BOARD OF TRUSTEES MINUTES

Transcription

1 BOARD OF TRUSTEES MINUTES Wednesday, May 18 th, 2016 at 3:00 p.m. Toronto General Hospital Anthony S. Fell Boardroom 1S425 Present: Elected Trustees (Voting): Ex Officio Trustees (Non-Voting): University of Toronto Appointees: Regrets: Guests: Recording Secretary: John Mulvihill (Chair) Geoffrey Beattie Rita Burak Robert Krembil Thomas MacMillan Doug McGregor Eileen Mercier Cliff Nordal Dhun Noria Brian Porter Ken Rotman Barbara Stymiest Peter Pisters (CEO) Michael Gardam (MAC Chair) Eric Horlick (MSA VP) John Granton (MSA President) Dan Haas (for Meric Gertler)-non-voting Cheryl Regehr Trevor Young voting Dean Connor Joy Richards (CNO) Cornell Wright Jan Campbell Grace Ivo Quorum 40% of Voting Members or 7 Voting Members 1.0 Minutes of Meeting held on February 17 th, 2016 Precirculated for members information were the minutes of the Board meetings held on February 17 th, (Under tab 1.0) 2.0 Chair s Report Mr. John Mulvihill provided a verbal report.

2 3.0 Consent Agenda for Committee Reports 3.1 Safety and Quality Committee, Minutes of Previous Meetings Pre-circulated for members information were the minutes of the Safety and Quality Committee meetings held on January 25 th, 2016, February 29 th, 2016 and March 21 st, (Under tab 3.1) Ms. Dhun Noria reported that the Safety and Quality Committee of the Board Terms of Reference be appended. 3.2 Finance and Audit Committee Minutes of Previous Meeting Pre-circulated for members information were the minutes of the meeting held on February 16, (Under tab 3.2) 3.3 Governance and Nominating Committee, Minutes of Previous Meeting Precirculated for members information were the minutes of the Governance and Nominating Committee held on April 13 th, (Under tab 3.3) Ms. Eileen Mercier reports that there are several contracts for approval under 5.0; a) Finance & Audit Committees Terms of Reference Amendments b) Signing Authorities & Delegations Policy Amendments c) Siemens Healthcare Ltd. Procurement of Magnetic Resonance Imaging Scanners d) Ontario Power Generation Conditional Offer to Lease e) RioCan Lease f) Women s Own Withdrawal Management Center Lease Extension g) Sheppard Centre Self Care Dialysis Unit Lease Renewal h) Sale of Booth Centennial Healthcare Linen Services 3.4 Research Committee, Minutes of Previous Meeting Precirculated for members information were the minutes of the Research Committee held on April 4 th, (Under tab 3.4) The UHN IP policy states that revenue from commercialization that accrues to UHN will be shared with a Foundation in an amount that is proportional to the contribution of that Foundation to the project which generated the revenue. It can be quite difficult to attribute an exact percent contribution to a project which may well have taken more than 10 years to develop to the point of commercialization. Not only do the multiple sources of funding make the calculation of proportionality difficult but there is also the possibility that decisions may be quite contentious. The Research Committee considered an alternative to the case by case method which would be to agree to split all revenue 50:50 between Foundation and Hospital. The Research Committee recommends to the Board of Trustees of UHN to amend the UHN IP policy to reflect this change.

3 3.5 Education Committee, Minutes of Previous Meeting Pre-circulated for members information were the minutes of the Education Committee held on April 29 th, (Under tab 3.5) Dr. Brian Hodges reported that the primary focus of the EVP Education continues to be ensuring a smooth leadership transition/integration. The first meeting of the UHN Board Education Committee/Michener Board was held on April 29 th, 2016, and the first meeting of the TAHSN Michener Advisory Committee is scheduled for June Michener continues to negotiate the renewal of Michener s Transfer Payment agreement with the Ministry of Health. The current agreement expires in August 2016; discussions are proceeding well. 3.6 Michener Board Committee, Minutes of Previous Meeting Pre-circulated for members information were the minutes of the Michener Board Committee held on April 29 th, (Under tab 3.6) 4.0 Medical Advisory Committee, Minutes of Previous Meeting Pre-circulated for members information were the minutes of the MAC meeting held on February 4 th, 2016 and the Medical Staff Appointments - February 4 th, 2016 and April 7 th, (Under tab 4.1) 5.0 Board Business Motions for Approval Mr. Mulvihill presented the motions for approval listed in Tab 5.0 of the package (attached). On a motion duly made by Mr. Brian Porter, seconded by Ms. Dhun Noria the list of motions were approved as follows: 1. Minutes of UHN Board meeting - February 17 th, Minutes of the Safety and Quality Committee meetings - January 25 th, 2016, February 29 th, 2016 and March 21 st, Safety and Quality Committee of the Board Terms of Reference 4. Minutes of the Finance and Audit Committee meetings on February 16 th, Finance & Audit Committees Terms of Reference Amendments 5.2 Signing Authorities & Delegations Policy Amendments 5.3 Siemens Healthcare Ltd. Procurement of Magnetic Resonance Imaging 5.4 Ontario Power Generation Conditional Offer to Lease 5.5 RioCan Lease 5.6 Women s Own Withdrawal Management Center Lease Extension 5.7 Sheppard Centre Self Care Dialysis Unit Lease Renewal 5.8 Sale of Booth Centennial Healthcare Linen Services 5. Minutes of the Governance and Nominating Committee meeting - April 13 th, 2016

