Regional Hospital District Building (or Health

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Regional Hospital District Building (or Health Minutes of the Meeting of the North West Regional Hospital District held Friday, December 11, 2015 in the Regional District of Kitimat-Stikine Board Room, located at 300-4545 Lazelle Avenue, Terrace, B.C., commencing at 11 :00 am. Members Present: Vice Chair Pages Presided. Mark Fisher Rob Newell Brad Layton Shane Brienen Taylor Bachrach Harry Nyce Linda Pierre Jessica McCallum-Miller Dave Brocklebank Ted Ramsey Tina Etzerza Alice Maitland Gail Lowry Mary Murphy Stacey Tyers James Cordeiro Galina Durant Eva Clayton (Attended Electronically) Des Nobels Karl Bergman Michael Racz Dave MacDonald Barry Pages Greg Martin Nelson Kinney Barry Cunningham Bulkley Nechako Regional District Skeena Queen Charlotte R.D. Electoral Area A Electoral Area G Village of Telkwa District of Houston Town of Smithers Electoral Area A Electoral Area B Electoral Area C Electoral Area D Electoral Area E Electoral Area F Village of Hazelton District of New Hazelton District of Kitimat City of Terrace City of Terrace District of Stewart Nisga'a Nation Electoral Area A Electoral Area C Electoral Area D District of Port Edward Village of Masset Village of Queen Charlotte City of Prince Rupert City of Prince Rupert Others Present: Penny Anguish Michael Hoefer (Attended Electronically) Dr. Anurag Singh Ciro Panessa Dr. Geoff Appleton COO, NW Health Service Delivery Area Regional Director, Capital Planning and Support Services Medical Director, Kidney Services Regional Director, Chronic Disease NW Medical Director

Staff Present: Yvonne Koerner Verna Wickie Megan Glover Executive Director Treasurer Recording Secretary Members Absent with Apologies: Bill Beldessi lan Gould Electoral Area E Village of Port Clements Vice Chair Pages called the meeting to order at 11:00 a.m. R093-2015 MOVED by Director Ramsey/Director Layton to accept the Agenda as presented. IN-CAMERA: R094-2015 MOVED by Director Tyers/Director Layton to move In-Camera The meeting moved In-Camera at 11 :01 a.m. The meeting resumed at 11:09 a.m. Dr. Anurag Singh, Ciro Panessa, and Dr. Appleton arrived at 11:10 a.m. DELEGATIONS AND GUESTS: Penny Anguish, Chief Nursing Executive, Professional Practice and Chief Operating Officer, Northwest Health Service Delivery Area,, presented a brief review of her August 2015 presentation to the Board on Integrated Health before introducing the BC Renal Strategy Delegates. Dr. Anurag Singh, Medical Director, Kidney Services,, Ciro Panessa, Regional Director, Chronic Disease, and Dr. Geoff Appleton, Northwest Medical Director,, presented on BC Renal Strategy. Director Brocklebank arrived at 11 :20 a.m. Director MacDonald left at 11:35 a.m. Director MacDonald returned at 11:37 a.m. Vice Chair Pages thanked the delegation. R095-2015 MOVED by Director Tyers/Director Bachrach to recess for lunch. Carried. Vice Chair Pages recessed the meeting at 12:20 p.m. Vice Chair Pages called the meeting to order at 12:47 p.m.

R096-2015 MOVED by Director Newell/Director Lowry to move the final delegation to the end of the meeting. MINUTES: Presented were the Minutes of the August 14, 2015, Meeting of the North West Regional Hospital District. R097-2015 MOVED by Director Martin/Director Nobels to receive the Minutes of the August 14, 2015, Meeting of the North West Regional Hospital District. CORRESPONDENCE: R098-2015 MOVED by Director Martin/Director Tyers to receive the Letter from Cathy Ulrich, President and Chief Executive Officer,, dated October 5, 2015, re: UBCM Meeting, September 22, 2015. R099-2015 MOVED by Director Nyce/Director Tyers to receive the Letter from Penny Anguish, NW Chief Operating Officer and Chief Nursing Executive,, dated October 6, 2015, re: Naming the New Hospital in Village of Queen Charlotte. R100-2015 MOVED by Director Ramsey/Director Nyce to receive the Letter from Lil Milani, Capital Accounting Coordinator,, dated November 3, 2015, re: Second Quarter 2015/16 Capital Status Reports. REPORTS: R1 01-2015 R1 02-2015 MOVED by Director Ramsey/Director Maitland to receive, ratify and record the Special Vote R091-2015, dated August 19, 2015, re: NWRHD Special Meeting at the Call of the Chair, December 11, 2015. MOVED by Director MacDonald/Director Lowry to receive, ratify and record the Special Vote R092-2015, dated October 16, 2015, re: Special Vote to Cancel NWRHD Regular Meeting, November 20, 2015. R103-2015 MOVED by Director Brienen/Director Durant to receive the Report from Executive Director Yvonne Koerner, dated August 14, 2015, re: North West Regional Hospital District: Director's Report and Follow Up Action List. R1 04-2015 R1 05-2015 MOVED by Director Bachrach/Director Nyce to receive the Report from Executive Director Yvonne Koerner, dated September 22, 2015, re: Directors' Update from UBCM 2015. MOVED by Director Maitland/Director Tyers to receive the Report from Executive Director Yvonne Koerner, dated October 16, 2015, re: Directors' Report: QCI/Haida Gwaii Hospital Replacement Liaison Committee Meeting.

