Board Highlights - Leamington District Memorial Hospital

Board Highlights
Leamington District Memorial Hospital
Highlights from the Meeting of the Board of Directors
Jan 28, 2014
QUALITY
QUALITY COUNCIL
 QIP 3 was reviewed and noted that the 22% ALC is affecting the overall P4R targets, which are all red
(ED LOS, PIA and Time in Inpatient Bed) which show problems with flow in the hospital.

An update was given on the c-diff rate and it was reinforced that c-diff is a constant battle due to the
spores and current cleaning practices cannot guarantee complete killing of all spores in a patient care
areas. There has been a lot of focus on antibiotic usage in hospitals and the Antimicrobial Stewardship
Committee from Windsor has taken on the role of collecting data on our hospital.

The Integrated Quality Plan – Medical Quality of Care was reviewed and a FMEA (Failure Mode &
Effect Analysis) will be conducted this year as it is a requirement of Accreditation Canada to conduct
one FMEA per year.

A risk assessment will be conducted by our insurance company to assess risk in all areas of the hospital
and will take approximately 6 months to complete.

The ESC LHIN System Level Quality Improvement – Draft Stroke Indicators was reviewed as well as
the LDMH monthly birth data.
MEDICAL STAFF REPORT

The Dept. of Emergency Medicine continues to be fully staffed

Dr. G. Klassen started his General Surgical locum for 4 months

The Dept. of Anaesthesia is recruiting an anesthetist to provide locum coverage when required to work
½ time in Anaesthesia Dept. and ½ time in ED.

The Credential Report was reviewed.
CNE REPORT
 W/E Community Health Centre primary care program being offered was discussed. General agreement
was reached that not all patients “fit” the FHT model and there is a need for a CHC.

A contact list for all the programs of the WECHC has been developed and will be broadly circulated and
placed on the internal HOWIE.

It was reported that there is no funding for hospitals for outpatient physiotherapy. The MOHLTC has
expanded access to outpatient Physiotherapy by funding an OHIP clinic in Leamington.
PEOPLE
CEO REPORT
 It was reported that the LHIN has committed to helping LDMH “right size” the hospital and the Hay
Group has been contracted to help decide the appropriate services that should be offered at LDMH to
meet the needs of our catchment area.
 P4R- we are maintaining our position at 21st, which is the best in the LHIN
 Assess/Restore funding has been extended until Dec. 31, 2014.
 On Dec 6th, 44 staff and physicians were recognized for their dedicated years of service from 5 to 35
years as well as 3 staff and one physician who retired this year. Hospital awards were recognized for
safety, education, customer service, quality team and outstanding volunteer.
 LHIN funding submissions for expanded Ortho, Obstetric: Integrated OB/GYN Midwifery program
and Mental Health and Addictions were reviewed.
 LDMH has received temporary funding to allow the integrated position for Hospice to move forward
and to allow an office for Hospice to be opened in the same facility as the FHT.
 Erie Shores Health Care Campus meeting scheduled for February 11th
 The Health Links business plan has been submitted and LDMH is the lead agency
 Mental Health & Addictions- we are now aligned with WRH for ER and Inpatient. We will continue to
work with the LHIN to address issues identified in the Community Hope Project.
COMMUNITY RELATIONS
 An overview was given on the Two Yellow Boots proposal. The intention of the program is to secure an
alternative stream of hardware and associated software to establish an advertising presence in the
Hospital and the Family Health Team.
 The Committee reviewed the list of peer hospitals that participate in Social Media and noted that most
hospitals in the Erie St. Clair LHIN participate, however the majority of peer hospitals do not due to
lack of appropriate resource. Strathroy Hospital will be approached to see how they manage their
Facebook account.
PARTNERSHIP
HOSPITAL AUXILIARY
 The Gift Shop fell short of last year’s revenue by about $2,500. They did receive $1,500 back from
HAAO for an educational grant for sending a new member to the conference last November.

The fundraising event at A1 Restaurant did fairly well and brought in $819 total. The Auxiliary
received $450 of the total for future purchases. It will be repeated again next year with increased
advertising for the promotion.

A tour was given to the Volunteer coordinator of the Hospice Village Residence who met with many of
the volunteers working in the building. It was noted that she looks forward to working with the Windsor
volunteer staff to complement their program and be ready for the residence of Leamington. Training for
our volunteers could start end of February.

It was also reported that the Auxiliary President will be attending a meeting in Toronto to start the
planning for the November HAAO conference and will get an introduction to being on the Governance
Committee.
FINANCE
RESOURCE PLANNING UTILIZATION (RPU)
 There were two exceptions to approved capital (Rack for Washer $3,159 & Endoscopy Flushing Pump
$3,217.11) as a reallocation for the Reusable Trocars which had already been approved but is not
proceeding.

A letter had been received from the LHIN approving one-time funding of $42,000 to fund a mental
health nurse coordinator for this year with the intent to help with planning as well as a verbal
commitment form the LHIN to fund the Assess/Restore program to December 2014. An official letter
will follow after the LHIN Board meeting in January.

The Statement of Capital & Operating Account Balances, Statement of Operations, Capital Equipment
and Variance Analysis for October 2013 were reviewed.

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