REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 04 December 2018.

MEMBERSHIP RESPONSE RE APPPOINTMENT

Mr. Bradley Robertson has been appointed by the Members of the Corporation to the Board of Directors and to the Comprehensive Planning, Finance and Personnel Relations Committee.

ADMINISTRATION REPORT – Mrs. Lafrance-Allaire’s report included:  Butterfly Model for Dementia Care Update, Successful Evacuation Exercise (conducted with Cornwall Fire Department), Annual Staff Education (completed in November for all staff), Advent Mass with Bishop Prendergast, and Census Data.  Mrs. Lafrance-Allaire noted that, sadly, an employee’s spouse passed away on November 30th:  Ms. Christine Groulx, wife of Mr. Joel Nunez (Resident Care Aide).

ETHICS AND MISSION COMMITTEE

Values Integration Appraisal (VIA) Process Follow-up – Mrs. Lafrance-Allaire explained the action items recommended in the VIA process and provided a working plan (appended to the Committee minutes).  The Board of Directors accepted the plan.  It will be forwarded to Catholic Health International.

Corporate Policy re Death with Dignity – Review of this policy with regard to the framework for responding to requests for Medical Assistance in Dying (MAID) will continue at the next Committee meeting.  The Centre will continue efforts to increase awareness surrounding Palliative Care Services.  Moving forward, Palliative Care Week will be recognized.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Outdoor Signage – The sign near the sidewalk will be revised to include Hotel Dieu / Hôtel-Dieu and St. Joseph’s Villa / Villa St-Joseph.

Budgets – Mrs. Lafrance-Allaire presented the break-even Operating Budget 2019-20 for both operations and the Capital Budget 2019-2024.  Ms. Gillet explained how the change in Complex Continuing Care Nursing on 12 January 2019 to eight-hour shifts from twelve-hour shifts will reduce employee sick costs and overtime.  Mrs. Lafrance-Allaire noted that the Centre must be fiscally responsible.

The Board of Directors recommended to the Members of the Corporation approval of the 2019/20 Operating Budget and the Capital Budget (2019-2024) as follow:

Operating Budget – 2019-20

-St. Joseph’s Villa (Long-Term Care):  $14,190,809 with a projected surplus of $2,452;

-Hotel Dieu Hospital (Complex Continuing Care):  $10,112,970 with a projected surplus of $1,251.

Capital Budget 2019-24

-the Five-year (Combined) Capital Plan (2019-2014) in the amount of $98,000 of which $50,000 is for 2019-20.

Financial Statements – Ms. Lalonde presented the statements.  There has been no significant change in the last month and a surplus in each operation is forecast for year end.  Administration is closely monitoring expenses in the hospital operation, including sick days in Nursing.  The Board of Directors approved the Financial Statements for the Period Ending 31 October 2018.

Management Fiduciary Statement — The Board of Directors approved the Management Fiduciary Statement for October 2018.

AUXILIARY BAZAAR – The Annual Auxiliary Christmas Bazaar will be held on December 6^th.  All are invited to donate items, shop, purchase a raffle ticket and stay for lunch.

PROFESSIONAL ADVISORY COMMITTEE — The PAC reviewed/revised policies, completed the patient review, discussed Medical Staff Privileges for potential physicians, and discussed the difficulties encountered in physician recruitment.

GOVERNANCE COMMITTEE

Documents Approved — The Governance Committee and Board of Directors approved the following documents:  Board of Directors Skills Matrix, Board of Directors Position Responsibilities, and an advertisement seeking Board Members.  Also approved were the draft Board and Board Committee Workplans which will now be completed by the respective Board Committees.

The Board of Directors then approved the following two completed workplans for 2018-19:  Governance Committee; and the Board of Directors.

Ontario Hospital Association (OHA) Self-assessment Tool for Boards — This new tool is available from the OHA at a cost of $450.  Catholic Health International (CHI) is presently developing its own tool which will be available in early 2019.  Therefore, this matter was deferred until the CHI tool is available to compare to our current paper-based tool.

FISCAL ADVISORY COMMITTEE

The Committee reviewed the budgets and recommended their approval to the Board of Directors.  (The budgets were discussed and approved under the Comprehensive Planning, Finance and Personnel Relations Committee.)

Fiscal Advisory Committee (FAC) Workplan 2018-19 – The completed workplan as appended to the FAC minutes was approved by the Board of Directors.

