board of directors - conseil d`administration 2010-2011

Transcription

board of directors - conseil d`administration 2010-2011
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
BOARD OF DIRECTORS - CONSEIL D’ADMINISTRATION
2010-2011
Members / Membres
Representing / Représentant
Chairperson / Président
BILL SHIELDS
Elected / Elu
Vice-Chairperson /
Vice-président
DAVE SHELLY*
Elected / Élu
Treasurer / Trésorier
TOM MURRAY
Elected / Elu
BRUCE STARKAUSKAS
Elected / Elu
TREVOR BOUGIE
South Glengarry / Glengarry sud
CARMA WILLIAMS
North Glengarry / Glengarry nord
YVES GAUTHIER
Elected / Élu
JACQUELINE FRASER**
Elected / Élu
LISA MacDONALD
Elected / Elu
SANDY ST. DENIS
Elected / Elu
ROGER SAUVE
Appointed / Désigné
DR. E. EL SALIBI
Chief of Staff / Médecin chef
LINDA MORROW
Chief Executive Officer / Directrice general
SHELLEY COLEMAN
Chief Nursing Officer / Directrice des soins infirmiers
LINDA RAMSAY
Chief Financial Officer/ Directrice des services financiers
Ex-Officio Members /
Administrateurs
nommé d'office
*Leave of Absence October 2010- June 2011
**Interim Vice-Chairperson
From April 1, 2010 - March 31, 2011 the above members contributed the following hours attending committee meetings:
Pendant la période du 1 avril 2010 au 31 mars 2011, les membres mentionnes ci-haut ont contribue les heures suivantes:
BOARD =227 (237) hours SUB-COMMITTEES = 497.5 (315) hours
TOTAL = 724.5 (553) hours
HONORARY MEMBER - BOARD OF DIRECTORS/MEMBRE HONORAIRE - CONSEIL D’ADMINISTRATION
G.G. AUBRY
Dr. D. DOLAN
LLOYD McHUGH
ROGER ROY
J.P. TOUCHETTE
DOUG BAXTER
ENID MacDONALD
RANALD MacDONALD
LAURENT MAJOR
ANDRE COMEAU
EWEN MacDONALD
MORLIN CAMPBELL
BRUCE SOVA
GERALD TROTTIER
BRUNO MASSIE
DUNCAN MacDONELL
ROGER BRAZEAU
EDGAR TOURANGEAU
ALEX McDONALD
ALBERT FAUBERT
DR. THEO JAGGASSAR
DR. J. C. NADEAU
GARY SHEPHERD
ROCH MAJOR
PIERRE AUBRY
ANNE MCKENNA
JOHN F. MACDONALD
MICHAEL CAMACHO
JOHN HOPE
ACTIVE MEDICAL STAFF - CONSEIL DES MÉDECINS ACTIFS
DR. R. F. ADAMS
DR. T. A. JAGGASSAR
DR. G. G. MARLEAU
DR. R. GOVAN
DR. C. MILLMAN
DR. E. EL SALIBI (Chief of Staff / Médecin chef)
DR. A. NADKARNI
DR. A. ROSS
DR. L. LAJOIE
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
REPORT OF THE CHAIRPERSON OF THE BOARD
2010 - 2011
In my second year as Chairperson, I am pleased to submit this year’s annual report. It has
been a successful year, both financially and in the quality and safety of patient care. This is an
outstanding achievement given the economic restraints that have been imposed on hospitals
again this year in Ontario and the implementation of several legislated Acts including the
Excellent Care for All Act and the Broader Public Sector Accountability Act to increase
transparency and accountability to the general public.
The Board of Directors continues to oversee and monitor the Strategic Plan for 2010-2013.
We are making great progress in our plan as we see the operations team implement our
strategies. Our Board has placed patient safety, quality care services and effective
governance as some of our most important focuses.
Again this year, the Governance and Nominating Committee have dedicated many hours with
an extensive review of the bylaws with many changes as recommended by the prototype
bylaws of the Ontario Hospital Association. They continue to monitor policy development and
Board processes.
Our hospital was recognized provincially this year, by our submission to the Ontario Hospital
Association on “Fulfilling our Mission and Living out our Values”. This was published in the
OHA 2010 Patient Safety Guidebook as a leading practice in the province. We are proud of
this initiative that was led by one of our Board members along with the Patient Safety
Coordinator.
Some highlights this year include the installation of two new generators that will supply not
only today’s capacity but that of the future and the celebration of the hospital’s 45th
anniversary.
On behalf of the Board of Directors, I would like to thank both the Hospital Auxiliary and the
Hospital Foundation for their time, fundraising efforts, and dedication.
I would also like to thank the CEO, the management team, the hospital staff, and the medical
staff for their continued dedication to the patients in our community.
Finally, I would like to thank all the Board members for their hard work. It has been a pleasure
working with all of you over the past year.
Respectfully submitted,
Bill Shields
Chairperson
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
RAPPORT DU PRÉSIDENT DU CONSEIL D’ADMINISTRATION
2010-2011
En ma deuxième année à titre de président, j'ai le plaisir de vous présenter le rapport annuel
de cette année. L’année a été des plus réussies, tant sur le plan financier que sur celui de la
qualité et de la sécurité des soins aux patients. C'est un accomplissement de taille, compte
tenu des contraintes économiques qui ont été imposées aux hôpitaux en Ontario de nouveau
cette année ainsi que de l’entrée en vigueur de nouvelles lois, notamment la Loi sur
l’excellence des soins pour tous et la Loi sur la responsabilisation du secteur parapublic,
lesquelles visent à accroître la transparence et la responsabilisation envers le grand public.
Le conseil d’administration continue à encadrer et à surveiller la mise en œuvre du Plan
stratégique pour 2010-2013. Nous réalisons des progrès énormes à cet égard, tandis que
l’équipe des opérations applique nos stratégies. Le conseil accorde la priorité à la sécurité des
patients, à la prestation de soins de qualité et à la gouvernance efficace, entre autres.
De nouveau cette année, le Comité de gouvernance et des candidatures a consacré
beaucoup d’heures à examiner en profondeur des règlements; il y a apporté bon nombre de
changements conformément aux exemples de règlements recommandés par l’Association des
hôpitaux de l’Ontario (OHA). En outre, ses membres continuent à surveiller l’élaboration de
politiques et les processus du conseil.
Cette année, notre hôpital a été reconnu à l’échelle provinciale grâce à notre soumission à
l’OHA intitulée « Fulfilling our Mission and Living out our Values » (concrétiser notre mission et
nos valeurs fondamentales). Cet article a été publié dans l’édition 2010 du Patient Safety
Guidebook de l’OHA. Nous sommes fiers de cette initiative qui a été dirigée par un des
membres de notre conseil en collaboration avec la coordonnatrice de la sécurité des patients.
Figurent parmi les faits saillants de l’année écoulée l’installation de deux nouveaux
générateurs qui satisferont non seulement les besoins d’aujourd’hui, mais aussi ceux de
demain, et la célébration du 45e anniversaire de l’hôpital.
Au nom du conseil d’administration, je voudrais remercier les membres de l’Auxiliaire et de la
Fondation de l’Hôpital du temps qu’ils donnent, des activités de financement qu’ils organisent
et du dévouement dont ils font preuve.
Je tiens aussi à remercier le directeur général, l’équipe de gestion, le personnel de l’hôpital
ainsi que le personnel médical de leur dévouement soutenu envers les patients de notre
communauté.
Enfin, je m’en voudrais de ne pas remercier tous les membres du conseil de leur travail
acharné. Ce fut un honneur pour moi de travailler avec vous tous au cours de la dernière
année.
Le tout respectueusement soumis,
Bill Shields
Président
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
REPORT OF THE CHIEF EXECUTIVE OFFICER
2010 - 2011
QUALITY
Hôpital Glengarry Memorial Hospital continues to value the quality of care that we deliver to
our residents of Eastern Counties. Through our strategic planning update, we continue to
strengthen and affirm our priority clinical programs provided to the community with a focus on
our inpatient units, 24/7 emergency services, and outpatient clinics. This year, we have been
able to add a "Post Acute Stroke Rehabilitation Program" which has been a fantastic new
program, benefitting patients from Eastern Ontario that have suffered a recent stroke. We
now also have cardiac stress testing and cardiac ultrasound which have been great additions
for diagnosing cardiac disease without our residents having to travel.
Quality and patient safety remain a prime focus of the hospital. This topic is at the front of