R 106-2015 MOVED by Director Tyers/Director Nyce to receive the Report from Executive Director Yvonne Koerner, dated October 19, 2015, re : Directors' Report: Fall 2015 Joint Meeting of and Regional Hospital Districts of Northern British Columbia R107-2015 MOVED by Director Etzerza/Director Brienen to receive the Memorandum of Understanding between, Cariboo-Chilcotin Regional Hospital District, Fraser-Fort George Regional Hospital District, North West Regional Hospital District, Northern Rockies Regional Hospital District, Peace River Regional Hospital District and Stuart-Nechako Regional Hospital District, dated October 19, 2015. Carried R 108-2015 MOVED by Director Martin/Director Bachrach to receive the Report from Executive Director Yvonne Koerner, dated October 29, 2015, re: Directors' Report: Local Engagement Committee Meeting for Naming the New Haida Gwaii/Queen Charlotte Hospital. R109-2015 MOVED by Director Ramsey/Director Tyers to receive the Report from Executive Director Yvonne Koerner, dated November 12, 2015, re : Directors' Report: Kitwanga Community Association - Meeting to Discuss Replacement of BC Ambulance Service Station and the Addition of a Water Tanker Truck for Improved Fire Protection. R11 0-2015 MOVED by Director Maitland/Director Ramsey to write a letter to BC Ambulance Service requesting the criteria for station replacement and ask for the top five priority stations for replacement along with timelines. R111-2015 MOVED by Director Ramsey/Director Tyers to write a letter to the Kitwanga Community Association informing them that NWRHD has wrote to BCAS and requesting that the Kitwanga Community Association keep the NWRHD informed of the process. R 112-2015 MOVED by Director Martin/Director Racz to receive the Report from Executive Director Yvonne Koerner, dated November 16, 2015, re: Directors' Report: Local Engagement Committee Meeting for Naming the New Haida Gwaii/Queen Charlotte Hospital. BYLAWS: Introduced and presented for three readings and adoption was the North West Regional Hospital District Capital Expenditure Bylaw No. 92, 2015 R 113-2015 R 114-2015 MOVED by Director Nyce/Director Ramsey that the North West Regional Hospital District Capital Expenditure Bylaw No. 92, 2015, be read for a first and second time by title only and passed in its first and second reading. MOVED by Director Nobels/Director Lowry that the North West Regional Hospital District Capital Expenditure Bylaw No. 92, 2015, be read for a third time by title only and passed in its third reading.

R 115-2015 MOVED by Director Kinney/Director Ramsey that the North West Regional Hospital District Capital Expenditure Bylaw No. 92, 2015, be adopted. Introduced and presented for three readings and adoption was the North West Regional Hospital District Capital Expenditure Bylaw No. 93, 2015 R 116-2015 R 117-2015 MOVED by Director Nyce/Director Layton that the North West Regional Hospital District Capital Expenditure Bylaw No. 93, 2015, be read for a first and second time by title only and passed in its first and second reading. Carried. MOVED by Director Ramsey/Director Tyers that the North West Regional Hospital District Capital Expenditure Bylaw No. 93, 2015, be read for a third time by title only and passed in its third reading. R118-2015 MOVED by Director Brienen/Director Etzerza that the North West Regional Hospital District Capital Expenditure Bylaw No. 93, 2015, be adopted. Introduced and presented for three readings and adoption was the North West Regional Hospital District Capital Expenditure Bylaw No. 94, 2015 R119-2015 MOVED by Director Tyers/Director Nyce that the North West Regional Hospital District Capital Expenditure Bylaw No. 94, 2015, be read for a first and second time by title only and passed in its first and second reading. R120-2015 MOVED by Director Lowry/Director Ramsey that the North West Regional Hospital District Capital Expenditure Bylaw No. 94, 2015, be read for a third time by title only and passed in its third reading. R121-2015 MOVED by Director Ramsey/Director Tyers that the North West Regional Hospital District Capital Expenditure Bylaw No. 94, 2015, be adopted. NEW BUSINESS: Next Meeting Date: The next meeting will be held on January 22, 2016 R122-2015 MOVED by Director Ramsey/Director McCallum-Miller to write a letter of support in principle to the Ability Society regarding the building of Seniors Housing in Thornhill. R 123-2015 MOVED by Director Bachrach/Director Racz to invite Michael Hoefer, Regional Director, Capital Planning and Support Services to attend a NWRHD meeting to explain the procedures for new builds and existing buildings. R124-2015 MOVED by Director Newell/Director Nobels to write to asking them to consider filling the vacant physician position in Houston BC with a locum to prevent physician burn out.

