MINUTES OF July 23, 2013 REGULAR BOARD MEETING 1:00 pm 4:00 pm BOARDROOM KIRSCHNER ROAD KELOWNA

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1 MINUTES OF July 23, 2013 REGULAR BOARD MEETING 1:00 pm 4:00 pm BOARDROOM KIRSCHNER ROAD KELOWNA Board Members: Resource Staff: Norman Embree, Chair Ken Burrows David Gillespie David Goldsmith Virginia Goodings Erwin Malzer Rosanna McGregor Findlay (Frank) Quinn Glenn Sutherland Dr. Robert Halpenny, President and CEO (regrets) Marlis Gauvin, Board Resource Officer Guests: Susan Brown, VP Acute Services Heather Cook, Chief of Professional Practice/Nursing Dianne Kostachuk, Director, Strategic Initiatives Community Integration Dr. Andrew Larder, Senior Medical Health Officer Dr. Trevor Corneil, Medical Health Officer Dr. K. Hutchison, Chair, Health Authority MAC Guests (Staff): G. DeBruin Guests (Public): Tish Lakes, Executive Director, Okanagan Advocacy & Resource Society 1. CALL TO ORDER Chair Embree called the meeting to order and welcomed Board Directors, visitors and staff. Givonna DeBruin was presented with her ten year service pin. Marlis Gauvin was welcomed as the new Board Resource Officer. 1.1 Acknowledgement of the First Nations and their Territory It was respectfully acknowledged that the meeting was held on the Okanagan Nation traditional territory. 1.2 Approval of Agenda MOTION: MOVED AND CARRIED UNANIMOUSLY THAT the Board approves the agenda as presented. 2. PRESENTATIONS 2.1 Research Ethics Annual review H. Cook presented the Research Ethics Board Annual Report It was noted that the REB provided independent, multi-disciplinary review of 17 existing and 55 new applications this year. The REB works closely with educational institutions, including the University of British Columbia, UBC- Okanagan, and Thompson Rivers University. Research studies often involve IH staff at various sites. The coming year will see the introduction of new software to improve monitoring. Research is generally published on completion. The Board requested a follow up presentation on research health outcomes. 2.2 Accelerated Funding Program Update

2 Minutes of the July 23, 2013 Board Meeting 2 D. Kostachuk provided a presentation highlighting community programs that are making a difference for highly complex patients. The Community Integrated Health Services programs focus on three dimensions: the experience of the individual; the health of a defined population; and the per capita cost for the population. Each program is intended to engage patients as partners in their care. Breathe Well is a home based program that provides enhanced services for complex Chronic Obstructive Pulmonary Disease (COPD) clients including collaborative case management and lower clinician to patient ratios, resulting in reduced emergency department visits and acute hospital admissions. Home First recognizes that being at home is often the best solution for seniors, and provides intensive case management for frail adults at high risk for residential admission so they can remain living in the community for as long as possible. The daily cost for care within the program is significantly less than the daily costs of residential care or emergency visits. Mental Health Substance Use (MHSU) Primary Care provides intensive case management and community resources to reduce the barriers to accessing care and improve the health outcomes for clients with moderate to severe substance use disorder and/or complex and severe mental health clients with a chronic health condition. This program has successfully bridged the gaps in care for this client population. The Diabetes Collaborative consists of local action teams providing educational opportunities to improve client awareness around diabetes prevention and management. Enhancing Stroke Care has implemented a number of successful initiatives to increase awareness around the warning signs and optimal treatment for stroke. 2.3 Seek and Treat for Optimal Prevention (STOP) HIV T. Corneil provided a presentation highlighting the STOP HIV initiative. The successful BC pilot program, with treatment protocols shown to result in prevention of transmission, has been adopted by the World Health Organization and has led to a provincial initiative which focuses on annual HIV screening for all adults (with quarterly screening for high risk patient populations) and new standard antiviral treatment protocols. The STOP HIV initiative, endorsed by the Health Authority Medical Advisory Committee, will focus on education for physicians, staff and the public to increase awareness of the new HIV screening and treatment standards. HIV screening will become part of all standard lab requisitions in acute care facilities unless declined by the patient. Program targets include provision of screening tests as well as engagement of newly identified patients and re-engagement of existing patients in optimal care plans. 3. APPROVAL 3.1 Approval Minutes of May 28, 2013 Board Meeting MOTION: minutes as presented. 4. FOLLOW UP ACTIONS FROM PREVIOUS MEETING Action items from the previous meeting were reviewed. The Research Ethics Annual Review was presented today. 5. COMMITTEE REPORTS