every leadership, board, and team meeting. We continue to learn and grow in our
establishment of best practices. We received a three year accreditation status in May of 2010,
and we are proud of the work that we accomplished to achieve this. We maintain our
transparency through result reporting both on our website (www.hgmh.on.ca) and on the
Ministry of Health Long Term Care’s website for the public. Late this year, the "Excellent Care
for All Act" came in to effect and we successfully developed a quality improvement plan that is
available on our website. Our patient rights and responsibilities were reviewed and updated
and shared at a community engagement forum and are also available on our website. HGMH
will continue to show transparency and accountability for improving patient care. The Broader
Public Sector Accountability Act is now in effect, and procurement of consultants and supplies
is a rigorous process that we have implemented to comply with the legislation to protect and
ensure the public is well served.
Our complement of family physicians has seen changes this year with the recent loss of two
family physicians. We were able to recruit one new physician, and we welcome Dr. Ross to
our active staff. We will continue to recruit over the coming year to ensure we have a full
complement of physicians. Our active physicians continue to serve our inpatients ensuring
stability for the hospital. This is complemented by the long term, stable group of emergency
physicians who ensure continued quality in the emergency department. We are very fortunate
in this community to have this as it is an ongoing challenge for many communities our size.
GROWTH AND LEARNING
The hospital continues to support the many departments in essential areas of development.
Three main focuses have been defined for growth and learning. These continue to include
stress in the workplace, leadership development, and safety. These are achieved through
many avenues including "lunch and learns", presentations, courses, and conferences. We
also added Violence in the Workplace and Accessibility training this year as these were
legislated requirements.
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
HUMAN RESOURCES AND FINANCE
We are fortunate to be ending this fiscal year with a surplus budget. The sustainability of this
achievement will be challenging as we receive less monies while salaries and expenses
continue to grow. The hospital was the recipient again this year of the "Gold Award" for
Workplace Health Award by the Eastern Ontario Health Unit. The hospital leads in wellness
strategies, and this year the staff developed a video called the "Pink Glove Dance" for breast
cancer awareness. This has been done by many hospitals in the United States, but we are
only the second hospital in Canada to do this; our video has been submitted to be viewed on
"You Tube".
SYSTEM INTEGRATION
Community engagement is important to the hospital and an engagement session was held by
invitation this year to review and comment on our Patient Declaration of Values and our future
potential project to become the "Hub" of health and social services for our community.
We also engaged our community partners hosting several meetings throughout the year. As
partners, we are working together to develop a "Health and Social Services Fair" this year in
Alexandria. Lastly, we enjoy participating locally in all the community events that we can.
Supporting each other in all of our activities makes our community viable and sustainable.
In closing, I would like to thank the volunteers for their many hours of service and their ongoing
commitment to the hospital, as well as the medical staff for their dedication and participation in
ensuring quality patient care services.
I would also like to thank the Board of Directors for their support, direction, and dedication.
The hours required in serving on the various committees and the meetings that they attend are
countless. Finally, I would like to thank the management team and all the staff. Together, we
make a great team and serve our community well.
Respectfully submitted,
Linda Morrow
Chief Executive Officer
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
RAPPORT DE LA DIRECTRICE GÉNÉRALE
2010 - 2011
QUALITÉ
À l’Hôpital Glengarry Memorial Hospital, nous continuons à accorder beaucoup d’importance à
la qualité des soins que nous fournissons aux résidents des comtés de l’Est. Grâce à la mise
à jour de notre planification stratégique, nous continuons à renforcer et à affirmer nos
programmes cliniques prioritaires offerts à la communauté en mettant l’accent sur les unités
de soins aux patients hospitalisés, les services d’urgence offerts jour et nuit, sept jours par
semaine, et les consultations externes. Cette année, nous avons pu ajouter le « Programme
de réadaptation post-AVC aigu », lequel s’avère un nouveau programme extraordinaire dont
bénéficient les patients de l’Est ontarien qui ont subi un AVC récent. De plus, l’hôpital est
maintenant doté des appareils nécessaires aux épreuves d’effort et des appareils
d’échographie cardiaque, lesquels sont des plus utiles du fait qu’ils nous permettent de
diagnostiquer les maladies du cœur sans que les résidents aient à se déplacer.
La qualité des soins et la sécurité des patients demeurent la priorité à l’hôpital. En effet, ces
sujets sont à l’avant-plan de chacune des réunions de la direction, du conseil d’administration
et des diverses équipes de soins. Nous continuons à apprendre et à progresser au chapitre de
l’adoption de pratiques exemplaires. En mai 2010, nous avons reçu une cote d’agrément de
trois ans et nous sommes fiers du travail que nous avons accompli pour atteindre ce but. Nous
maintenons la transparence en rendant compte des résultats sur notre site Web
(www.hgmh.on.ca) et sur celui du ministère de la Santé et des Soins de longue durée destiné
au public. Vers la fin de l’année, la Loi sur l’excellence des soins pour tous est entrée en
vigueur et nous avons réussi à élaborer un plan d’amélioration de la qualité, lequel est affiché
sur notre site Web. Par ailleurs, nous avons revu et mis à jour les droits et responsabilités des
patients et les avons communiqués à la population lors d’un forum d’engagement
communautaire; on peut aussi les consulter sur notre site Web. L’HGMH continuera à faire
preuve de transparence et de responsabilisation quant à l’amélioration des soins aux patients.
En outre, la Loi sur la responsabilisation du secteur parapublic est maintenant en vigueur et le
recours aux services d’experts-conseils et l’approvisionnement en fournitures font l’objet d’un
processus rigoureux que nous avons mis en œuvre afin de nous conformer aux dispositions
législatives visant à protéger le public et à veiller à ce qu’il soit bien servi.
Notre effectif de médecins de famille a subi des changements cette année en raison du départ
récent de deux médecins. Nous avons réussi à recruter un nouveau médecin; nous
souhaitons la bienvenue au Dr Ross au sein de notre personnel actif. Afin de nous assurer
d’avoir un plein effectif de médecins, nous poursuivrons nos efforts de recrutement au cours
de l’année à venir. Nos médecins actifs continuent à servir les patients hospitalisés,
contribuant ainsi à assurer la stabilité de l’hôpital. Le groupe stable à long terme de médecins
d’urgence leur sert de supplément et assure la qualité continue au Service des urgences.
Nous avons beaucoup de chance de pouvoir compter sur ces services dans la communauté,
car pour bon nombre de communautés de la même taille, il s’agit d’un enjeu perpétuel.
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
CROISSANCE ET APPRENTISSAGE
À l’hôpital, nous continuons à soutenir le personnel des nombreux services dans des
domaines essentiels de perfectionnement. Nous avons cerné trois principaux domaines de
croissance et d’apprentissage, soit le stress au travail, la formation du leadership et la
sécurité. Le perfectionnement se fait sous diverses formes, dont des « dîners-causeries », des
exposés, des cours et des conférences. Cette année, nous avons également ajouté une
