The District Municipality of Muskoka Health Services Committee Meeting HS-12-2019 Minutes Place: Council Chamber, District Administration Building Time: 9:00 a.m. Date: November 21, 2019 Present: Committee Chair S. Clement; District Chair J. Klinck Members P. Cooper, T. Glover, R. Nishikawa Absent: Members S. Cairns, T. Withey Officials Present: M. Duben, Chief Administrative Officer; N. Barrette, Commissioner, Health Services Also Present: K. Landry, Administrator, The Pines; S. McKinnon, Deputy Chief, Paramedic Services and Emergency Planning; R. Jackson, Administrative Assistant; C. Hammond, Deputy Clerk Call to Order Committee Chair Clement called the meeting to order at 9:03 a.m. Declaration of Pecuniary Interests None were declared. Muskoka Paramedic Services a) Muskoka Paramedic Services (MPS) Single Source Stretcher Purchase Request Report HS-12-2019-2 Mr. McKinnon outlined the background and reasons for the single source purchase of stretchers. Moved by P. Cooper and seconded by T. Glover R32/2019-HS THAT approval be granted to single source Stryker Canada for the replacement of the currently utilized Stryker Power Pro stretchers; AND THAT approval be granted to single source Rowlands Emergency Vehicle Products Inc., for the purchase of replacement parts and maintenance for Stryker Power Pro stretchers: AND THAT the Commissioner of Health Services and the Chief Administrative Officer be authorized to execute the purchase agreements with Stryker Canada, Rowlands Emergency Vehicle Products Inc. or the future authorized sales and service provider as determined by Stryker Canada for up to a five- year term effective January 1, 2020. Carried. Mr. McKinnon departed the meeting at 9:07 a.m. Health Services a) Health Services Committee Representatives on the Board of the Simcoe Muskoka District Health Unit (SMDHU) Verbal Update Mr. Barrette advised that a letter was received from SMDHU regarding Public Health Modernization which would be brought forward to District Council in December. Long-Term Care a) Presentation – AdvantAge Ontario Report Released: Long-Term Care Homes Program – A review of the Plan to Create 15,000 New Long-Term Care Beds in Ontario Presentation HS-12-2019-5 Mr. Barrette reviewed the wait time targets, benchmarking, regional impact and long term implications related to the Long-Term Care Homes Program. He confirmed that wait times assist in determining provincial approval of new beds however the approvals are based on health boundaries not municipal boundaries and local allocations include Simcoe County. Mr. Barrette also confirmed that wait time statistics for long-term care homes in the District of Muskoka would be provided at a future meeting. To access the presentation please click on the following link: https://muskoka.civicweb.net/document/34766 b) Extension of Consulting Contract with Extendicare (Canada) Inc. Report HS-12-2019-4 Ms. Landry highlighted the one-year contract extension and confirmed that a review would be completed to determine if any of the services currently contracted to Extendicare could be completed by District staff in the future. Moved by T. Glover and seconded by J. Klinck R33/2019-HS THAT Muskoka District Council authorize an extension for up to one (1) year with Extendicare (Canada) Inc., to the existing Extendicare Consulting Agreement for The Pines Long-Term Care Home; AND THAT the terms of the agreement be to the satisfaction of the Commissioner of Health Services, the District Solicitor, and the Chief Administrative Officer; AND THAT the Commissioner of Health Services and the Chief Administrative Officer be authorized to enter into the one (1) year extension agreement with Extendicare (Canada) Inc., on behalf of the District. Carried. c) Fairvern Long-Term Care Home Redevelopment and Governance Report HS-12-2019-3 Mr. Barrette highlighted the previous applications for Long-Term Care beds that were submitted to the Ministry of Long-Term Care and the associated implications for the current Ministry undertaking. Mr. Barrette reviewed the options available to the District to move forward with the submitted applications. A discussion occurred regarding the Fairvern application for redevelopment and Committee directed staff to invite the Fairvern Board to the December Health Services Committee meeting, which would occur prior to Council, in order to provide a recommendation on how the Board would recommend moving forward. Financial Administration a) Health Initiatives Capital Funding Allocation Report HS-12-2019-1 Moved by T. Glover and seconded by P. Cooper R34/2019-HS WHEREAS the Committees of Health Services and Finance and Corporate Services at its October 21, 2019 joint meeting directed staff to create a process for funding requests related to the