3 Minutes of the July 23, 2013 Board Meeting Health Authority Medical Advisory Committee - HAMAC Dr. Hutchison reported on the June 21, 2013 Summary Report of the Health Authority Medical Advisory Committee and noted the following highlights: Medical Orders Scope of Treatment (MOST) Policy Changes to Medical Staff Rules for Medical Students, Allied Health Professionals, Nurse Practitioners and Maxillofacial Surgeons STOP HIV Initiative HAMAC Recommendation(s) for Action / Discussion / Information Directors were invited to attend the HAMAC meetings as guests. 5.2 Audit and Finance Committee Director Malzer requested the Board s approval of the following motions: MOTION MOTION MOTION MOVED AND CARRIED UNANIMOUSLY THAT the Interior Health Authority ( the Authority ) approve the proposed sale of shares by both Bilfinger Berger Projects Investments International Holding GmbH ( Bilfinger Berger ) and John Laing Investments Ltd. ( John Laing ), subject to the satisfactory completion of legal due diligence. MOVED AND CARRIED UNANIMOUSLY THAT the Board approves all the statements and schedules in the 2012/13 Statement of Financial Information, produced under the Financial Information Act. updated Audit & Finance Committee s Terms of Reference. MOTION MOVED AND CARRIED UNANIMOUSLY THAT the Board recommends that the Minister of Health authorize the release of the trust fund from the Estate of the late Anton Svec that is currently held by the Minister of Finance restricted for the District of Sparwood for use in the expansion of Lilac Terrace, a supportive housing facility. 5.3 Quality Committee Director Burrows reported that there were no motions requiring approval by the Board 5.4 Human Resources Committee Director Goodings advised that there were no motions requiring approval by the Board. 5.5 Governance Committee Director Sutherland requested the Board s approval of the following motions: MOTION MOTION Safe Reporting Policy. updated Governance Committee Terms of Reference.

4 Minutes of the July 23, 2013 Board Meeting 4 MOTION MOTION MOTION MOTION updated Human Resources Committee Terms of Reference. updated Board, Committee and Chair Evaluation Process Policy. proposed changes to affected policies regarding the updated Enterprise Risk Management Board Review Process. Committee Chair Appointments and Membership as presented, effective following this meeting. 5.6 Aboriginal Health and Wellness Advisory Committee Director McGregor advised that there were no motions requiring approval by the Board Director McGregor reported that the Aboriginal Health and Wellness Committee held its meeting on July 3, 2013 and minutes will be provided to the Board once approved. Aboriginal Health contracts have been posted for bid. 422 IH staff have self identified as Aboriginal or Metis. A request was received for IH partnership with the Ministry for Children and Family Development on a Child and Youth Mental Health Collaborative Services Committee. 5.7 Stakeholders Relations Committee Report Directors have attended a number of events between June and July and the Board Chair expressed his appreciation for their participation in important community healthcare events and their commitment. 6. REPORTS 6.1 President and CEO Report Dr. Halpenny s written report was received. 6.2 Chair Report Chair Embree had no additional items to report. 7.0 CORRESPONDENCE (Binder for Information) 8.0 DISCUSSION ITEMS None 9.0 INFORMATION ITEMS 9.1 Medicine and Quality Matters Newsletters (June/July 2013) 9.2 Community Engagement Highlights 10.0 NEW BUSINESS 11.0 FUTURE AGENDA ITEMS 12.0 NEXT MEETING Tuesday, October 8, :00 p.m. Kelowna, BC

5 Minutes of the July 23, 2013 Board Meeting ADJOURNMENT There being no further business, the meeting adjourned at 2:30 p.m. Norman Embree, Board Chair Dr. Robert Halpenny, President and CEO