formation sur la violence au travail et sur l’accessibilité étant donné que ces sujets sont
imposés par la loi.
RESSOURCES HUMAINES ET FINANCES
Nous avons de la chance de terminer l’exercice avec un excédent budgétaire. Toutefois, il
nous sera difficile de maintenir cet accomplissement du fait que nous recevons moins de
fonds, tandis que les salaires et les dépenses continuent à croître. Cette année, l’Hôpital a de
nouveau reçu le « Prix Or » de la Distinction de mérite pour la santé en milieu de travail
décerné par le Bureau de santé de l’est de l’Ontario. L’Hôpital est chef de file en matière de
stratégies de mieux-être et cette année, le personnel a produit une vidéo intitulée Pink Glove
Dance à l’appui de la sensibilisation au cancer du sein. Bon nombre d’hôpitaux aux États-Unis
ont réalisé un projet semblable, mais nous sommes le deuxième Hôpital au Canada à le faire;
notre vidéo a été soumise aux fins de visionnement sur YouTube.
INTÉGRATION DES SYSTÈMES
L’engagement communautaire est important pour notre l’hôpital et, cette année, nous avons
tenu une séance d’engagement sur invitation afin de passer en revue et de commenter notre
Déclaration des valeurs des patients et la possibilité pour l’hôpital de devenir le « carrefour »
de services sociaux et de santé pour les gens d’ici.
Nous avons également fait appel à nos partenaires communautaires en tenant plusieurs
réunions au cours de l’année. En tant que partenaires, nous travaillons ensemble à
l’organisation d’une « Foire des services sociaux et de santé » qui se tiendra à Alexandria
cette année. Enfin, nous aimons participer, à l’échelle locale, au plus grand nombre d’activités
communautaires possible. C’est en nous soutenant les uns les autres relativement à toutes
nos activités que nous assurons le dynamisme et la viabilité de notre communauté.
Pour conclure, j’aimerais remercier tous les bénévoles de leurs nombreuses heures de service
et de leur engagement soutenu envers l’hôpital ainsi que les membres du personnel médical
de leur dévouement et de leur participation aux efforts visant à assurer la prestation de soins
de qualité aux patients.
Je tiens aussi à remercier les membres du conseil d’administration de leur soutien, de leur
direction et de leur dévouement. Les heures qu’ils consacrent à siéger aux divers comités et à
assister à diverses réunions sont innombrables. Enfin, je remercie l’équipe de gestion et tous
les membres du personnel. Ensemble, nous formons une excellente équipe et nous servons
bien notre communauté.
Le tout respectueusement soumis,
La directrice générale
Linda Morrow
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
REPORT OF THE CHIEF OF STAFF
2010 - 2011
It was a successful year for HGMH. Congratulations are in order to all the hospital Staff, the
Management, and the Board of Directors for the good work done during the last year.
The clinics are running successfully.
Cardiac TeLeCare (TLC) program has been
implemented with an objective to support and supervise patients with congestive heart failure.
We hope to increase its utilization in the next year. The clinics were evaluated by the hospital
Board of Directors for operational costs. We are happy to start performing echocardiography
and cardiac stress testing by the cardiologist.
In August 2010, we added a Post-Acute Stroke Program Rehabilitation Program. The
objective of this program is to assist stroke patients to achieve functional goals and improve
their independence in order to successfully return home or in a community-based facility.
In the past year, there were 587 (676) acute care admissions, 37 (55) long term care
admissions, 29 stroke rehabilitation admissions, and 25,506 (23,296) emergency room visits.
The pool of ER physicians is stable and the Emergency Room is running smoothly. We are
seeing an increasing number of patients from surrounding areas. Our waiting times are far
better than the provincial averages.
During the year, the Active Staff complement has become eight physicians providing medical
care to our inpatients on the acute, complex continuing care, and acute stroke rehabilitation
units. We are pleased to have recruited Dr. Ross as an active staff.
The specialty physician complement has remained the same. We have consultants from
different areas of medicine including Dermatology, Urology, Internal Medicine, Cardiology,
Surgery, Gastroenterology, Gynecology, Neurology, Psychiatry, Orthopedics, and
Ophthalmology. We also continue to provide services in Physiotherapy, Endoscopy, Diabetes
with nutrition counseling, Holter monitoring, spirometry, and Telemedicine.
I would like to thank the members of the Medical Advisory Committee (MAC) who voluntarily
take part in the medical affairs of the hospital including the various medical committees. They
are:
Dr. T. Jaggassar
Dr. D. Greenway (PhD)
Dr. A. Rosenbloom
Dr. E. El Salibi
Dr. G. Marleau
Dr. C. Millman
Dr. R. Govan
Dr. L. Lajoie
Dr. R. Adams
Dr. A. Ross
These physicians have chaired different committees. In the past year, they have organized 6
continuing medical education events, 2 medical quality assurance audits, reviewed the drugs
on the hospital’s formulary, led interdisciplinary care to patients, ensured infection control
procedures are in place, and reviewed applications and re-applications to the medical staff.
A special thanks to the volunteers who contribute to the success of a number of programs
offered to patients.
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
Finally, I would like to thank the medical staff, management, and the Board of Directors, for
their support and encouragement during the past year. It was a pleasure working with all of
you.
I hope you with your families have a wonderful summer.
Respectfully submitted,
Dr. E. El Salibi
Chief of Staff
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
RAPPORT DU MÉDECIN CHEF
2010 - 2011
L’Hôpital Glengarry Memorial Hospital (HGMH) vient de terminer une année fructueuse. Je
tiens à féliciter tout le personnel hospitalier, l’équipe de direction, et le Conseil d’administration
de l’excellent travail qu’ils ont accompli tout au long de l’année.
L’unité de services cliniques fonctionne avec succès. Le programme TéLésoins Cardiaques
(TLC) a été mis en œuvre pour superviser et supporter les patients souffrant d’insuffisance
cardiaque congestive. On espère augmenter son utilisation durant l’année prochaine. Les
cliniques ont été évaluées par le conseil d’administration de l’hôpital pour les coûts
d’exploitation. On est content de pouvoir faire, maintenant, l’échocardiographie et le test de
stress cardiaque par le cardiologue.
En août 2010, on a rajouté un programme de réadaptation post-AVC aigu. L’objectif de ce
programme est d’assister les patients pour regagner leur fonctionnement et d’améliorer leur
indépendance en vue de retourner à la maison ou à une institution communautaire.
Au cours de l’année écoulée, il y a eu 587 (676) admissions aux soins actifs, 37 (55) aux soins
continus complexes, 29 admissions à l’unité de réadaptation, et 25 506 (23 296) visites à la
salle d’urgence.
Le bassin des médecins d’urgence est stable et la salle d’urgence fonctionne bien. Nous
constatons une hausse du nombre de patients venant des régions avoisinantes. Le temps
d’attente à notre urgence est de loin meilleur que les moyennes provinciales.
Pendant l’année, l’effectif en personnel actif est devenu huit médecins qui fournissent des
soins médicaux aux patients hospitalisés de l’unité des soins actifs, à ceux de l’unité des soins
continus complexes, et à l’unité de réadaptation post-AVC aigu.
Le bassin de médecins spécialistes est resté stable durant l’année. Nous comptons des
consultants dans différents domaines de la médecine, dont la dermatologie, l’urologie, la
médecine interne, la cardiologie, la chirurgie, la gastroentérologie, la gynécologie, la
neurologie, la psychiatrie, l’orthopédie, la pneumologie, et l’ophtalmologie.
Par ailleurs, nous continuons à offrir des services de physiothérapie, d’endoscopie, de la
surveillance Holter, des examens de la fonction pulmonaire, et des services aux diabétiques,
dont du counseling en nutrition.
