Nhh.ca

NORTHUMBERLAND HILLS HOSPITAL
BOARD OF DIRECTORS
December 6, 2012
5:00 pm - Boardroom
D. Mann, Chair; J. Hudson, T. Sears, J. Russell, J. Farrell, D. Pepper, C. Stewart, B. Brook, B. Carman, A. Logan, H. Sculthorpe, R. Biron, D. Broderick, H. Brenner
Regrets:
B. Gerber, K. Jackson, G. Metson, A. Stratford, J. Parravano CALL TO ORDER
D. Mann called the meeting to order at 5:00 pm. EDUCATIONAL PRESENTATION
Elizabeth Vosburgh, V.P. Human Resources and Quality presented an overview of the Risk Management program at Northumberland Hills Hospital. CONFLICT OF INTEREST
None.
APPROVAL OF AGENDA
It was Moved by C. Stewart and Seconded by J. Hudson that the agenda be approved
with amendment to next meeting date. The meeting of January 3, 2013 may be
cancelled and may be rescheduled at the call of the Chair. Carried.
APPROVAL OF PREVIOUS MINUTES
It was Moved by T. Sears and Seconded by H. Sculthorpe that the minutes of
November 8, 2012 be approved as circulated. Carried.
CHAIR REMARKS
D. Mann expressed a thank you to J. Russell for chairing the November 8th meeting.
CHIEF EXECUTIVE OFFICER’S REPORT
R. Biron reviewed the CEO report that was circulated to the Board.
 A letter received from a nursing student was highlighted who reflected on the core values of the hospital she experienced daily of respect, collaboration and teamwork.  The Canadian Institute for Health Information has released two reports. Health Care in Canada 2012: A focus on wait times reviews patient experiences in accessing care across the health system. Seniors and Alternate Level of Care provides insight into patients in hospital waiting for long-term care placement or home care services.  R. Biron wished all Board Directors a wonderful Christmas and New Year. CHIEF OF STAFF REPORT
D. Broderick reviewed the report that was circulated to the Board.
D. Broderick outlined a recommendation from the Medical Advisory Committee to appoint Dr. R. Krishnan to Chief of Internal Medicine. D. Broderick reported that with the addition of another internist to the department there was a need to set up a formal department structure for Internal Medicine. It was Moved by B. Brook and Seconded by B. Carman to approve the
appointment of Dr. Rajesh Krishnan to Chief of Internal Medicine.
Carried.
D. Broderick reviewed the Credentials Committee report. Four physicians were recommended staff privileges. It was Moved by J. Hudson and Seconded by J. Russell to approve the
following staff for privileges:
Dr. Daniel Nayot, LOCUM – OBS/GYNE
Dr. Ariana Murata, LOCUM – ED (MedEmerg)
Dr. Kristin Vaga, ASSOCIATE – EMERGENCY MEDICINE
Dr. Allegra Lywood, LOCUM – FAMILY MEDICINE & OBS (Dr
Pepper’s Replacement)
Carried.