EDUCATIONAL OPPORTUNITIES – The Centre’s Education Calendar for December 2018 was circulated to the Board of Directors for information.

The next regular Board of Directors meeting is scheduled for Tuesday, 08 January 2019 at noon in the Boardroom.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 06 November 2018.  Mrs. Lafrance-Allaire offered the opening prayer, with special recognition of Jérôme le Royer de la Dauversière, founder of the Religious Hospitallers of St. Joseph, on his Feast Day.

CHAIRPERSON’S REPORT

Movie “The Last Breath” – Mr. Desnoyers noted that the film, “The Last Breath”, screened at the Port Theatre on November 1^st was well attended.  The producer, Annabel Loyola, captured the human spirit.  Ms. Loyola’s first film about Jeanne Mance will also be purchased.

ADMINISTRATION REPORT – Mrs. Lafrance-Allaire’s report included:  Sub-acute Capacity Planning, Hospital Services Accountability Agreement (HSAA) Attestation re Parking, Resident Quality Inspection (results explained by Ms. Gillet), Critical Incident Inspection, Pharmacy Accreditation Awarded, Flu Vaccination, Good News Items (Thank You Card re Slow-paced Rehabilitation; Letter to the Editor printed today thanking Community and Pommier Jewellers for Masquerade Fundraising Gala), and Census Data.

EXECUTIVE COMMITTEE

Champlain Local Health Integration Network (LHIN) Governance Education — The Champlain LHIN has taken an initiative which would bring the Ontario Hospital Association’s “Rural and Northern Health Care and Advanced Governance” full-day education programme to the Champlain region for a fraction of the price of the usual Toronto cost.  Costing would be based on the number of hospitals which agree to participate and the number of Directors per hospital would be unlimited.  A large number of hospitals have already signed on, reducing the cost substantially.  The Board of Directors endorsed participating in this project.

QUALITY IMPROVEMENT / SAFETY COMMITTEE

Balanced Scorecard (Current Format) – – In response to a question, Dr. Patel explained to the Board of Directors the Urinary Tract Infection Programme.

Membership / Nurse Practitioner – The Board of Directors agreed with the appointment of Ms. Meghan O’Brien to the Committee.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE

Financial Statements – Ms. Lalonde presented the statements.  A surplus in each operation is forecast for year end.  The St. Joseph’s Villa operation is very close to budget.  In the Hotel Dieu Hospital operation, the increase in drug costs continues to be monitored very carefully.  One change implemented which should result in savings (i.e. when medication changes occur) is that drugs will be dispensed for three days at a time instead of the current seven.  The Board of Directors approved the Financial Statements for the Period Ending 30 September 2018 as presented.

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for September 2018.

GOVERNANCE COMMITTEE

Board Member Recruitment — A Board of Directors Skills Matrix, Board of Directors Position Responsibilities, and an advertisement seeking Board Members are being drafted for presentation to the next Governance Committee meeting.

Board and Board Committee Workplans – Theses are being drafted for the Board of Directors and each Board Committee.

EDUCATIONAL OPPORTUNITIES – The Centre’s Education Calendar for November 2018 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 December 2018 at noon in the Boardroom.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 02 October 2018.

ADMINISTRATION REPORT — Mrs. Lafrance-Allaire’s report included Butterfly Care Model (progress continues; tours for Board Members will be provided), Alliance of Hotel Dieu Hospitals (approved by all three Ontario hospital Boards; a teleconference call will be held next week), Management Goals 2018-19 (update provided), Good News Items (Masquerade Ball on September 22^nd was very successful, earning $15,000; and the Centre will host the Mayoral Candidates Debate on October 3^rd), and Census Data.

ETHICS AND MISSION COMMITTEE

Values Integration Appraisal (VIA) – Work on identified areas is underway.  A suggestion will be forwarded to Catholic Health International to explore requiring the appraised facility to create a plan in response to the recommendations of the appraisal.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – A surplus in each operation is forecast for year end.  The St. Joseph’s Villa budget is very close to budget.  Drug costs are being monitored on the Hotel Dieu Hospital side.  The Board of Directors approved the Financial Statements for the Period Ending 31 August 2018 as presented.

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for August 2018.

 EDUCATIONAL OPPORTUNITIES – The Centre’s Education Calendar for October 2018 and Governance Educational Opportunities were circulated to the Board of Directors for information.