Je tiens à remercier les membres du comité médical consultatif, qui s’occupent volontairement
des affaires médicales de l’hôpital, en outre des travaux de divers comités médicaux. Il s’agit
des médecins suivants :
Dr T. Jaggassar
Dr D. Greenway (PhD)
Dr A. Rosenbloom
Dr E. El Salibi
Dr G. Marleau
Dre C. Millman
Dr R. Govan
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Dre L. Lajoie
Dr R. Adams
Dr A. Ross
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
Ces médecins, qui ont présidé les différents comités, ont, au cours de la dernière année,
organisé six activités de formation continue en médecine et deux vérifications d’assurance de
la qualité médicale; passé en revue les médicaments figurant à la liste des médicaments de
l’hôpital; dirigé la prestation de soins interdisciplinaires aux patients; assuré la mise en place
de procédures de lutte contre les infections; et étudié les demandes d’emploi et les demandes
de prolongation d’emploi au sein du personnel médical.
Il me faut remercier sincèrement les bénévoles, qui contribuent au succès d’un certain nombre
de programmes offerts aux patients.
Enfin, j’aimerais remercier le personnel médical, la direction, et le Conseil d’administration du
soutien et de l’encouragement qu’ils m’ont accordés au cours de l’année écoulée. Il a
vraiment été agréable de travailler avec vous tous.
Je vous souhaite à tous ainsi qu’à votre famille un très bel été.
Le tout respectueusement soumis,
Dr E. El Salibi
Médecin-chef
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
CHIEF NURSING OFFICER ANNUAL REPORT
2010-2011
QUALITY
This year’s accomplishments have included patient safety initiatives and a focus on chronic
disease prevention and management. Patient safety has been enhanced by working on
improved communication hand-off practices on admission, change of shift, and transfer to
another facility. In the inpatient units, we have increased our education to patients, families,
and visitors on the use of personal protective equipment. We have also developed instruction
sheets, posters, and pamphlets on hand hygiene and on how to prevent hospital acquired
infections. In January this year, we hired a Manager with clinical expertise in geriatrics to
oversee our inpatient units. This ensures our hospital is in line with best practices for our
senior population.
Chronic disease prevention and management has been focused on reducing and preventing
the worsening of cardiac diseases. We have integrated our program to be in line with the
University of Ottawa Heart Institute. Services include offering smoking cessation for all
patients admitted to the hospital, clinical nutrition, and telehome monitoring for heart failure.
These continue to be complemented by the respirology and cardiology clinics. We are in the
process of integrating our diabetes program with a regional program in Eastern Counties so
that all diabetics receive the same level of care.
Our Post Acute Stroke Rehabilitation Program is progressing well, and stroke patients are
returning to their homes in the expected timeframes.
The Emergency Wait Time Strategy continues to be a Ministry of Health priority and Hôpital
Glengarry Memorial Hospital continues to excel with the shortest wait times in the Champlain
LHIN.
GROWTH AND LEARNING
The primary areas of education have focused on protocols for chronic disease management
with the University of Ottawa Heart Institute and regional networks. The nurses and
physicians have also implemented protocols for our major reasons for admission which
include treatments for heart failure and heart attacks. This is aligned with the regional
approach to treatment ensuring patients receive the best care possible closest to home.
Our emergency exercise planning is ongoing throughout the year to ensure we are ready to
react efficiently to any emergency situation.
FINANCIAL AND HUMAN RESOURCES
Recruitment in nursing continues to be a challenge. We continue to be involved in recruiting
student placements for future talents through high school cooperative placements as well as
preceptor students from colleges and universities. We are also involved with Health Force
Ontario’s initiatives. Efforts to retain nurses are important, and the Wellness Committee for
the hospital strives to work to ensure staff has good work-life balance.
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
Inpatient volumes have increased in comparison to last year to 77% in acute care and
decreasing slightly in the Complex Continuing Care Unit to 85%. The Post Acute Stroke
Rehabilitation Program opened in August and has had occupancy of 60%. This seems low
but volumes are expected to increase as news of the success of the program grows. The
emergency department and the ambulatory clinic volumes have increased slightly from last
year.
SYSTEM INTEGRATION
We have integrated our Discharge Planning Program with the Community Care Access Centre
to focus on a patient-centered approach as the patient flows through the health care system.
The goal is to ensure patients move easily from home to hospital as needed and back home
with the required services as quickly as possible.
In closing, I would like to thank our patients for their loyalty to our community, the nursing staff
for their commitment to quality patient care, the support staff who works so hard to make a
clean, healthy workplace, the physicians for their support and participation on clinical
committees, and the Auxiliary for their ongoing dedication. I would also like to thank the
management team who demonstrate our hospital values in our work every day.
Respectfully submitted,
Shelley Coleman
Chief Nursing Officer
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
RAPPORT ANNUEL DE LA DIRECTRICE DES SOINS INFIRMIERS
2010 - 2011
QUALITÉ
Figurent parmi les réalisations accomplies cette année la mise en œuvre d’initiatives axées
sur la sécurité des patients et l’accent mis sur la prévention et la gestion des maladies
chroniques. Nous avons rehaussé la sécurité des patients en améliorant les pratiques de
communication au moment du passage à l’admission, des changements de quart et du
transfert des patients à un autre établissement. Dans les unités de soins aux patients
hospitalisés, nous avons accru l’éducation des patients, des familles et des visiteurs
concernant l’utilisation de l’équipement de protection individuel. Nous avons également produit
des feuilles d’instructions, des affiches et des dépliants sur l’hygiène des mains et la façon de
prévenir les infections d’origine hospitalière. En janvier dernier, nous avons engagé un
gestionnaire possédant un savoir-faire clinique en gériatrie pour veiller à la bonne marche des
unités de soins aux patients hospitalisés. Cet ajout fait en sorte que notre hôpital est en
harmonie avec les pratiques exemplaires pour notre population de personnes âgées.
Quant à la prévention et à la gestion des maladies chroniques, nous nous sommes concentrés
sur la réduction et la prévention de l’aggravation des maladies du cœur. À cette fin, nous
avons intégré notre programme afin qu’il cadre avec celui de l’Institut de cardiologie de
l’Université d’Ottawa. Ainsi, nous offrons à tous les patients admis à l’hôpital un programme
d’abandon du tabac; nous fournissons aussi des services de nutrition clinique et la
télésurveillance à la maison auprès des personnes ayant subi une défaillance cardiaque. Ces
services sont assortis de services de pneumologie et de cardiologie en consultations externes.
Nous sommes à intégrer notre programme pour diabétiques à un programme régional offert
dans les comtés de l’Est afin que les personnes diabétiques reçoivent toutes le même niveau
de soins.
Par ailleurs, notre Programme de réadaptation post-AVC aigu évolue bien et les patients
ayant subi un AVC retournent chez eux dans les délais prévus.
La Stratégie de réduction des temps d’attente aux services des urgences continue à être une
des priorités du ministère de la Santé et l’Hôpital Glengarry Memorial Hospital (HGMH)
continue à exceller à ce chapitre. En effet, il affiche le temps d’attente le plus court au sein du
RLISS de Champlain.
CROISSANCE ET APPRENTISSAGE
