AGENDA OPEN SESSION BOARD MEETING Wednesday, January 27, 2021 Zoom Videoconference 5:00 pm Directors: Marg Dragan, Vice-Chair Louis Guimond, Treasuer Rachael Simon Anthony Iafrate Brian Knott, Chair Fred Vanderheide Bill Gillam Katherine Mantha Paul Wiersma Jenny Greensmith Bob McKinley Kirk Wilson Ex-Officio Directors: Mike Lapaine Shannon Landry Dr. Lincoln Lam Dr. Michel Haddad Dr. Andre Rudovics Invited Participants: Samer Abou-Sweid Laurie Zimmer Paula Reaume-Zimmer Julia Oosterman Kathy Alexander Dr. Dhiraj Dhanjani Recorder: Melissa Rondinelli *attached NO. TOPIC ACTION TIME PRESENTER 1.0 CALL TO ORDER: WELCOME AND OPENING REMARKS 5:00 Brian Knott 1.1 Traditional Territory Acknowledgement 2.0 AGENDA APPROVAL 2.1 Approval of Agenda Decision Brian Knott 2.2 Report on In-Camera Board Meeting – Nov. 25, 2020 Information 2.3 Declaration of Conflict of Interest Decision 3.0 CONSENT AGENDA Brian Knott 3.1 INFORMATION ITEMS TO BE RECEIVED 3.1.1 Board Chair Report* Brian Knott 3.1.2 Professional Staff Association Report* Dr. Andre Rudovics 3.1.3 Resource Utilization and Audit Committee Performance Scorecard* Samer Abou-Sweid 3.1.4 Quality Committee Performance Scorecard* Shannon Landry 3.1.5 Foundation Report* Kathy Alexander 3.2 ITEMS FOR APPROVAL 3.2.1 Open Session Board Minutes – Nov. 25, 2020* Decision Brian Knott 4.0 PRESIDENT & CEO REPORT* Information 5:03 Mike Lapaine NO. TOPIC ACTION TIME PRESENTER 5.0 BOARD DECISIONS/OVERSIGHT 5.1 Board Work Plan* Decision 5:08 Brian Knott 5.2 Monthly Financial Statement* Decision 5:13 Samer Abou-Sweid 5.3 Pandemic Response & Hospital Operations Information Scorecard* 5.4 COVID-19 Update Information 5:25 Mike Lapaine Dr. M. Haddad 5.5 Ontario Health Team Update Information 5:40 Mike Lapaine 6.0 CHIEF OF PROFESSIONAL STAFF REPORTS Information 5:43 Dr. M. Haddad • December* • January* 7.0 POLICY FORMATION – None 8.0 OPEN FORUM 5:48 Brian Knott Opportunity for Directors to reflect on how patients, families and community were considered in discussions. 9.0 ADJOURNMENT: Next Meeting – Feb. 24, 2021 5:53 Brian Knott Bluewater Health Board of Directors Open Session Meeting January 27, 2021 Proposed Motions AGENDA ITEM MOTION 2.1 Agenda to approve the agenda as presented 3.0 Consent Agenda to receive the reports presented and to approve the following items in the Consent Agenda: • Open Session Board Minutes of November 25, 2020 5.1 Board Work Plan to approve the following: 1. Cancellation of the February Quality and Resource Utilization and Audit Committee meetings; 2. A condensed Governance & Nominating Committee meeting in February to focus on Board Succession Planning; 3. Re-assess the Board Work Plan priorities on a monthly basis. 5.2 Financial Statements to approve the Financial Statement for the period ended November 30, 2020 as presented. Board Chair Report I would like to highlight my activities as Chair for the period of November 26, 2020 to January 27, 2021. November 26 Met with President and CEO for follow up on Board meeting November 26 Attended Virtual Speaker Series re Importance of Laboratory to Bluewater Health December 1 Prepared for and chaired Board meeting on Strategic Plan December 3 Prepared for and participated in Professional Staff Quarterly meeting December 7 Attended and participated in OHA seminar on Fundamentals of Chairing- Stewarding the Chair/CEO relationship December 7 Participated in Board Trivia Holiday Special December 8 Prepared for and participated in Bluewater Foundation Board meeting December 17 Met with President and CEO and Chief of Staff to discuss hospital and Board business December 18 Met with President and CEO to discuss hospital and Board business December 22 Prepared for and recorded New Year’s Message on behalf of Board of Directors January 6 Met with President and CEO to discuss hospital and Board business January 7 Prepared for and attended SL-OHT meeting on Decision-Making Framework Agreement January 14 Met with President and CEO to discuss Withdrawal Management facility January 15 Prepared for and chaired Executive Committee meeting on Withdrawal Management facility January 19 Met with President and CEO to prepare for January Board meeting and to discuss hospital and Board business January 20 Met with Chair of G&N and staff to review Succession Planning for Board January 22 Prepared for and chaired Executive Committee meeting regarding a property matter January 27 Prepared for and chaired BWH Board meetings Brian Knott President of the Professional Staff Association (PSA) Report December 2020 and January 2021 I would like to highlight my activities as PSA President: December 3, 2020 Prepared for and chaired the quarterly Professional Staff Association meeting January 11, 2021 Prepared for and attended the quarterly Hospital On-call Committee meeting January 20, 2021 Prepared for and