The next regular Board of Directors meeting is scheduled for Tuesday, 06 November 2018 at noon in the Boardroom.

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REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 26 June 2018.

BUSINESS ARISING FROM THE MINUTES

Report from Catholic Health Alliance of Canada Annual Convention (CHAC) – Dr. Grant circulated a summary of this conference which she attended on May 9-11, 2018.  The theme was “Toward Formation:  Creating the path to strong lay leadership of the healing ministry of Jesus Christ in Canada”.  She also circulated, for Board Members to review, the “Awaken Proof Points” which are the supporting facts, figures, points of historical context, stories, and e-links that demonstrate the national and local relevance of the position statement and pillars.

CORRESPONDENCE – The Board of Directors noted the following cards of appreciation:

-Thank You Card from Ms. Carol Penpeck for retirement flowers;

-Thank You Card from the Bryan Family re death of Mrs. Fran Bryan; and

-Thank You Card from Ms. Valérie Doré re Bouquet (retiring Vice-chairperson).

ADMINISTRATION REPORT — Mrs. Lafrance-Allaire’s report included Values Integration Appraisal Report (recognizes excellent work done at SJCCC), Centre for Accreditation of Rehabilitation Facilities (CARF) Accreditation Letter and Report (full three-year accreditation award, Leadership Team addressing areas for improvement), Good News Item (Financial Controller), and; and Census Data.  Also discussed:

Attestation – In accordance with the Broader Public Sector Accountability Act, an Attestation Form and supporting schedules must be filed with the Champlain LHIN.  The Board of Directors approved “Appendix C – Attestation (re Consultants) for 01 April 2017 to 31 March 2018” and “Schedule A to Attestation” as presented.

French Language Services (FLS) – The Centre has received a French Language Designation Certificate issued on 01 May 2018, recognizing that it is an official provider of FLS.  Also attached was a congratulatory letter from the Minister of Francophone Affairs, recognizing our Centre’s devotion to improving the quality of care offered.

QUALITY IMPROVEMENT (QI) / SAFETY COMMITTEE

Balanced Scorecard (New Format) – A sample of the new format was introduced.  This new format highlights the four key areas:  Customer; Financial; People; and Internal Processes.  These areas are in line with our Vision and 2018-19 Goals.  The new version will commence once the first quarter data results are available at the end of June.  We will continue to monitor metrics as outlined by the Province using the former version now called the Quality Assurance Scorecard to keep track of indicators that require interventions and to ensure that we maintain the indicators in which we excel.

Balanced Scorecard (Current Format) – The current Balanced Scorecard was reviewed.

ETHICS AND MISSION COMMITTEE

Movie:  The Last Breath – A tentative date of November 1^st which is during Mission Week has been set for the viewing of this film.  Filmmaker Annabelle Loyola has confirmed that she would be available on that date.  Appropriate marketing and publicity of the movie will be done.

Values Integration Appraisal (VIA) Process Final Report – This document was discussed at length by the Committee.  The VIA Process Final Report will be followed-up and recommendations implemented.  It was noted that the assessors were very complimentary of our Centre.

Framework for Responding to Requests for Medical Assistance in Dying (MAID) – There have been changes in this document from the Catholic Health Association of Ontario (CHAO) surrounding “exceptional circumstances” in providing assessment on site.  The Centre’s policies will be revised accordingly.

Standing Agenda Item for Committee Members:  Any Other Ethical Issues for Discussion – This will become a stand-alone item on the Ethics and Mission Committee agenda.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – A surplus in each operation is forecast for year end.  The Board of Directors approved the Financial Statements for the Periods Ending 30 April 2018 and 31 May 2018 as presented.

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for April and May 2018.

EDUCATIONAL OPPORTUNITIES – The Centre’s Education Calendar for June 2018 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 September 2018 at noon in the Boardroom.

On April 17 and 18, 2018, St. Joseph’s Continuing Care Centre underwent the accreditation survey process with CARF International.  Surveyors Lynne Anne Gallaway and Wendy Harris met with staff and stakeholders, and reviewed and observed our processes and documentation in accordance with the CARF Person-centred Long-Term Care Community Standards.  In their exit interview, the surveyors commended our Centre’s dedication and commitment to improving the quality of the lives of the persons we serve.