Les principaux domaines d’éducation ont visé les protocoles concernant la gestion des
maladies chroniques avec l’Institut de cardiologie de l’Université d’Ottawa et les réseaux
régionaux. Les infirmières et les médecins ont également adopté des protocoles à l’égard des
principales raisons d’admission à l’HGMH, y compris le traitement des défaillances cardiaques
et des crises cardiaques. Ces traitements sont conformes à l’approche régionale connexe ce
qui fait en sorte que les patients reçoivent les meilleurs soins possible près de chez eux.
La planification des mesures à prendre en cas d’urgence se déroule du début à la fin de
l’année, ce qui fait que nous sommes prêts à intervenir efficacement dans toutes les situations
d’urgence.
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
RESSOURCES HUMAINES ET FINANCIÈRES
Le recrutement de personnel de soins infirmiers continue à nous donner du fil à retordre. Nous
poursuivons nos efforts à cet égard en offrant des stages étudiants par l’entremise des
programmes d’enseignement coopératif au palier secondaire ainsi que des préceptorats dans
les collèges et dans les universités, ce qui nous permet de recruter les talents de demain.
Nous participons aussi à des initiatives de Professions Santé Ontario. Nous déployons des
efforts considérables pour garder le personnel de soins infirmiers en poste et le comité de
mieux-être vise à s’assurer que celui-ci jouit d’un bon équilibre travail-vie personnelle.
Le taux de patients hospitalisés a augmenté par rapport à l’année dernière pour atteindre
77 % en soins actifs et diminué légèrement à l’Unité de soins continus complexes pour
s’établir à 85 %. Quant au Programme de réadaptation post-AVC aigu lancé en août, il affiche
un taux d’occupation de 60 %, ce qui peut sembler faible, mais on s’attend à une hausse du
nombre de patients à mesure que la nouvelle se répandra concernant le succès que connaît
ce programme. Les taux de visites au Service des urgences et à l’Unité de soins ambulatoires
ont légèrement augmenté par rapport à l’année précédente.
INTÉGRATION DES SYSTÈMES
Nous avons intégré notre programme de planification des congés avec le Centre d’accès aux
soins communautaires afin d’utiliser une approche axée sur le patient à mesure que ce dernier
se déplace au sein du système de soins de santé. Il s’agit de faire en sorte que les patients
passent facilement de la maison à l’hôpital, au besoin, puis de nouveau à la maison en
recevant les services nécessaires le plus rapidement possible.
En terminant, j’aimerais remercier les patients de leur loyauté envers la communauté; les
membres du personnel de soins infirmiers de leur engagement envers la prestation de soins
de qualité aux patients; les membres du personnel de soutien, qui ne ménagent aucun effort
pour créer un lieu de travail propre et sain; les médecins de leur appui et de leur participation
aux comités cliniques, ainsi que les Auxiliaires de leur dévouement soutenu. Je m’en voudrais
d’oublier l’équipe de gestion dont les membres mettent en pratique les valeurs de l’hôpital au
quotidien.
Le tout respectueusement soumis,
Shelley Coleman
Directrice des soins infirmiers
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
REPORT OF THE HOSPITAL AUXILIARY
2010 - 2011
The year 2010-2011 was a very rewarding year for the Auxiliary. Our membership now has
248 members, of which 130 are active, while our Junior Volunteers consist of 20 young men
and women. Together our members have contributed 17,000 hours of volunteer service. Our
volunteer service programs, be they in Complex Continuing Care, Physiotherapy, Pastoral
Care, Palliative Care, or the Information Desk, continue to bring comfort, warmth, and
friendliness to the patients and their families as well as support and relief to the staff.
QUALITY OF CARE
In order to assure better quality care to HGMH’s patients the Liaison Committee, a joint
committee between the Hospital and the Auxiliary, met twice in order to discuss areas of
common concern.
GROWTH AND LEARNING
In order to keep informed of the latest approaches within our field:
 The Physio team, the Complex Continuing Care team, each held two meetings while
the Pastoral Care team held three. The Palliative Care team meets monthly to better
serve the patients’ needs.
 On October 13, 2010, 10 auxilians travelled to Perth to attend the Region 9 Fall
Conference.
 Four adult volunteers plus two junior volunteers and one Junior Volunteer Chair
attended the HAAO Convention in Toronto, November 2010.
 November 24, 2010, 31 volunteers at our General Meeting attended a presentation by
Dave Shelley and Sonal Modi of Nelligan O’Brien Payne on Will & Estate Planning.
 March 23, 2011, 41 volunteers at our General Meeting attended an extremely
interesting presentation by Mike McDonell, OPP Commissioner and Area Inspector, on
scams, particularly scams targeting seniors.
 Eight auxilians attended the HAAO Spring Convention hosted by Winchester District
Memorial Hospital Auxiliary.
 Two members of the Palliative Care team attended the Annual Palliative Care
Education Day Conference in May 2011.
 On May 18, two members attended the Region 9 Presidents’ Luncheon in Pembroke,
where programs and ideas were exchanged.
HUMAN RESOURCES AND FINANCIAL MANAGEMENT
In order to reach our goals as set out in our “Mission Statement”, we:
 Awarded two $300 bursaries to Junior Volunteers who graduated into programs
recognized by the Ministry of Education
 Presented $10,000 towards our $50,000 pledged towards the digital X-ray
 Recruited nine new AHGMHA volunteers in the course of the year
 Held another very successful Jingle Bell sale in November 2010, raising $6,772
 Provided all materials used by our patients in the activity room as well as for various
gifts that are given to the residents of the Complex Continuing Care Unit
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GLENGARRY MEMORIAL
HOSPITAL
SYSTEM INTEGRATION AND PARTNERSHIP
In order to work with our community, towards a common goal:
 The Pastoral Care team held an “In Memoriam” service for the families of loved ones
who died at the Hospital in the course of the year on November 18, 2010
 The Auxiliary sponsored 2 birthday parties at the Community Nursing Home, one in
October 2010 and the second in February 2011
 The Auxiliary sponsored a “Blood Donor Clinic” at which 108 units of blood were
collected on January 10, 2011
 The Auxiliary held its “Volunteer Appreciation Night” which was attended by the CEO
and some HGMH staff on April 27, 2011
 Over 50 volunteers served supper to 3,000 participants at the Relay for Life in Maxville
on June 3, 2011
The Auxiliary was extremely busy, but none of this would have been possible without the
support that we received from the Board, the administration and the staff.
Respectfully submitted,
Sandy St. Denis
AHGMHA President
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
L’AUXILIAIRE DE L’HÔPITAL GLENGARRY MEMORIAL HOSPITAL
RAPPORT ANNUEL 2010-2011
L’exercice 2010-2011 a été des plus enrichissants pour les Auxiliaires. En effet, nos effectifs
comptent maintenant 248 membres, dont 130 sont actifs, tandis que nos jeunes bénévoles
totalisent 20 jeunes hommes et jeunes femmes. Collectivement, nos membres ont fait don de
17 000 heures de bénévolat. Nos bénévoles, que ce soit aux soins continus complexes, en
physiothérapie, au Service de pastorale, en soins palliatifs ou au comptoir de renseignements,
continuent à procurer confort, chaleur et obligeance aux patients et à leur famille ainsi que
soutien et répit au personnel.
QUALITÉ DES SOINS
Dans le but d’améliorer la qualité des soins fournis aux patients de l’HGMH, le comité de
liaison, comité mixte regroupant des représentants de l’hôpital et des Auxiliaires, a tenu deux
réunions pour discuter des domaines d’intérêt commun.
CROISSANCE ET APPRENTISSAGE
Dans le but de rester au fait des nouvelles façons de faire dans notre domaine :
 L’équipe de physiothérapie et l’équipe des soins continus complexes ont chacune tenu
deux réunions, tandis que celle du Service de pastorale en a tenu trois. Les membres
de l’équipe des soins palliatifs se réunissent tous les mois afin de mieux répondre aux
