January 14, 2016 Executive Committee Meeting Minutes

Executive Committee Meeting Minutes

January 14, 2016 - 1:30 – 3:30 p.m. 

Guelph Corporate Meeting Room 

Present: Doug Auld (Chair), Dennis Lever, Keith Perron, Nancy Sullivan and Allen Taylor. 

Regrets: June Hofland

Staff: Dr. Mercer and Sylvia Muir (Recorder)

Guests: NONE.

1. Call to Order

D. Auld called the meeting to order at 1:30 p.m. There were no declarations of conflicts identified. 

2. Approval of Agenda

MOTION: “To approve the Agenda for January 14, 2016 meeting, as presented.” 
Moved: A. Taylor
Seconded: N. Sullivan
CARRIED

3. Approval of Minutes

MOTION:  “To approve the Executive Committee Minutes of December 15, 2015 – Not including the Closed Session Minutes of December 15, 2015.”
Moved: N. Sullivan 
Seconded: D. Lever
CARRIED

4. Presentation(s)

  • NONE.

5. Discussions(s):

BOH Response to MOHLTC Discussion Paper (the “Paper”) of December 17, 2015 – “Patients First A Proposal to Strengthen Patient Centred Health Care in Ontario” 

At its meeting of January 6, 2016, the BOH agreed to refer the task of drafting a response to the Discussion Paper (the “Paper”) to the Executive Committee and for the Executive Committee to bring the draft response back to the February 3, 2016 BOH meeting for review.

Dr. Mercer provided an update on the parties she has met with regarding the Paper including: WWLHIN CEO and Chief Strategy Officer; the MOH for Hamilton Health Unit; the MOH and AMOH of Waterloo Region Health Unit and the WDGPH Directors.

  • MOHLTC and LHINs have been meeting regularly throughout 2015. 
  • Complexity of the model the LHINs are undertaking is enormous.

(1:37) K. Perron arrived.

  • This model will be problematic if WDGPH has 2 LHINs to report to.
  • There is no example in the Province of an autonomous health unit alignment with a regional government.
  • Paper indicates realigning LHIN boundaries not Public Health Unit boundaries. There are currently 36 health units and 14 LHINs.
  • LHINs are looking to Public Health for information health planning. 

Draft document was reviewed as a starting point for the discussion. Discussion took place around points to make in the response letter. 

  • WDGPH looks forward to working with and providing evidence-based reports for the LHINs on areas of Public Health importance.
  • Highlight the areas of strength and expertise that WDGPH currently has that can be an attribute to the LHINs (Health Analytics). WDGPH could expand our health analytics team with the assistance of the LHINs to create a Centre of Excellence.
  • WDGPH has been fiscally responsible in managing our budgets. WDGPH is entering its third Strategic Plan and has maintained fiscal responsibilities throughout.
  • Clarify that Public Health doesn’t provide very much direct patient care but that our role is to work at a population level to promote and protect health.
  • Clearly identify how problematic it would be to have 2 LHIN funders.
  • Identify our strengths including:

►(i) That WDGPH has the 2nd largest number of long-term care facilities;
►(ii) Our large low-German Mennonite population and how Public Health is meeting their needs in a culturally appropriate manner; and
►(iii) Rural and urban populations.

  • Identify some of the challenges for WDGPH with respect to what is being proposed in the Paper.
  • ​Suggest that it would be beneficial for the BOH Chair to also sit on the LHIN board. Discussed providing BOH Reports to the LHINs moving forward. 

Direction & Authorization was provided to Dr. Mercer to amend the Revised Draft Response and circulate, via e-mail, to the Executive Committee for finalization. Revised Draft Response to then go to the February 3, 2016 BOH meeting.

Terms of Reference for Executive Committee
  • Terms of Reference for the Executive Committee were reviewed.
  • Previous Terms of Reference did not deal with the MOH/CEO evaluation. The 2016 Terms of Reference for both the Executive and the Personnel Committees reflect the inclusion of the MOH/CEO evaluation.
  • AMENDMENTS to draft Terms of Reference include: 
    (i) Under the heading entitled “Chairperson:” on page 2:
    ►Deletion of the words “A Chair will be appointed at the inaugural meeting of the Board of Health” to be replaced with “The Chair of the Board”; and
    ►Addition of the words “of the Board” after the word “By-laws”. (ii) Under the heading entitled “Minutes of Meetings:” on page 2:
    ►Addition of the words “Executive Committee” after the word “any”. (ii) Under the heading entitled “Quorum” on page 3:
    ►Deletion of the words “Wellington-Dufferin-Guelph”.
(a) MOTION: “That the Executive Committee makes recommendation to the Board of Health to accept the Executive Committee Terms of Reference, as amended.”
Moved: N. Sullivan
Seconded: A. Taylor
CARRIED

6. Closed Session

  • Approval of Closed Session Executive Committee Minutes of December 15, 2015.
  • BOH Response to MOHLTC Discussion Paper of December 17, 2015 – “Patients First A Proposal to Strengthen Patient Centred Health Care in Ontario”.
  • MOH/CEO Performance Appraisal Form - Final. 
(2:54)

MOTION: “To move into Closed Session to approve Closed Session Executive Committee Minutes of December 15, 2015, to discuss BOH Response to MOHLTC Discussion Paper of December 17, 2015 and to review the MOH/CEO Performance Appraisal Form-Final.”
Moved: N. Sullivan
Seconded: A. Taylor
CARRIED

Present: Doug Auld (Chair), Dennis Lever, Keith Perron, Nancy Sullivan and Allen Taylor.
Regrets: June Hofland.
Staff: Dr. Nicola Mercer and Sylvia Muir (Recorder).
Guests: NONE

CLOSED SESSION MINUTES TO BE PROVIDED UNDER SEPARATE COVER.

(2:56) Returned to Open Session

MOTION: “To ratify the decisions made in Closed Session at the January 14, 2016 Executive Committee meeting.” Moved: K. Perron
Seconded: N. Sullivan
CARRIED

Motion(s) brought forward from Closed Session:

MOTION: “To approve the MOH/CEO Performance Appraisal Form, as presented.”
Moved: K. Perron
Seconded: N. Sullivan
CARRIED

7. Next Meeting

  • At the call of the Chair. 

8. Adjournment

The meeting was adjourned at 2:56 p.m. 

Moved: A. Taylor
Seconded: D. Lever
CARRIED