Director Ramsey left at 1:18 p.m. Director MacDonald left at 1:20 p.m. Director Ramsey returned at 1 :20 p.m. Director MacDonald returned at 1:23 p.m. INFORMATION: R125-2015 MOVED by Director Ramsey/Director Brienen to receive the Letter from Kim Mushynsky, CAO, the Village of Port Clements, dated November 18, 2015, re: January 1, 2016 Changes to Telepharmacy Requirements. R 126-2015 MOVED by Director Durant/Director Tyers to write letters to the College of Pharmacists of BC, the North Central Local Government Association and the Union of BC Municipalities asking for solutions and assistance to ensure small communities will continue to have pharmacy services. R127-2015 MOVED by Director Tyers/Director Fisher to receive the News Story from CBC News, dated October 13, 2015, re: Rape Kit Inaccessibility a Hurdle to Justice for Victims in Canada. R128-2015 MOVED by Director Tyers/Director Nyce that 1) the Letter from Bobbi Plecas, Assistant Deputy Minister, Ministry of Advanced Education, dated August 14, 2015, re: Academic Seats for Physiotherapy, 2) the Editorial by Lise Luppens, Population Health Dietician,, dated August 24, 2015, re: Energy Drinks: Kids on Caffeine, 3) the News Story by John Crawford, dated September 18, 2015, re : Ownership of Wrinch Memorial Hospital to be Transferred, 4) the Editorial by Kathryn Germuth, PHN, RC(c), Public Health Communications Liaison Nurse,, dated September 25, 2015 re: Protect Your Child Against Cancer, Learn About the HPV Vaccine, 5) the Media Bulletin from, dated October 5, 2015, re : Getting Inked? Make Sure it is From an Approved Tattoo Service, 6) the News Release from, dated October 9, 2015, re: Lifesaving Devices Installed on Connections Buses, 7) the Letter to Honourable Terry Lake, Minister of Health, dated October 20, 2015, re: Replacement of Mills Memorial Hospital, 8) the Letter to Honourable Mike de Jong, Minister of Finance, dated October 20, 2015, re : Replacement of Mills Memorial Hospital, 9) the News Release from, dated October 21, 2015, re : New Seniors' Health Action Plan to Guide for Next Five Years, 1 0) the News Release from, dated October 26, 2015, re: Northern Health Marks Canadian Patient Safety Week, 11) the News Release from, dated October 28, 2015, re: Workplace Health and Safety Programs Front and Centre at Board Meeting, 12) the News Story from CBC News, dated October 30, 2015, re: Paramedic House Call Program Prevents Thousands of ER Visits, 13) the Email from Cheryl Sellers, Sr. Financial Accounting Technician, Comox Valley Regional District, dated November 3, 2015, re: RHO Funding Survey Results, 14) the Letter from Marc Douglas, Sr. Advisor External Affairs, Kitimat LNG, dated November 7, 2015, re: Kitimat LNG Will Be Working on the Pacific Trail Pipeline in Your Region, 15) News Release, from, dated November 9, 2015, re: Opportunity to Participate in the Naming Process for the New Queen Charlotte/Haida Gwaii Hospital, 16) Release from UBCM, dated November 18, 2015, re: Policy Update: Community Paramedicine Initiative, 17) Media Bulletin from, dated November 30, 2015, re: 'Connecting' Health Care Services Through Innovative Access: Connections!, and 18) the News Release from, dated December 1, 2015, re: Marks World Aids Day 2015 by Building on Past Success, be received for information.

DELEGATION: Linda Pierre, Council of Advisers, Seniors Advocate of BC, presented on Advocacy for Seniors. Director Cunningham left at 1:35 p.m. Director Tyers left at 1:37 p.m. Director Cunningham returned at 1:39 p.m. Director Tyers returned at 1:48 p.m. ADJOURNMENT: R129-2015 MOVED by Director Tyers/Director Brienen that the meeting be adjourned. Vice Chair Pages adjourned the meeting at 1:55 p.m. APPROVED: CERTIFIED CORRECT: ChairlfE=