers reviewed the financial position of the Centre. Both operations are very close to budget. The Board of Directors approved the Financial Statements for the period ending 28 February 2014.

Hospital Accountability Planning Submission (HAPS) 2014-15 – This document reflects the detailed Operating Plan for Complex Continuing Care which will inform the Hospital Service Accountability Agreement (HSAA). The Board of Directors approved the 2014-15 Hospital Annual Planning Submission (HAPS) as presented, and that it be submitted to the Local Health Integration Network (LHIN).

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for February 2014.

AUXILIARY REPORT

Ms. Payette highlighted the following items of her report: Annual Meeting, 2014 Executive of Auxiliary, Garage Sale, and Spring Convention.

MEDICAL ADVISORY COMMITTEE (MAC)

Medical Staff Reapplications – Drs. Bazile, Faizer, Gatien and Mr. Turcotte were reappointed to the medical staff for 2014. The MAC accepted Dr. Shah’s resignation.

EDUCATIONAL OPPORTUNITIES – The Education Calendar for April 2014 was circulated to the Board of Directors for information. Also e-mailed to Board Members were governance education sessions.