besoins des patients.
 Le 13 octobre 2010, 10 membres des Auxiliaires se sont rendus à Perth pour assister à
la conférence d’automne de la Région 9.
 En novembre 2010, quatre bénévoles adultes, deux jeunes bénévoles et la présidente
des jeunes bénévoles ont assisté au congrès de l’HAAO, tenu à Toronto.
 Le 24 novembre 2010, 31 bénévoles présents à notre assemblée générale ont assisté
à un exposé sur le testament et la planification successorale donné par Dave Shelley et
Sonal Modi du cabinet Nelligan O’Brien Payne.
 Le 23 mars 2011, 41 bénévoles présents à notre assemblée générale ont assisté à un
exposé des plus intéressants donné par Mike McDonell, commissaire de la PPO et
inspecteur de secteur, sur les escroqueries, surtout celles qui ciblent les personnes
âgées.
 Huit membres des Auxiliaires ont assisté au congrès du printemps de l’HAAO organisé
par les Auxiliaires de l’Hôpital Memorial du district de Winchester.
 En mai 2011, deux membres de l’équipe des soins palliatifs ont assisté à la journée de
formation tenue dans le cadre du congrès annuel de soins palliatifs.
 Le 18 mai, deux membres ont participé au dîner des présidents de la Région 9, à
Pembroke, où les convives ont discuté des programmes et échangé des idées.
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
GESTION DES RESSOURCES HUMAINES ET FINANCIÈRES
Afin d’atteindre les objectifs établis dans notre « Énoncé de mission », nous avons :
 décerné deux bourses de 300 $ à des jeunes bénévoles diplômés d’un programme
reconnu par le ministère de l’Éducation;
 versé 10 000 $ relativement à notre promesse de don de 50 000 $ à l’appui du
financement de l’appareil de radiographie numérique;
 recruté neuf nouveaux bénévoles pour les AHGMHA pendant l’année;
 organisé, en novembre 2010, une autre vente d’avant Noël des plus réussies, qui a
rapporté 6 772 $;
 fourni tout le matériel utilisé par les patients dans la salle d’activités ainsi que les divers
cadeaux donnés aux pensionnaires de l’Unité de soins continus complexes.
INTÉGRATION DES SYSTÈMES ET PARTENARIATS
Afin de travailler avec notre communauté à l’atteinte d’un objectif commun :
 L’équipe du Service de pastorale a tenu, le 18 novembre 2010, un service
commémoratif pour les familles dont un proche est décédé à l’hôpital au cours de
l’année;
 Les Auxiliaires ont commandité deux fêtes d’anniversaire à la maison de soins
infirmiers communautaire, soit une en octobre 2010 et l’autre, en février 2011;
 Les Auxiliaires ont commandité une collecte de sang tenue le 10 janvier 2011, à
laquelle on a recueilli 108 unités de sang;
 Les Auxiliaires ont tenu, le 27 avril 2011, leur « Soirée de reconnaissance des
bénévoles », à laquelle ont assisté la directrice générale et des membres du personnel
de l’HGMH.
 Le 3 juin 2011, plus de 50 bénévoles ont servi le souper à 3 000 participants au Relais
pour la vie tenu à Maxville.
Bref, les Auxiliaires ont été des plus occupés, mais rien n’aurait été possible sans le soutien
que nous avons reçu du conseil d’administration, de la direction et du personnel.
Le tout respectueusement soumis,
Sandy St. Denis
Présidente des AHGMHA
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
REPORT FROM THE TREASURER
2010 - 2011
It is my pleasure to be Treasurer of Hôpital Glengarry Memorial Hospital and to Chair the
Finance Committee. This year, the Finance Committee saw its membership increase and the
new members have added to the dynamic of the committee.
Hôpital Glengarry Memorial Hospital budgeted for an operating surplus of $ 1,131 and ended
the year with an operating surplus of $ 82,360. This could not have been accomplished
without the tenacity of managers to respect their departmental budgets and the senior team’s
efforts. However, when we add the amortization related to the building, Hôpital Glengarry
Memorial Hospital ended with an overall deficit of $ 123,270.
New operating funding from the Champlain Local Health Integration Network was received in
August to cover the new Post Acute Stroke Rehabilitation Program. This new program was
initiated with the help of our LHIN and a few of our health care partners and is a resounding
success.
In March 2011, Hôpital Glengarry Memorial Hospital received $182,114 of funding through the
Health Infrastructure Renewal Fund. This funding will enable us to complete our new
generators project and begin the upgrade of the heating, ventilation and air conditioning
system in the diagnostic/laboratory area.
In the next few years, any incremental funding will be determined based on the Health Base
Allocation Model (HBAM). This is a new methodology of distributing funding to hospital, where
the focus is centered on the money following the patient.
I would like to thank the members of the Finance Committee who thoroughly review the
financial and statistical statements on a monthly basis. Also, I would like to thank Ms. Ramsay
for preparing all of the statements and to thank her and Mrs. Morrow for responding to the
many questions from the committee members. Finally, thank you to all donors, where during a
period of financial pressures, all contributions are greatly appreciated.
The following Auditors' report gives a detailed summary of the years financial activities.
Respectfully submitted
Tom Murray, Treasurer
Finance Committee
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HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
RAPPORT DU TRÉSORIER
2010 - 2011
Il me fait plaisir d'être trésorier de l'Hôpital Glengarry Memorial Hospital et président du Comité
des finances. Cette année, le Comité des finances a vu plusieurs nouveaux membres se
joindre et ces derniers ont ajouté à la dynamique du comité.
L’Hôpital Glengarry Memorial Hospital avait établi un budget avec un excédent de 1,131 $ et a
terminé l’exercice avec un excédent de fonctionnement de 82,360 $. Cela n'aurait pas pu être
accompli sans la ténacité des gérants à contrôler les dépenses de leur département respectif
et des efforts de l'équipe senior. Toutefois, si l'on ajoute l'amortissement rattaché au bâtiment,
l'Hôpital Glengarry Memorial Hospital a terminé son exercice avec un déficit global de
123,270 $.
De nouveaux fonds de fonctionnement ont été reçus du Réseau local d'intégration des
services de santé de Champlain en août afin de couvrir le nouveau Programme de
réadaptation post-AVC aigu. Ce nouveau programme a été lancé avec l'aide de notre RLISS
et nos partenaires en soins de santé et est un succès retentissant.
En mars 2011, l'Hôpital Glengarry Memorial Hospital a reçu 182,114 $ de financement par le
Fonds pour le réaménagement de l’infrastructure du système de la santé. Ce financement va
nous permettre de compléter notre projet rattaché à l’acquisition de nouveaux générateurs et
de commencer la mise à jour du système de chauffage, de ventilation et de climatisation dans
la zone du laboratoire et des services diagnostics.
Dans l’avenir, la part de financement accordé à chaque Réseau local d’intégration des
services de santé sera fonction d’une évaluation directe de l’état de santé de la population
locale. Il s'agit d'une nouvelle méthode de répartition du financement des hôpitaux nommée le
Modèle d’allocation fondée sur la santé (MAS).
Je tiens à remercier les membres du Comité des finances qui ont bien examiné les états
financiers et statistiques sur une base mensuelle. Je tiens à remercier Mme Ramsay pour la
préparation de ces derniers, ainsi que Mme Morrow pour avoir répondu aux nombreuses
questions des membres du comité. Enfin, merci à tous les donateurs, où, pendant une période
de pressions financières, toutes les contributions reçues sont grandement appréciées.
Un aperçu détaillé des activités financières de l’exercice figure dans le rapport des
vérificateurs.
Le tout respectueusement soumis,
Tom Murray
Président du Comité des finances
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Our Mission
We will provide innovative, accessible, safe, and quality primary health care services for the residents
of Eastern Counties in both official languages.
Our Vision
Hôpital Glengarry Memorial Hospital will be the health care provider and employer of choice in its
service area. We:

