September 2012 - Renfrew Victoria Hospital

MINUTES OF THE REGULAR MEETING OF THE RENFREW
VICTORIA HOSPITAL BOARD OF DIRECTORS HELD ON
THURSDAY, SEPTEMBER 27, 2012 AT 19:00 HOURS
PRESENT: Andy Boldt, Chair
Bill Welsh, Vice-Chair
Martin Gosling
Sandi Heins
Dave Lesaux
Dr. Cathy MacDonald, President Medical Staff
Dr. Steve Radke, Chief of Staff
Keanan Stone
Barbara Westgarth
Randy Penney, President & CEO
Chris Ferguson, VP, Patient Care Services
GUESTS: Julia Boudreau, VP, Corporate Services
Tim Sonnenburg, VP, Financial Services
Barb Desilets, Director of Development
Brian Dickey, Architect
Sandra Buttle, Recording Secretary
ABSENT: Murray Burwell, Honorary
Dr. George Hermanson
Richard Lester
Barb Symington, Auxiliary
ATTENDANCE: 78%
PRESENTATION
Brian Dickey, Architect, and Chris Ferguson, VP, Patient Care Services, did a presentation on the
RVH Dialysis expansion and parking changes.
In August 2011, the Ministry of Health and Long Term Care announced that RVH would receive
$12 million to build a new nephrology centre. This will be the largest expansion ever made at RVH.
As a result of this, RVH did a review of its Master Plan to 2030/2031. The expansion will include a
20 station dialysis unit with peritoneal dialysis training, clinic and office areas which aligns with the
hospital’s master program. This expansion would incorporate a new addition across the back of the
ER/Ambulatory Care wing and a partial second floor. This will expand the current dialysis service
capacity at RVH and improve space designs to meet dialysis facility standards. There is a potential
to complete the second floor for other services. Surgical services will be relocated to the front of the
building in the future. As a result, the expansion requires additional parking spaces and they must be
done pre-construction.
Phase 1 will include expanded parking spaces adjacent to the Helipad. A gated parking system will
be installed with gates at Raglan Street and Albert Street. The Ken Dick Drive will be closed. RVH
has formally asked the Town to turn over a portion of Raglan Street, North to RVH from the
Emergency Department on. The reasons are 1. Nephrology expansion changes, 2. Surgical services
changes, 3. To make parking easier and clearer for our aging population and, 4. Response to the

Board of Directors, September 27, 2012
public for gated parking. The Town would have full easement access for any and all municipal
services.
Phase 2 will include closing off the parking at the rear of the hospital, demolition of three houses on
Grigg and Moore Streets owned by RVH and construction of the Nephrology expansion.
Phase 3 will reinstate parking at rear of RVH and see the installation of gated parking on Grigg
Street.
1. MINUTES OF PREVIOUS MEETING
It was moved by Dave Lesaux,
And seconded by Barb Westgarth,
That the minutes of the meeting held June 28, 2012 be adopted. – Carried.
2. REPORT OF THE PRESIDENT & CEO
h The Quality Monitor - The 2012 report on Ontario’s Health System was available to all
Directors.
h Upcoming Events were presented.
3. REPORT OF MEDICAL STAFF
Dr. Steve Radke presented the report of the Medical Staff advising that the Credentials Committee
reviewed the following applications and all are recommended for appointment:
h Ottawa Hospital Radiologists
h Anaesthetist to Consulting Staff
h Two PGY-1, University of Ottawa Medical Residents
h Two PGY-2, University of Ottawa Medical Residents
h Two 3 rd Year Medical Students, University of Ottawa
Dr. Radke provided his goals and objectives for the upcoming year.
It was moved by Dr. Steve Radke,
And seconded by Keanan Stone,
That the report of the Medical Staff be adopted. – Carried.
4. REPORTS OF COMMITTEES
A. GOVERNANCE
Andy Boldt presented the minutes of the Governance Committee held on September 21, 2012 as
follows:
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Board of Directors, September 27, 2012
a) Property Acquisition
RVH purchased the property at 42 Grigg Avenue in August 2012. This strategically positions us
for the expansion.
b) Presentation to Town Council
A meeting was held with the Town Planner and Mayor Ringrose in early September to review
the reasoning to turn over a portion of Raglan Street North to RVH. It was requested that a
formal presentation be made to Town Council which was done on September 10, 2012. There
was positive interaction with Town Council and a motion to work out the details at the end of the
presentation.
c) Dialysis Update
The Ministry has asked that RVH combine steps and submit to the MOHLTC. It was
recommended that the Finance and Property Committee oversee the dialysis project.
d) Clinic Future Directions
There was discussion on the location of a future clinic building.
e) Committee Appointments
Lay members will no longer sit on the CQI committee. The following Committee appointments
were presented for 2012-2013.