We received the good news today that we have achieved a full three-year accreditation!  In a letter dated June 11^th, the Centre for Accreditation of Rehabilitation Facilities (CARF) President, Brian Boon, states, “Services, personnel and documentation clearly indicate an established pattern of conformance to standards.  Your organization should take pride in achieving this high level of accreditation.”

Thank you to all staff members, physicians, volunteers, Board Members, residents, family members and our community partners for taking part in this valuable quality improvement process!  The Leadership Team will now delve into the few recommendations to make the suggested improvements.

Gizanne Lafrance-Allaire

Executive Director

The regular monthly meeting of the Board of Directors was held on 16 May 2018.  The Annual Meeting of the Board was held immediately prior to the regular meeting (see Governance Committee section).

CORPORATE SISTER LIAISON’S REPORT – Ms. MacLennan noted the passing of Mrs. Françoise Bryan, wife of Rev. Mr. Gordon Bryan who sat on this Board of Directors for more than 40 years.  Fran was an active volunteer in our Gift Shop and will be missed.  Flowers will be sent on behalf of the Board of Directors and Staff.

REPORT FROM ADMINISTRATION

Mrs. Lafrance-Allaire’s report included Sub-acute Capacity Planning Status Report (recognition of SJCCC efforts by Local Health Integration Network), Management Goals and Objectives for 2018-19; Hospital Service Accountability Agreement (HSAA) amendment updating both our base and one-time funding; Public Posting of Long-Term Care Home Performance (on Ministry’s public website, indicating four performance levels), Good News Item (letter of congratulations from Ms. Chantal LeClerc for achieving Silver status in the Healthy Foods in Champlain Hospitals Initiative), and Census Data.  The Board of Directors approved the report from Administration, including the Management Goals and Objectives for 2018-19, and the Hospital Service Accountability Agreement (HSAA) amendment.

QUALITY IMPROVEMENT (QI) / SAFETY COMMITTEE

Balanced Scorecard – Comfort rounds will be implemented during the summer months.  These include frequent checks on residents and patients (once per hour); and result in less call bells being used, and increased resident/patient satisfaction.

Dr. Randlett also noted that there were no communicable diseases or outbreaks in the last year.

Critical Incident Analysis 2017 – The report was reviewed by the Committee and the Board.

ETHICS AND MISSION COMMITTEE

Values Integration Appraisal (VIA) – Mr. David Levangie, Ms. Lucie Lombardo and Ms. Kim Roberts, VIA Appraisers, were welcomed to this meeting as guests.  They were at the Centre to review our operations, ensuring values in the Catholic health care which the Centre provides.

Movie:  The Last Breath – Mrs. Lafrance-Allaire has reached out to the filmmaker to inquire about the feasibility of additional viewing options in our community.

Policy Review – The Board of Directors approved two Corporate Policies as reviewed (no changes):

-Corporate Policy #3-a-26 re Guidelines for Use of Advance Directives for Healthcare Decisions; and

-Corporate Policy #3-a-28 re Guidelines for Care at End of Life.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Management Fiduciary Statement – The Management Fiduciary Statement for the month of March 2018 was approved by the Board of Directors.

Statement of Administrative Responsibility – This statement describes the roles of Administration and the Audit Committee with respect to year-end financial statements.  The statement was approved by the Board of Directors at the Annual Meeting and referred to the Members of the Corporation for information.

Draft Audited Financial Statements – These were presented and recommended for approval at the Annual Meeting.

Audit Findings Report – This document was approved by the Board of Directors and referred to the Members of the Corporation for information.

PROFESSIONAL ADVISORY COMMITTEE

Naloxone Nasal Spray – This drug is now available through our Pharmacy and will be of value in the treatment of opioid overdose.

GOVERNANCE COMMITTEE

Resignation of Ms. Valerie Doré, Vice-chairperson of the Board — The Board of Directors accepted with regret Ms. Doré’s resignation which will be effective 21 May 2018.  Mr. Desnoyers thanked Ms. Doré for her expertise and many hours of dedication and work for our Centre, and wished her well in her endeavours.

Board Member / Committee Member / Officers Appointment —  In preparation for the Annual Meeting, the Committee made recommendations regarding appointment and reappointment of Directors including Officers (Mr. Paul Desnoyers, Chairperson and Mr. Mathieu Despatie, Vice-chairperson), and Ex-officio Members, as well as changes to some Board Committees.  These recommendations were subsequently recommended at the Annual Meeting to the Members of the Corporation for approval.  Annual reports from the Chairperson, Executive Director, and Medical Directors Dr. Patel and Dr. Foley were also presented, approved and forwarded to the Members of the Corporation.