Provide individualized care.

Recognize the value of each employee.

Promote and encourage a team approach.

Develop and maintain expertise.

Achieve financial strength and balance.

Exercise prudent and ethical behavior.

Contribute to the improvement of the health status of our community.
Our Workplace Values
Hôpital Glengarry Memorial Hospital provides a safe, professional workplace built on six key values:
Integrity: We create and maintain an atmosphere of reliability, honesty, and confidentiality. We
provide care that is both ethical and fair; not varying in quality because of personal characteristics,
such as gender, ethnicity, geographic location and socio-economic status.
Respect: We will treat each other and those we serve with courtesy, honor, and dignity, accepting
and valuing each individual. We will provide care that is respectful of and responsive to individual
patient preferences, needs and values, and ensure that patient values guide all clinical decisions.
Quality and Safety: We make a commitment to achieve excellence by providing services in a
timely, efficient, safe, and accurate manner through ongoing evaluation for improvement. We
diligently maintain high standards by performing our duties safely, with expertise and good judgment.
Ownership: We work to reduce delays for those who receive and give care, and to avoid waste of
equipment, supplies, ideas, and energy. We seek to apply our financial resources for the maximum
benefit of our community.
Community: We establish a supportive network with people who have pride in sharing and working
for common goals that result in improved patient results.
Privacy: We protect the privacy, confidentiality, and security of all personal health information to
which we are entrusted.
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HOSPITAL
Notre mission
Nous prodiguerons des soins primaires novateurs, accessibles, sûrs et de qualité aux résidents des
comtés de l’Est dans les deux langues officielles.
Notre vision
L’Hôpital Glengarry Memorial Hospital sera le fournisseur de soins et l’employeur de choix dans sa
région. Nous :

prodiguerons des soins personnalisés;

reconnaîtrons la valeur de chaque membre du personnel;

favoriserons et encouragerons le travail d’équipe;

enrichirons et préserverons notre savoir-faire;

miserons sur la stabilité financière;

ferons preuve de prudence et d’éthique;