Hospital Financing Reserve Fund to be forwarded directly to the Health Services Committee for consideration; AND WHEREAS staff have created a process for application review and awards of funds for Committee’s consideration as outlined in Appendix “I” to staff report HS-12-2019-1; NOW THEREFORE BE IT RESOLVED THAT the process for funding requests related to the Hospital Financing Reserve Fund be approved. Carried. Information Items a) Correspondence from South Muskoka Memorial Hospital (MAHC) dated November 1, 2019 regarding a letter of endorsement for the continuation of Muskoka Health Links and Community Paramedicine Programs within Muskoka for patients within our area. HS-12-2019-INFO-A b) Correspondence from Simcoe Muskoka District Health Unit (SMDHU) dated October 2019 entitled Opportunities for Municipal Action on the Opioid Crisis HS-12-2019-INFO-B c) Correspondence from the Ministry of Health dated November 13, 2019 regarding Ontario Taking Next Steps to Integrate Health Care System HS-12-2019-INFO-C d) Correspondence from the Ministry of Health dated November 13, 2019 regarding Ontario Taking Next Steps to Integrate Health Care System HS-12-2019-INFO-D e) Correspondence from Ontario Health dated November 13, 2019 regarding Ontario Health Transitional Regional Leadership HS-12-2019-INFO-E f) Capital Project Quarterly Variance Report – Corporate Summary – September 30, 2019 FCS-14-2019-3 g) Operating Budget Variance Report – September 30, 2019 FCS-14-2019-2 Adjournment Moved by J. Klinck and seconded by R. Nishikawa P35/2019-HS THAT the Health Services Committee adjourns to meet again on Monday, December 16, 2019, or at the call of the Chair. Carried. The meeting adjourned at 10:21 a.m. _________________________ Deputy Clerk 70 PINE STREET, BRACEBRIDGE, ONTARIO P1L 1N3 Telephone (705) 645-2231 / Fax (705) 645-5319 / 1-800-461-4210 (705 area code) www.muskoka.on.ca To: Chair and Members Health Services Committee From: Dan Armour Commander, Paramedic Services and Emergency Planning Date: November 21, 2019 Subject: Muskoka Paramedic Services (MPS) Single Source Stretcher Purchase Request Report: HS-12-2019-2 ____________________________________________________________________________ Recommendation THAT approval be granted to single source Stryker Canada for the replacement of the currently utilized Stryker Power Pro stretchers; AND THAT approval be granted to single source Rowlands Emergency Vehicle Products Inc., for the purchase of replacement parts and maintenance for Stryker Power Pro stretchers: AND THAT the Commissioner of Health Services and the Chief Administrative Officer be authorized to execute the purchase agreements with Stryker Canada, Rowlands Emergency Vehicle Products Inc. or the future authorized sales and service provider as determined by Stryker Canada for up to a five-year term effective January 1, 2020. Origin Muskoka Paramedic Services (MPS) operates in a unique and dynamic environment with purchases from a variety of products and services in compliance with the Procurement By-law (2016-39, as amended) to provide a wide range of health care services. For some procurement needs, there may only be a limited number of suppliers available that meet Paramedics Services’ highly specialized requirements and which meet current training protocols. Background Paramedic Services rely on ergonomic patient stretcher and transport systems as an integral part of safe and effective patient care. While each piece of paramedic equipment is important to providing patient care, there are few that are used as frequently as the stretcher. The current compliment of Stryker Power Pro stretchers were purchased in 2009 and provide paramedics with a safe way to move patients from the scene, to the ambulance, and then securely to the receiving facility. Page 1 The current stretchers in-service have reached the end of their lifespan. Manufacturers of medical devices are required to establish reliable lifespans of the devices in order to limit risk of failure. According to the manufacturer of the stretchers and components in use by MPS, the life spans of these devices have now been reached. Should the devices not be replaced, it is expected that additional maintenance, reduced reliability and increased down time may result in potential service issues. In particular, service delivery during seasonal deployment, where more vehicles are in service, may pose challenges to ensure each vehicle is response ready. Each stretcher comes with a one year warranty and a life expectancy of 7 years as per the manufacturer. Lifespan is based on the number of lifts, with the stretcher recording how many times it goes up and down. The current stretchers have been in service for 10 years and have begun to fail in areas such as hydraulic