TSH COMMUNITY ADVISORY COUNCIL MEETING Monday, May 27, 2013 Mabel Crolly Boardroom, Birchmount Campus

Transcription

1 TSH COMMUNITY ADVISORY COUNCIL MEETING Monday, May 27, 2013 Mabel Crolly Boardroom, Birchmount Campus MINUTES PRESENT: REGRETS: GUESTS: Paul Rook; Denis Lanoue; Viji Antony; Ranju Bakshi Advani; Odette Maharaj; Glenn De Baeremaeker; Mike Del Grande (attended first part of the meeting on behalf of Glenn De Baeremaeker) K.Y. Liu; Karen Gordon; Carmen James-Henry Robert Biron, President & CEO; Anne Marie Males, VP Patient Experience; Toni Adey, Interim Director Corporate Communications; Marla Fryers, Executive VP Clinical Operations; Dr. Jagdish Butany, TSH Board Member; Donald Jan-Janin, Community Member RECORDER: Margret Warren, Executive Assistant 1.0 Call to Order Paul Rook called the meeting to order at 6:34 pm 2.0 Approval of the Agenda Paul Rook requested the following items be added to the agenda under 12.0 Other Business: o Suggestions from CAC members re: improving community engagement o In-camera session Motion: made by Mike Del Grande That the meeting agenda for May 27, 2013 be approved as amended. Seconded by Viji Antony.. CARRIED 3.0 Approval of the Minutes Motion: made by Mike Del Grande That the minutes of April 15, 2013 be approved. Seconded by Viji Antony... CARRIED 4.0 Business Arising from the Minutes Item Community outreach event planning is delayed CAC Minutes of Meeting - May 2013 Page 1 of 5

2 Community outreach event planning to continue when SPR outreach completed Action By Viji Antony & Denis Lanoue Item 7.0 Robert Biron has met with MPP Soo Wong already and has a 2 nd meeting scheduled Item 8.0 The committee members were asked to come up with ideas around how to increase our profile in the community; how to have an impact Discuss ways to increase CAC profile at June meeting; follow up with new members in September Action By All members Item 9.1 There will be no amendments to the by-laws this year around the CAC committee structure Item 9.2 Three CAC members will be replaced (Ranju, Karen & Carmen). List of potential candidates was sent to CAC chair for input Paul s reappointment as chair is coming due. He will speak with committee members individually regarding their opinion of whether or not they feel he should stay on Paul to contact CAC members before the next meeting regarding his reappointment Action By Paul Rook 5.0 Update from Robert Biron, TSH President & CEO CE LHIN Board has put in place several motions related to our Strategic Plan Refresh Expert panel reviewing Maternal Newborn & Women s Health, and Surgical models. Looking at risk management issues and mitigation strategies associated with the plans identified by TSH. Delegations will be received by the panel on May 31 st at the Scarborough Civic Centre. TSH will present a summary including feedback received from various stakeholders, followed by presentations from physicians and community members MOH introducing new competitive funding formula. Funding is shifting away from acute care to community based care, with a focus on chronic disease management We need to focus on opportunities for efficiencies; redefine health care in this community. If we don t map out our future, it will be decided for us 6.0 Integration Leadership Committee (ILC) Integration Leadership Committee (ILC) membership and terms of reference were circulated to CAC members last week. Membership includes representation from both hospitals, boards, and community members from each hospital CAC Minutes of Meeting - May 2013 Page 2 of 5