4 6. Minutes of the Research Committee - April 4 th, Research - UHN Intellectual Property Policy Regarding Distribution of Revenue 8. Minutes of the Michener Education Committee April 29, Minutes of the Michener Board of Governors April 29, Minutes of the Medical Advisory Committee meeting - February 4 th, Medical Staff Appointments February 4 th, 2016 and April 7 th, Chief Executive Officer s Report Pre-circulated for members the Chief Executive Officer s Report. (Under tab 6.0) Dr. Pisters highlight on the following: The Executive Vice President searches are progressing. Second round interviews for the EVP Clinical Operations and Practice are nearing completion. First round interviews for the EVP Science and Research have just been completed. The search committee has narrowed the list of candidates down to four individuals and is proceeding with second round interviews. TAHSN has struck a working group to develop a standard definition of Conflict of Interest (COI) as well as guidelines for the disclosure and management of COI for all TAHSN hospitals and the University of Toronto. Dr. Peter Pisters and Marilyn Emery, President & CEO of Women s College Hospital co-chair TAHSN working group. UHN conducted Purpose, Values and Principles (PVP) open houses on seven sites, including Michener. During these open houses management sought feedback on UHN s draft Purpose and Values. Response has been strong with over 1000 employees participating, including physicians and patients, attending the open houses. We received over 700 comments and suggestions, providing rich input into our draft purpose and values. We are currently exploring using digital collaboration tools to engage more staff in a transparent conversation to generate further input. 7.0 Chief Finance Officer s Report Pre-circulated for members the Chief Financial Officer s Report. (Under tab 7.0) Analysis over the past five years demonstrates that the 5-year total funding gain for UHN is $18.8M or 2.0% of UHN s base. UHN has done well compared to the 1.0% overall for TCLHIN hospitals. UHN receives four types of funding directly or indirectly from the MOHLTC: Health System Funding Reform (HSFR), HBAM and QBPs; Provincial Programs; Cancer Care Ontario; and One-time Funding.

5 UHN received the 2016/17 HSFR funding allocation, consisting of a $3.0M base funding loss. This loss presents an $8.0M budget funding gap, given that UHN s budget assumed $5.0M in additional base funding. The remaining funding announcements from Provincial Programs, Cancer Care Ontario and One-time Funding are expected to be received in May/June. Once all are received, management will meet with the TCLHIN regarding in-year funding requests and service adjustments that will be required to support a plan to balance. 8.0 Board Education 8.1 Medicine and Society: Medically Assisted Dying Dr. Gary Rodin presented to the Board the context of the federal legislation on medically assisted dying and its implication for healthcare and healthcare institutions. (Under tab 8.1) The Supreme Court of Canada ruled on February 6, 2015 that it is unconstitutional to prohibit medical assistance in dying (MAID) in Canada. Bill C-142 was tabled in the House of Commons of Canada on April 14, 2016, proposing legislation which will permit MAID for competent adults who have a serious and incurable illness, disease or disability that causes them enduring physical or psychological suffering; who are in an advanced state of irreversible decline resulting in a reasonably foreseeable natural death; and who voluntarily request and consent to receive MAID. Publicly funded institutions will be required to provide MAID by June 6, 2016, but there has been little guidance for healthcare organizations and healthcare providers. The University Health Network is developing guidelines and processes for the assessment of requests and for the delivery of MAID for UHN patients. 8.2 Technology and Innovation - Executive Vice President Update Dr. David Jaffray provided an update on the Technology and Innovation EVP portfolio. (Under tab 8.2) IT Transformation is a key area of focus for management. IT Transformation will help lay the foundation to support UHN s journey to becoming a learning health system through the development of an enterprise-wide integrated and synergistic structure that supports clinical, education and research needs, setting the path for innovations in digital health. 8.3 Program Update Joint Department of Medical Imaging Deferred 8.4 Allogeneic Stem Cell Transplant Deferred 9.0 Other Business No other business.

6 10.0 Date of Next Meeting The Board of Trustees will meet next on Wednesday June 15, 2016, at the MaRS Discovery District Auditorium Lower Level, 101 College Street, for the Annual General Meeting Adjournment There being no further business, the meeting was adjourned. The Chair agrees these meeting minutes are an accurate reflection of the meeting. Mr. John Mulvihill, Chair, Board of Trustees University Health Network May 18, 2016 Date