Executive Director’s Performance Appraisal – This electronic process will be initiated by Catholic Health International (CHI).

Governance Committee Terms of Reference – The Board of Directors approved a minor revision regarding frequency of meetings.

EDUCATIONAL OPPORTUNITIES – The Centre’s Education Calendar for May/June 2018 and Governance educational opportunities were circulated to the Board of Directors for information.

The next regular Board of Directors meeting is scheduled for Tuesday, 26 June 2018 at noon in the Boardroom.

REPORT FROM THE BOARD

The regular monthly meeting of the Board of Directors was held on 03 April 2018.

CORPORATE LIAISON’S REPORT

Religious Hospitallers of St. Joseph (RHSJs) – Ms. MacLennan noted that Mrs. Anne Vincelli, former Public Relations Officer for the Centre, will speak on April 7^th about the RHSJs and their history.  Mrs. Vincelli is currently a member of the RHSJ Associates, a group of lay people who attend celebrations, volunteer, help out, and enhance the role of the RHSJs.

ADMINISTRATION REPORT

Mrs. Lafrance-Allaire’s report included Sub-acute Capacity Planning (year-end data), Critical Incident Inspection (no findings), Good News Items (1-Provincial Budget Announcements re increases to Long-Term Care Funding Envelopes; 2-Mr. Jim McDonell, MPP to Visit on April 5^th), Values Integration Appraisal (on 10-11 April 2018), Accreditation (on 17-18 April 2018); and Census Data.  Also discussed:

Management Goals and Objectives – Mrs. Lafrance-Allaire reviewed the progress on the 2017-18 Goals.

COMPREHENSIVE PLANNING, FINANCE AND PERSONNEL RELATIONS COMMITTEE (CPFPRC)

Financial Statements – A surplus in each operation is forecast for year end.  The Board of Directors approved the Financial Statements for the Period Ending 28 February 2018 as presented.

Management Fiduciary Statement – The Board of Directors approved the Management Fiduciary Statement for February 2018.

AUXILIARY REPORT

Ms. Payette highlighted her report.  The Auxiliary’s Annual Meeting was held 15 March 2018 at which time a donation of $25,000 was made to the Centre to purchase equipment needed to enhance the life of the residents.  The new Executive elected is:

President                         Juliette Payette;

Past President                Rachelle Lamond;

Vice President                Anne Vincelli;

Treasurer                         Jane Anderson; and

Secretary                         Shirley Mallette-MacDonald.

The Spring Conference will be on April 25^th in Winchester.  The Auxiliary’s next fundraiser will be their Garage Sale on May 5^th at Ste-Thérèse Parish Hall.

PROFESSIONAL ADVISORY COMMITTEE (PAC) REPORT

Antipsychotic Medications without Diagnosis of Psychosis – Dr. Foley explained the past results for the use of antipsychotic medication.  Moving forward, reporting will be changed to better reflect the correct usage (which is the current practice) for the use of these medications.

EDUCATIONAL OPPORTUNITIES – The Centre’s Education Calendar for April 2018 and Governance Educational Opportunities were circulated to the Board of Directors for information.

 The next regular Board of Directors meeting is scheduled for Wednesday, 16 May 2018 at noon in the Boardroom.

NOTE:  The Annual Meeting will also be held on that day.

Congratulations to Josée Watson (Resident Care Aide, Long-Term Care), recipient of the Sister Rosalia Cobey Award for 2018; and to Nicola Hodson (Occupational Therapist, Complex Continuing Care), the runner-up!  Father Dumoulin and Gizanne Lafrance-Allaire presented the awards to Josée and Nicola at the ceremony held yesterday at 1400 hours in Jeanne Mance Hall.  Both recipients are invited to attend the Annual Conference of the Catholic Health Association of Ontario which will be held in Toronto this fall.  In addition, Josée has received a tablet and one year of free parking.

We are blessed to have such wonderful people in our Centre who emulate Sister Cobey while providing compassionate care to so many.  Thank you to the staff members who made the nominations.  Your recognition and efforts are greatly appreciated.  You are all our shining stars!