GOVERNANCE COMMITTEE
Andy Boldt, Board Chair
Bill Welsh, Vice Chair
Randy Penney, President & CEO
Dr. Steve Radke, Chief of Staff
Barb Westgarth, Chair, Finance & Property
Richard Lester
FINANCE & PROPERTY
Barb Westgarth, Chair
Sandi Heins
Richard Lester
Bill Welsh
Randy Penney, President & CEO
Tim Sonnenburg, VP, Financial Services
CONTINUOUS QUALITY IMPROVEMENT
Bill Welsh, Chair
Keanan Stone
Martin Gosling
Dr. Steve Radke
Randy Penney, President and CEO
Christene Ferguson, VP, Patient Care Services
Anna Campbell, Pharmacist
Accreditation Coordinator
JOINT CONFERENCE
Andy Boldt, Chair
Bill Welsh, Vice-Chair
Dave Lesaux
Dr. Steve Radke, Chief of Staff
Dr. Cathy MacDonald, President, Med. Staff
Randy Penney, President & CEO
PERSONNEL COMMITTEE
Richard Lester, Chair
Sandi Heins
Keanan Stone
Randy Penney, President & CEO
Julia Boudreau, VP, Corporate Services
AUDIT COMMITTEE
Sandi Heins, Chair
Barbara Westgarth, Treasurer
Bill Welsh
Tim Sonnenburg, VP Finance Services
ADVISORY COMMITTEE
Addictions Treatment Services – Dave Lesaux
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Board of Directors, September 27, 2012
FISCAL ADVISORY COMMITTEE
Randy Penney, Chair
Dr. Cathy MacDonald
Nurse Manager
Tammy Jessup, President ONA
LeeAnn Sommerville, President CUPE
Tim Sonnenburg, VP, Financial Services
Julia Boudreau, VP, Corporate Services
Christene Ferguson, VP, Patient Care Services
ETHICS COMMITTEE
Dr. George Hermanson, Chair
Barb Symington
Dr. Steve Radke
Dr. Rob Duggan
Don Goulet
John Cooke
Rev. Don Anderson
Randy Penney, President and CEO
Christene Ferguson, VP, Patient Care Services
f) VP Finance
Tim Sonnenburg, VP of Financial Services, has been accepted to the MHA Program at the
University of Ottawa. The Board is very supportive.
g) Other Business
There was a discussion on brain storming on ways to recruit new board directors. It was
suggested that we look at changing the definition of excluded person in the bylaw.
It was moved by Bill Welsh,
And seconded by Barb Westgarth,
That the report of the Governance Committee be adopted. – Carried.
5. OTHER BUSINESS
Financial Update – Tim Sonnenburg, Vice-President of Financial Services, provided a financial
update for the five month period ending August 31, 2012. Overall hospital operations for RVH
posted a surplus of $402,872 (2.6 %). This positive result is higher than budget expectations,
mainly due a small positive revenue variance and a positive expenditure variance for the time
period.
Revenues
h Overall revenues for the period were $86,082 higher than budget (1%).
h The majority of this positive variance is due to receiving one time revenues from sales
agreements for medical supplies early in the fiscal year as well as an increase in sleep
product sales.
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Board of Directors, September 27, 2012
h In addition oncology recoveries were up as we used more supplies for which we are
reimbursed.
h These positive variances were offset by lower than budgeted revenues from outpatient
activities as patient volumes were down by 4%.
h We have seen an upward trend in preferred accommodation and chronic and ALC co
payment. This is due to fewer isolation cases this year than last year which means there are
more rooms available for semi private accommodation.
Expenses
h Overall expenses for the 5 month period were $93,585 under budget (1%) mainly as a result
of lower than budget results in the areas of staff compensation and medical staff fees
h Salary and benefit expenses are trending slightly under budget (1%) with medical staff fees
under budget by 7%. The medical staff fees are affected by the amount of outpatient testing
in diagnostic imaging and as the test volumes are down we would expect the expense for
reading them to be down as well.
h Medical supply costs are running approximately 3% over budget due to increased OR costs
associated with the new surgical program. It is anticipated that these costs will fall in line
with budget as the program matures.
Other Votes
h This is made up of separately funded programs for palliative care, addiction treatment
services and assisted living program. The combined programs are running a small surplus as
of August 31 st .
Forecast
h Based on operations to-date RVH is expected to be in a surplus position at March 31, 2013.
The Chair invited comments/discussions from around the table
6. ADJOURNMENT
It was moved by Bill Welsh,
And seconded by Sandi Heins,
That the meeting adjourn.
Time of Adjournment: 20:40 hours.
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