Wilson Memorial General
Hospital
The McCausland Hospital
Striving for healthy communities,
now, and in the future!
Board of Governors
Joint Board Meeting
Tuesday, March 27, 2012
At W
The McCausland Hospital:
Danielle Boulianne, Bob Hopper, Sheri Notarbartolo, Benoit Rioux, and Mary Lynn Dingwell
Wilson Memorial General Hospital (WMGH):
Terry Fox, Jeannie Allerton, Ken McIntyre, Erica Perkins, Christina Burk and Dr. Sarah Newbery,
Staff:
Teresa Roberts, Janet Gobeil, Adam Brown, Sue Bouchard, Paul Bain, Janet Martel, Helen Shaw
(Recorder)
CEO: Paul Paradis
--------------------------------------------------------------------------------------------------------------------Presentation: Northwest Supply Chain – Derek Gascoigne
Derek Gascoigne presented and overview of the Northwest Supply Chain and our seven year
commitment to the strategic sourcing and contracting of goods and services. He discussed the
supply chain process, the savings and the standardization. Some of the requests for proposals
have included; employee benefits, IV solutions, glucometers, a capital buying group and
insurance.
1.
Call to Order:
The meeting was called to order at 7:00 p.m.
2.
Approval of Agenda:
M. Danielle Boulianne
S. Jeannie Allerton
THAT the agenda be accepted as presented.
3.
Declaration of Conflicts:
There were no conflicts declared.
4.
Approval of Minutes:
M. Jeannie Allerton
S. Christina Burk
THAT the minutes of the Wilson Memorial General Hospital regular board meeting of
February 28, 2012 be accepted as distributed.
CARRIED.
M. Bob Hopper
S. Benoit Rioux
THAT the minutes of the McCausland Hospital regular board meeting of February 29, 2012
be accepted as distributed.
CARRIED.
CARRIED.
5.
Reports:
5.1
Chair of the Board
Danielle Boulianne (MH) – none
Terry Fox (WM) – Terry will be attending the OHA Region 1 Conference in Thunder
Bay next month.
5.2
CEO – Paul Paradis
 The hospitals continue to be busy.
 The quality improvement plans (QIPs) have been completed and will be discussed
later.
 The strategic plan is also finalized and will be discussed.
 The McCausland Hospital will be receiving the final funds from Heritage Ontario,
which will be used to pay off debt to Geraldton Hospital.
 We are working with the NWLHIN on strategies to lessen the impact of the
pharmaceutical shortages.
 The NW LHIN Health Services Blueprint was discussed at a videoconference today.
Paul encouraged members to review the entire document when it is released as it
will be interesting.
 The Ontario Budget will be released tomorrow. Board members will receive the
OHA update pertaining to healthcare when released.
5.3
Chief of Staff
Dr. A. Zawada (MH)
Teresa Roberts read Dr. Zawada’s report in her absence.
 Modules 2 and 3 for MORE OB were completed.
 Dr. Macleod will return in June from her maternity leave.
 Dr. Clark will be doing arthroscopy surgery on April 16. Dr. Zawada will do the
conscious sedation for the procedures. Temporary privileges for conscious
sedation procedure will be issued until the next Medical Advisory meeting.
 A meeting was held with Norm Gale, EMS regarding non urgent transfers and better
ways to meet patients needs.
Dr. S. Newberry (WM)
 Marathon has had good locum coverage
 Dr. Bunskill will be going on maternity leave for six month, but coverage has been
found.
 Learners continue to come from the Northern School of Medicine (NOSM) for June
and July and again next fall.
 Dr. Orrantia will be receiving the clinical teacher of the year award in May from
NOSM.
 The Medical Advisory Committee continued to work on continuous improvement
skills driven initiatives in February and March
 Oxycontin issue has not been a significant problem in the ER. A class action lawsuit
has been filed against Purdue Pharmaceuticals due to the addiction epidemic.
 Dr. Newbery had written a letter to Dr. Hutchinson, Chief of Psychiatry at TBRHSC
regarding the assessment and disposition of form 1 patients (mental health

patients). Sarah informed the Board that the concerns raised are being taken
seriously.
Shortage of Sandoz pharmaceuticals is posing significant issues.
5.4 Director of Nursing
Teresa Roberts (WM)
 2 nursing staff are going to Thunder Bay for a wound care conference next week.
 Hand hygiene education and audits were completed.
 Long Term Care staff completed education on critical incident reporting.
 Open order set training has been completed. The go live is set for Monday.
 Meditech training will be completed in April.
 Current RPN shortages pose scheduling challenges. A new graduate initiative will
be coming from southern Ontario. Teresa is looking at the possible partnership to
initiate a RPN course with Confederation College.
