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.

The regular monthly meeting of the Board of Directors was held on 04 March 2014. The following matters were discussed:

ADMINISTRATION REPORT

Mrs. Ruest’s report included follow-up information regarding Budget Advocacy, Long-Term Care Compliance, and Census data. Also discussed were:

Health and Safety Policy – The required review of this Corporate Policy has taken place. The Board of Directors approved the policy as presented.

Catholic Health Alliance of Canada (CHAC) Annual Conference – This conference will be held in Ottawa this year from April 30th to May 2nd.

Long-Term Care Service Accountability Agreement (L-SAA) – The “Declaration of Compliance” was approved by the Board of Directors in order to meet the requirements of the L-SAA.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Financial Statements – Both operations are close to budget. Sick leave costs are high. The Board of Directors approved the Financial Statements for the period ending 31 January 2014 as presented.

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for January 2014. This document no longer needs to be referred to the Members of the Corporation.

Budget Presentation / Operating and Capital Plan 2014-15 – Mrs. Ruest presented the Operating and Capital Plan for 2014/15 including the notes and assumptions in the budget document. The budget has been balanced without cutting services. Mrs. Ruest advised the Board, however, that the plan is a living document which could be subject to change once funding allocations are announced. The proposed budget has been reviewed by the Fiscal Advisory Committee as well as the Finance Committee.

The Board of Directors recommended to the Members of the Corporation the Operating and Capital Plan 2014-15 as follows:

Operating

-Hotel Dieu Hospital (Complex Continuing Care) $8,997,620 with a surplus of $8,825; and

-St. Joseph’s Villa (Long-Term Care) $12,193,941 with a surplus of $13,281;

(For a combined surplus for the Centre of $22,206);

Capital

-Combined for Hotel Dieu Hospital and St. Joseph’s Villa: $262,000.

AUXILIARY REPORT

Mrs. Lamond highlighted the following items of her report: Genie Wish, Garage and Bake Sale on May 3rd, and her retirement from the Board of Directors. Ms. MacLennan thanked Mrs. Lamond on behalf of the Board of Directors and the Corporation for hers and the Auxiliary’s much appreciated ongoing efforts.

FISCAL ADVISORY COMMITTEE

Operating Plan 2014-15 – The Committee met to review and discuss the hospital’s 2014-15 Operating Plan.

EDUCATIONAL OPPORTUNITIES – The Education Calendar for March 2014 was circulated to the Board of Directors for information.

he regular monthly meeting of the Board of Directors was held on 04 February 2014.  During the meeting, the following matters were discussed:

ADMINISTRATION REPORT

Mrs. Ruest’s report included information regarding the Sister Cobey Award, Employee Service Awards, the Champlain Local Health Integration Network (LHIN) Long-Term Care Liaison Committee, and Census data.  Also discussed were:

Accountability Agreement – The Centre has received a 60-day notice from the Local Health Integration Network (LHIN) that we will be entering into an Accountability Agreement for 2014/15.  This is an annual process.

Fire Safety – The tragedy in the nursing home in L’Isle-Verte, Quebec has brought fire safety to the forefront.  Mrs. Ruest reported that our entire building is sprinkler-protected.  Monthly fire drills are held for all three shifts.  A response time paper exercise based on staffing was completed in Fall 2013 whereby it was determined that our response time in a fire situation is better that the available time.

Ontario Budget / Advocacy – Our member associations, the Ontario Hospital Association (OHA) and the Ontario Association of Non-profit Homes and Services for Seniors (OANHSS) are both actively participating in pre-budget advocacy strategy.  The OHA is calling for the Government to create a comprehensive health system capacity plan to address increasing service pressures and inform decision making.  OANHSS has prepared key recommendations to the Government to address the following challenging needs in the Long-term Care sector:  physical acuity, prevalence and growth in mental health diagnoses, and aggressive behaviours.  There was consensus by the Board that a letter be sent to Mr. Jim McDonell, MPP, to inform him of the pressing funding and services issues which should not be ignored.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Financial Statements – Both operations are on budget.  Sick leave continues to be a concern.  The Board of Directors approved the Financial Statements for the period ending 31 December 2013 as presented.

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for November and December 2013 and referred them to the Members of the Corporation for information.

KPMG Audit Planning Report – The KPMG Audit Planning Report was reviewed and approved by the Finance Committee.

Budget for 2014/15 – The Budget will be presented to the next Finance meeting.  The Hospital Annual Planning Submission (HAPS), a planning document to assist with negotiations with the Local Health Integration Network (LHIN) is due 14 February 2014.  This allows approximately six weeks for discussion prior to finalization of the Hospital Service Accountability Agreement.

AUXILIARY REPORT

Mrs. Lamond highlighted the following items of her report:  Annual General Meeting of Auxiliary on March 20^th, Genie Wish, Valentine’s Day Gift Shop Draw, and $25,000 donation to St. Joseph’s Continuing Care Centre.

Mrs. Lamond was thanked for the generosity and hard work of the Auxiliary members.

MEDICAL ADVISORY COMMITTEE

Medical Staff Reapplications – Drs. Foley, Reen and Shah were reappointed to the Medical Staff for 2014 by the Board of Directors.

EDUCATIONAL OPPORTUNITIES – The Education Calendar for February 2014 was circulated to the Board of Directors for information.

The next regular Board of Directors meeting is scheduled for Tuesday, 04 March 2014 at noon in the Boardroom.