9. REPORTS FROM COMMITTEES

QUALITY AND SAFETY COMMITTEE
C. Stewart provided the report of the Quality and Safety Committee.
The Committee received a presentation from Anna-Marie Sutherland, Patient
Care Manager, on the Outpatient Chemotherapy department. Prior to the
presentation, a tour was provided of the unit.
An update on physician recruitment was provided by D. Broderick. Two new
family physicians will be practicing in the community and the first NHH
Hospitalist will be starting on December 24th, 2012.
The Committee reviewed the second quarter results for the Quality Indicator
Report and the Quality Improvement Plan.
Governance Committee
J. Russell provided the report of the Governance Committee. The Committee reviewed the draft Board policy for Community Board Members. Revisions were recommended and a further draft will be brought to the Committee. The updated Board Education Schedule was circulated. The Committee discussed the Central East Local Health Integration Network (CE LHIN) Integration Strategy that was presented to their Board on November 28th. The Northumberland County Community Health Services Integration strategy presented to the CE LHIN Board includes Northumberland Hills Hospital, Campbellford Memorial Hospital, Campbellford Memorial Multicare Lodge, Port Hope Community Health Centre and Community Care
Northumberland. The Committee was encouraged by the direction as it is
consistent with the NHH Board approach and proposal.
Whereas Northumberland Hills Hospital (NHH) is committed to
sustaining and enhancing local access to health services;
Whereas NHH is committed to pursuing opportunities that will
improve patient experiences and outcomes through better
coordination of health services particularly in Northumberland; and,
Whereas any proposed health system integration strategies must
demonstrate reduced healthcare expenditures and overall cost
savings;
It was Moved by J. Russell and Seconded by T. Sears to endorse the
Central East Local Health Integration Network’s Community Health
Services Integration Strategy for Northumberland County as being
consistent with NHH’s Board commitments to:
Protect and enhance local access to essential acute care
services in Northumberland;
Explore the creation of an integrated health care model that is
geographically aligned to the community of Northumberland,
and includes hospitals, community agencies and primary care;
Participate as an equal partner to create a new governance
structure to support the integrated model;
Advocate for funding to sustain local health services during
the transformation period;
Complete a thorough due diligence process with our health
services partners and the Central East LHIN to ensure the
objectives are attainable; and,
Engage our community throughout the process to ensure the
best possible decisions are made and public trust in our
hospital continues to grow.

Carried.

Finance and Audit Committee
B. Brook provided the report of the Finance and Audit Committee. The variance report to October 31, 2012 was reviewed. The operating deficit before amortization is $162,505 and NHH forecast to year end remains unchanged. The Committee received a summary of funding confirmed to date, including one-time Wait Time funding, one-time Late Career funding, OBSP Breast Cancer Screening funding and Starch Volume Expanders base funding. A report on the recovery plan presentation to the CE LHIN was provided by R. Biron with some of the key messages relating to policy issues for Medium Sized hospitals. The Committee was presented an update on the stockless inventory program implemented in May 2012. This system has made significant progress towards reducing inventory and costs of medical surgical supplies while improving customer service. FOUNDATION REPORT
A. Logan provided the Foundation report. A presentation on the Annual Gala was received detailing the successes and lessons learned. The 12th Annual Gala raised $136,000. The Light Up a Life campaign will be held on December 12th at 7:00 pm. AUXILIARY REPORT
No report.
It was Moved by J. Russell and Seconded by B. Brook that all reports be received.
OTHER BUSINESS

FOR INFORMATION/CORRESPONDENCE
R. Biron noted the Ministry of Health and Long-Term Care has released an
announcement on the new Health Links initiative.
QUESTIONS AND COMMENTS
None
IN CAMERA
The meeting moved to in-camera at 6:00 pm on a motion by C. Stewart and seconded
by H. Sculthorpe
The in-camera meeting addressed matters relating to the CE LHIN Community Health Services Integration Strategy. NEXT MEETING
At the call of the Chair
TERMINATION OF MEETING
The meeting terminated at 7:03 pm on a motion from T. Sears.

Source: http://www.nhh.ca/Portals/1/2012-12-06%20%20Board%20Minutes%20FINAL.pdf

Microsoft word - novorapid pi v25 mar 2012.doc

PRESCRIBING INFORMATION within an area may help reduce or prevent these reactions. Rarely injection site reactions may require discontinuation NovoRapid® of NovoRapid®. Hypoglycaemia may constitute a risk when driving or operating machinery. NovoRapid® must not be mixed with other medicinal products except for NPH (Neutral Protamine Hagedorn) insulin and some infusion fluids. Case

D37881 enteral nutrition

D37881 Enteral Nutrition 23/4/07 11:33 Page 1 Contents Introduction Immunonutrition in septic patients: A Effect of an enteral diet philosophical view of the current situation supplemented with a specific blend of amino acid on plasma and muscle protein synthesis in ICU patients Clinical and biochemical outcomes after a randomized trial with a high dose of enteral arginin

Copyright © 2010 Health Drug Pdf