attended the Medical Advisory Committee meeting Dr. Andre Rudovics 1 FOI Masked due to n size <5 Meets/Exceeds Target Italics n size between 5 - 29 Meeting baseline but not meeting target Resource Utilization & Audit Committee Performance Scorecard * no established target Performance not meeting baseline ⱡ corporate target Data Unavailable YTD Q2 19/20 Q3 19/20 Q4 19/20 Q1 20/21 Q2 20/21 Q3 20/21 Performance # Key Performance Indicators Baseline Target Trending Comments REF. Peer JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV Report Desired Desired UPDATED Period YTD Trending Comparator 19 19 19 19 19 19 20 20 20 20 20 20 20 20 20 20 20 Quality Care - Assure the right care, in the right place, at the right time, by the right provider Improve access to care QIP/ 26.1 14.2 <=13.9 Jan - 1 90th Percentile Time to Inpatient Bed Sarnia 19.0 15.4 7.8 11.7 15.0 8.7 14.8 15.2 7.5 3.5 3.4 3.6 3.8 7.0 7.7 4.4 3.3 5.7 t P4R hrs hrs hrs Dec SP/ 9.6 4.9 Jan - 2 Average Time to Inpatient Bed Sarnia ⱡ 2 hrs 6.5 4.8 3.5 4.2 4.8 3.5 4.5 4.8 3.7 1.9 1.9 2.0 2.1 2.9 3.2 2.4 1.8 2.9 t NOW hrs hrs Dec Exceptional Relationships - Expand innovative partnerships and collaborations to improve experiences, services, transitions and community health Build sustainable partnerships and collaborations ALC Rate - All Inpatient Services HSAA/ Jan- 3 12.7% 13.6% 13.6% 11.9 13.1 12.3 15.2 14.0 9.1 10.6 12.2 14.2 14.6 16.9 16.7 15.2 14.2 12.0 12.8 13.8% t (Sarnia and Petrolia) QIP Dec Inspired People - Advance our culture of kindness with an intention to learn, lead, collaborate and celebrate Focus on the experience of care and caring Jan- 4 Absenteeism Rate - (avg # 7.5 hr. sick days) All Staff SP 2.8 3.34 3.03 2.97 3.34 3.26 3.66 2.93 0 Dec Outstanding Performance - Optimize roles, resources, revenues, technology and innovation Demonstrate accountability and efficiency The baseline and target are based on 9 months of data Apr to Dec Apr- 5 Gross Conservable Days All Acute QIP 6466.0 6,626.0 5,251.0 754.6 572.7 729.5 614.4 778.9 657.2 925.9 732.2 695.1 273.5 333.9 622.8 611.8 596.7 616.5 677.5 3,732.7 2019. Monthly results may change due to enhancements in data t Oct quality. Our overall expenses for this indicator have increased by $1.97M Acute Inpatient & Day Surgery (53% of Apr - compared to Q2 19/20 and our weighted cases have decreased by 6 SP $5,431 $6,052 $5,800 $6,052 $6,197 $6,090 $7,505 $7,505 t overall activity) Mar 1,126 cases for the same period. The variance is attributed to the Cost per COVID pandemic. Weighted Case Our overall expenses for this indicator have increased by $395K (Actual YTD) Rehab Inpatient Apr - compared to Q2 19/20 and our weighted cases have decreased by 7 $14,121 $14,493 $13,930 $14,493 $13,765 $13,705 $19,061 $19,061 t (4% of overall activity) Mar 95 cases for the same period. The variance is attributed to the COVID pandemic. Apr- Petrolia n/a $97 $94 $95 $94 $94 $95 $96 $97 $97 $97 $100 $334 $285 $207 $187 $175 $164 $161 $162 $162 Baseline is $97.00; Target is $94.00 t 8 Emergency Department Cost per Visit Mar Apr- Sarnia n/a $156 $150 $150 $154 $154 $154 $156 $156 $157 $158 $162 $293 $243 $217 $209 $204 $203 $201 $200 $200 Baseline is $156.00 t Mar Our overall expenses for this indicator have increased by $1.75M Apr - 9 Continuing Care Cost per Weighted Patient Day $637 $552 $566 $552 $598 $601 $722 $722 compared to Q2 19/20. The weighted patient days have increased t Mar by 421 weighted days for the same period. The variance is Apr - attributed to the COVID pandemic. 10 Mental Health Inpatient Cost per Patient Day $327 $367 $350 $370 $367 $378 $378 $374 $367 $368 $362 $359 $484 $433 $418 $428 $419 $404 $405 $402 $402 t Mar QBP Financial Exposure (Potential lost revenue related to Apr - 11 n/a -$359 $0 -$100 -$419 -$359 -$611 -$391 -$449 -$504 -$885 -$369 $0 $0 $0 -$52 -$65 $143 $130 $117 $117 t QBP achievement) Actual YTD in 000s Mar Apr - 12 Surplus/(Deficit) Actual YTD in 000s n/a -$105 $461 -$1,452 -$1,028 -$791 -$1,277 -$1,536 -$1,347 -$1,581 -$2,569 $885 -$536 -$463 -$1,240 -$1,489 -$1,743 -$2,495 -$3,312 $15 $15 t Mar Ensure continuous investment in strategic infrastructure Apr - 13 Adjusted Working Capital Actual YTD in 000s HSAA n/a $1,512 $0 $951 $844 $1,512 $1,219 $844 $481 $806 $26 -$741 -$1,193 -$1,055 -$2,201 -$2,774 -$1,698 -$162 $222 $82 $82 t Mar Apr - 14 % of Capital Budget Spent Actual YTD n/a 17% 100% 9 13 17 18 24 26 45 48 53 18 18 19 24 24 29 33 46 46% t Mar FOI Masked due to n size <5 Meets/Exceeds Target Italics n size between 5 - 29 Meeting baseline but not meeting target Quality Committee Performance Scorecard * no established target Performance not meeting baseline ⱡ corporate target Data Unavailable YTD Q2 19/20 Q3 19/20 Q4 19/20 Q1 20/21 Q2 20/21 Q3 20/21 Performance # Key Performance Indicators Baseline Target Trending Comments REF.