 PSW course is nearing completion through Confederation College. The
consolidation period is being completed at McCausland.
 Medication shortages pose significant concerns which will be discussed later.
Janet Gobeil (WM)
 Accreditation is scheduled for April 15 to April 18. The schedule has been received.
Some minor housekeeping issues will be completed.
 Current RN shortages pose a concern. Recruitment and retention are challenging.
 The hospital is moving forward with the seniors initiative.
 Hand hygiene audits completed showed a compliance rate of 92%.
 4 nursing students will be coming this summer through the Northern School of
Medicine.
 Meditech training will also be completed at WMGH in April.
6.
Committee Reports
Deferred to April meetings.
7.
Items Requiring Consent
7.1 Strategic Plan
The North of Superior Health Group strategic plan 2015 was reviewed. The document
includes the strategy, framework, communication plan and the action plan for
implementation. The plan will be communicated to internal and external stakeholders.
The Board of Directors will receive quarterly reports on the progress.
M. Jeannie Allerton
S. Benoit Rioux
THAT the strategic plan be accepted as presented to the Board of Directors of the
McCausland and Wilson Memorial General Hospitals
CARRIED.
7.2 Quality Improvement Plans (QIP)
The Quality Improvement Plans were reviewed and compared for both facilities. Due to
the fact that our strategic plan is the same our quality improvement plans are very
similar. They focus on achieving our strategic directions. The priority one indictors for
the next year were reviewed as well as the performance based compensation.
M. Bob Hopper
S. Sheri Notarbartolo
THAT the McCausland Hospital Board of Directors accepts the Quality Improvement
Plan 2012/13 to be submitted prior to April 1, 2012 to Health Quality Ontario and the
NW LHIN.
CARRIED.
M. Ken McKintyre
S. Jeannie Allerton
THAT the Wilson Memorial General Hospital Board of Directors accepts the Quality
Improvement Plan 2012/13 to be submitted prior to April 1, 2012 to Health Quality
Ontario and the NW LHIN.
CARRIED.
7.3 H-SAA, M-SAA and L-SAA
The H-SAA, Hospital Service Accountability Agreements which were amended to
comply with legislative and policy changes will be extended for another one year term
to cover 2012-13 to ensure continuity of funding and accountabilities.
M. Sheri Notarbartolo
S. Bob Hopper
THAT the McCausland Hospital Board of Directors accepts the amended agreements to
extend to the existing period as presented.
CARRIED.
M. Erica Perkins
S. Ken McIntyre
THAT the Wilson Memorial General Hospital Board of Directors accepts the amended
agreements to extend to the existing period as presented.
CARRIED.
The M-SAA, Multi-Sector Service Accountability Agreement’s schedules have been
refreshed to reflect performance requirements for the 2012/13 year, but do not require
approval.
The McCausland Hospital’s, L-SAA, Long Term Care Service Accountability Agreement
had no changes to the agreement or schedules.
8.
Items for Discussion
8.1 February Financials/Statistics – Janet Martel
Janet Martel presented a comparison which was included in the package of the statement
of revenue and expenditures between the two facilities for the period ending February
29, 2012. Both facilities showed a positive situation.
Statistically the facilities were compared for the same period. Both facilities have had a
busy 11 months.
8.2 Drug Supply Shortage – Janet Gobeil
A fire forced Sandoz Pharmaceuticals to halt production of vital painkillers, anesthetics
and antibiotics. Drs’ Newbery and Zawada, Teresa, and Janet have been working with
pharmacist, Chris Stewart on developing substitutions and dosages. A minimum
allotment is provided to hospitals based on last year’s usage, which means small
hospitals get a very minimal supply if anything at all. Hospitals complete a weekly
template so sharing can be incorporated. There has been significant time spent on this
issue. Dr. Newbery expressed concern that standards disappear when everyone does
something differently. This shortage will affect hospital for up to 18 months.
8.3 Obstetrical Services – Paul Paradis
McCausland Hospital – Dr. David Hurst will no longer be doing deliveries as of April 1,
2012. This will affect the HOCC funding and call schedule. Nursing has been informed. He
thanked the Board of Directors, hospital and community for the privileges for the past 20
years.
Wilson Memorial Hospital – Obstetrics will be closed for July and August due to active
physicians taking holidays and nursing staff shortages. Patients have been informed.
9.
Items for Information
9.1 Region 1 NW Annual Conference – Thunder Bay April 18 to 20
Paul Paradis, Terry Fox and Benoit Rioux will be attending.
10. Adjournment
There being no further business, the meeting adjourned at 8:55 p.m.