3 In the process of mapping out planning framework for integration of front-line services, back office functions, leadership and/or governance. This will be presented at the Jun 24 CE LHIN Board meeting Denis has asked the CE LHIN whether there will be a public forum and has not received a reply. Robert assured the group that there is a strong commitment for community engagement and input in the process but we do not have details as yet There was concern that the LHIN s timelines are unrealistic. Community engagement will be challenging over the summer months but necessary due to the tight timelines. Paul will raise the issue at the ILC meeting tomorrow Paul to raise issue of community engagement challenges / timelines at next ILC meeting Action By Paul Rook 7.0 Expert Review Panel / CAC Presentation to the Panel CAC presentation is scheduled to begin at 1:50 pm. Paul is unable to attend and canvassed the members for a volunteer to present in his absence. Denis is presenting on behalf of his community in the timeslot prior to that. He agreed to also present on behalf of the CAC and has prepared a document regarding the role of the CAC Denis to send draft presentation to Paul in advance Action By Denis Lanoue 8.0 Scarborough Regional Maternal Child Youth Task Force TSH, in partnership with RVHS, local stakeholders and physician leaders, developing a service delivery model for Maternal-Child-Youth; looking at how the Scarborough cluster could potentially work together There was concern that a Maternal Newborn Centre of Excellence will be sited at RVHS Centenary as the CE LHIN has already invested in their program 9.0 Consolidation of Physiotherapy Clinics at the General Campus Fracture clinics and outpatient rehab operating at both sites currently. The Birchmount fracture clinic will not be moving but outpatient rehab will be consolidated to the General Campus TSH will continue to serve the same number of patients. All plastic surgery cases are done at the General, many of which require extensive rehab. From a Human Resources perspective, it will be more efficient to consolidate all rehab services to one site Decisions were discussed at the program level, then brought to Senior Management for review and approved by the CE LHIN CAC Minutes of Meeting - May 2013 Page 3 of 5

4 10.0 Budget Update re: Implementation of Operating Plan Initiatives Phase 1 & 2 Deferred 11.0 Next Meeting and TSH AGM The next CAC meeting will be held on Monday, June 17 th followed by the AGM on Tuesday, June 25 th. All CAC members were encouraged to attend 12.0 Other Business 12.1 Suggestions for Improving Community Engagement Paul asked the members to comment on what was done well previously and what should have been done differently. Feedback was as follows: o The hospital seems to be talking to the community rather than with them; more listening needed o There was a real attempt to get feedback from community and stakeholders but it seemed rushed. We need to understand what challenges the hospital is facing and be supportive o Community gets information via the Scarborough Mirror but most people don t read it. The hospital needs to look at how they re engaging the community. Suggested taking advantage of free public service announcements o Lack of awareness among the Tamil community. Need to focus on ethnic media (print/radio/television). Suggested asking physicians and community leaders to present to the Tamil community or on ethnic television o Scarborough isn t one community, but a series of communities. Need to get the message out to all ethnic groups o Suggested approaching leaders of temples for advice; also providing promotional pamphlets. Presentations should be done repeatedly, rather than 1-time events o Phase 1 SPR engagement went smoothly but not sure if dialogue was heard during 2nd phase. There weren t as many community meetings as timelines were short. There wasn t a feeling of open dialogue with the community at the mall sessions. Outreach meetings done by the CAC last year worked well o Many community members felt the engagement sessions were for information sharing; feedback was welcome but, in reality, outcome was non-negotiable. Community would welcome the opportunity to share ideas for improvement, i.e. how hospital should operate, how they should communicate to patients o People are hearing about cutbacks and are afraid of change. They re not aware of net benefits; only services being cut. Need a 2-way conversation about the options and an opportunity for community to provide feedback. Communicate with people; need political buy-in o Community is not aware of why the CE LHIN is shifting funds away from hospitals and where the funds are being reallocated to. They don t understand why cuts are needed. People want to know what services will be taken out of the hospitals and where they will be provided CAC Minutes of Meeting - May 2013 Page 4 of 5

5 o TSH did a great job on phase 1; phase 2 didn t work as well. Community meetings weren t well attended. People come out if they have a reason to (fear motivates). Need a way of countering the rumours & erroneous information. Suggested getting groups that support TSH to speak on their behalf; identify advocates in the community. The SPR Committee worked their way to what was thought of as the best option but should have asked for community s input before unveiling the final plan o Perceived lack of trust between community members and TSH Admin/Board is unfortunate. Need to be conscious of various stakeholders perspectives. Unless we get on the same page re: issues and solutions, we will continue to flounder 12.2 CAC Members In-Camera Session At 8:20 pm, guests and TSH staff were asked to leave. CAC members held a brief incamera session 13.0 Adjournment The meeting adjourned at 8:25 pm CAC Minutes of Meeting - May 2013 Page 5 of 5