contribuerons à améliorer la santé des collectivités que nous servons.
Les valeurs de notre milieu de travail
L’Hôpital Glengarry Memorial Hospital offre un milieu de travail sûr et professionnel en fonction de
six valeurs fondamentales :
Intégrité : Nous établissons et maintenons un milieu axé sur la fiabilité, l’honnêteté et la
confidentialité. Nous prodiguons des soins de façon éthique et juste, sans que les caractéristiques
personnelles des patients, telles que le sexe, l’origine ethnique, l’emplacement géographique et le
statut socio-économique, n’aient d’incidence sur la qualité des soins.
Respect : Nous nous traitons les uns les autres et traitons les personnes que nous servons avec
courtoisie, honneur et dignité, et en acceptant et en appréciant chacune d’entre elles. Nous
prodiguons des soins en respectant les préférences, les besoins et les valeurs de chaque patient, et
en prenant les mesures nécessaires. De plus, nous veillons à ce que les décisions cliniques soient
prises en fonction des valeurs des patients.
Qualité et sécurité : Nous nous engageons à atteindre l’excellence en offrant des services de façon
opportune, efficiente, sûre et juste grâce à des évaluations constantes à des fins d’amélioration.
Nous faisons preuve de diligence pour maintenir des normes élevées de façon à nous acquitter de
nos tâches de façon sécuritaire, avec savoir-faire et en faisant preuve de jugement.
Responsabilité : Nous travaillons en vue de réduire les temps d’attente pour les personnes qui
reçoivent et prodiguent des soins, et d’éviter le gaspillage de matériel, de fournitures, d’idées et
d’énergie. Nous affectons nos ressources financières de façon à procurer le maximum d’avantages
à notre collectivité.
Communauté : Nous établissons un réseau de soutien avec des personnes qui se font un point
d’honneur de partager des objectifs communs et de travailler à la réalisation de ceux-ci afin
d’améliorer les résultats qu’obtiennent les patients.
Vie privée : Nous assurons la confidentialité et la sécurité de tous les renseignements personnels
sur la santé qui nous sont transmis.
- 40 -
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
PATIENT RIGHTS
When you are in our hospital we recognize the fundamental rights of patients, and we are committed to
maintaining an environment that both fosters and protects these rights.
Respect
 Every patient has the right to be treated with courtesy and dignity in a way that recognizes
individuality and is free of prejudice
 Accommodation in a safe and clean environment that is free from abuse
Communication
 To have your condition, care, and treatment explained to you or to your substitute decision maker
in simplified terms to the best of the health care provider’s ability; and to participate in one’s care
plan in either official language
 To be introduced to and informed of the professional status of individuals providing care and
service
To be informed
 To receive ongoing information concerning one’s diagnosis, treatment, and any known prognosis
and to consent to service knowing the consequence of refusal
 To receive information regarding available healthcare services and options when planning for
admission, discharge, or transfer from the hospital
Privacy
 To have your personal health information kept private in accordance with the Privacy Act
 To request that your admission to the hospital not be disclosed to certain individuals
Compassion
 To have a parent, guardian, family member, or friend stay with you 24 hours per day in special
circumstances
 Pastoral and palliative care services
PATIENT RESPONSIBILITIES
HGMH believes that patients should participate in their treatments and be given the opportunity to
make decisions regarding their health. We also believe that patients have certain responsibilities.
Respect
 Every person working, volunteering, visiting, or receiving services from HGMH has the right to
be treated with courtesy, dignity and respect
Consideration
 Be considerate and respectful of health care providers and other patients and families
 Be considerate of other patients and respect their privacy
Cooperation
 To provide accurate information about your past illnesses, previous hospitalizations, and
medications and to report any unexpected changes in your condition
 To follow the treatment plan as discussed and mutually agreed by you and your physician
 To keep appointments or to contact the hospital when this is not possible
Safety for Everyone
 To observe the hospital isolation and smoking restriction policies
 Follow instructions during emergency measures and outbreak of infections
 Verbal and physical abuse will not be tolerated
Participation
 To make appropriate and timely arrangements for leaving the hospital upon discharge by your
physician
 To ensure that any personal financial obligations for your health care are fulfilled as promptly as
possible
- 41 -
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
DROITS DES PATIENTS
Lorsque vous êtes dans notre hôpital, nous reconnaissons vos droits fondamentaux en tant que patient et
nous nous engageons à maintenir un environnement qui promeut et protège ces droits.
Respect
 Le droit d’être traité avec courtoisie et dignité de manière à ce que son individualité soit reconnue
sans préjudice.
 Le droit d’être hébergé dans un environnement sécuritaire et propre, exempt de toute forme de
mauvais traitements.
Communication
 Le droit que lui soit expliqué à lui, ou à son mandataire, son état, ses soins et son traitement, en
termes simples au meilleur de la capacité du fournisseur de soins de santé et de participer à son
plan de soins dans l’une des deux langues officielles.
 Le droit que lui soit présenté toute personne qui lui fournit des soins et des services et d’être
informé des qualifications professionnelles de cette dernière.
Information
 Le droit de recevoir de l’information continue sur son diagnostic, son traitement et tout pronostic
connu et de consentir à des services tout en comprenant les conséquences d’un refus.
 Le droit de recevoir de l’information liée aux services de soins de santé et aux options disponibles
lors de la planification de l’admission, du congé ou du transfert de l’hôpital.
Vie privée
 Le droit que soit gardée confidentielle l’information sur sa santé conformément à la Loi sur la
protection des renseignements personnels.
 Le droit de demander que son admission à l’hôpital ne soit pas divulguée à certaines personnes.
Compassion
 Le droit qu’un parent, un tuteur, un membre de sa famille, ou un(e) ami(e) demeure auprès de lui
toute la journée et toute la nuit en cas de circonstances particulières.
 Le droit de recevoir des services de pastorale et de soins palliatifs.
RESPONSABILITÉS DES PATIENTS
HGMH croit que les patients devraient prendre part à leur traitement et aient l’occasion de prendre des
décisions concernant leur santé. Nous croyons également que les patients ont certaines responsabilités.
Respect
 Chaque membre du personnel, médecin et bénévole a le droit d’être traité avec courtoisie, dignité et
respect.
Considération
 Les patients doivent traiter les fournisseurs de soins de santé avec respect et courtoisie.
 Les patients doivent traiter respectueusement les autres patients et respecter leur vie privée.
Collaboration
 Fournir de l’information exacte sur ses maladies, ses hospitalisations et sa médication antérieures
et signaler tout changement inattendu à son état de santé.
 Suivre le plan de traitement comme mutuellement convenu avec son médecin.
 Se présenter à tous ses rendez-vous et de prévenir l’hôpital lorsque cela est impossible.
Sécurité pour tous
 Respecter les politiques d’isolement et d’interdiction de fumer de l’hôpital.
 Suivre les instructions pendant les mesures d’urgence et d’une éclosion d’infections.
 S’abstenir de violence verbale et physique.
Participation
 Prendre des dispositions appropriées et opportunes pour quitter l’hôpital au moment de sa mise en
congé par le médecin.
 Faire en sorte que toute obligation financière personnelle liée à ses soins de santé soit réglée dès
que possible.
- 42 -
HÔPITAL
GLENGARRY MEMORIAL
DEPARTMENTS
AND
MANAGERS
HOSPITAL
SERVICES
ET
GESTIONNAIRES
2010 - 2011
HEATHER BUCHAN
Manager of Administrative Operational Services / Gestionnaire des services
d’administration et de fonctionnement
KATHRYN BRUNTON
Manager of Diagnostic Services and Quality Improvement Coordinator /
Gestionnaire des services de diagnostic et coordonnatrice de l’amélioration
de la qualité
DALIA MONTALVO
Geriatric Clinical Practice Manager / Gestionnaire des pratiques cliniques en
gériatrie
CHANTAL MAGEAU-PINARD
Manager of Physiotherapy and Rehabilitation Services / Gestionnaire des
services de physiothérapie et réadaptation
STEPHEN STEWART
House Services Manager / Gestionnaire des services d'entretien
MICHELLE DUMAS
Pharmacist / Pharmacienne
DANIEL NOËL
Information Systems Manager / Gestionnaire des systèmes d’information
ROBERT VAN DRUNEN
Network Manager / Gestionnaire de réseau informatique
DONNA MCMILLAN
Manager of Health Information Service and Privacy Officer / Gestionnaire du
Service d’archives et responsable de la protection de la vie privée
JOANN BECKSTEAD
Infection Prevention and Control, Ethics, and Occupational Health
Practitioner / Praticienne en prévention des infections, en santé au travail
et en déontologie
ROCH LEBLANC
Materials Management Manager / Gestionnaire de l’approvisionnement
LOUISE QUENNEVILLE
Emergency Preparedness Coordinator and Project Manager /
Coordonnatrice de la préparation aux situations d’urgence et gestionnaire
de projet
DANIELLE MACLEOD
Manager of Health Promotion and Rehabilitation Pool / Gestionnaire de la
promotion de la santé et de la réadaptation en piscine
LONG-TERM SERVICE AWARDS / RECONNAISSANCE DE DURÉE DE SERVICE
5 years (2005)
Donna Murray
Linda Sarault
20 Years (1990)
Diane Bourdon
Lois Evrall
Claire Ritchie
10 Years (2000)
Catherine Byatte
Lynn Lalonde
Wendy MacLeod
Maureen Murdoch-Owens
25 Years (1985)
Glenda MacDougall
35 Years (1975)
Melba Murray
Mary McIntyre
- 43 -
15 Years (1995)
Joann Flipsen-Sauvé
Jennifer McDonald
30 Years (1980)
Susan Baxter
Heather Buchan
Lorraine Crawford
Cindy MacPherson
Karen Tyo
HÔPITAL
GLENGARRY MEMORIAL
HOW THE HOSPITAL
SERVED YOU
SERVICES OFFERTS
PAR L'HÔPITAL
2010-11
Adults & Children Admitted
Babies born in the Hospital
Days of Hospital Care
Emergency Visits
Out Patient Clinics
X-ray Examinations
Laboratory Units of Work for
all Patients
Ultrasound Examinations
Physiotherapy Visits
Electrocardiographic Exams
Bone Densitometry Tests
Meals Served
Paid Hours of Work
BEDS SET UP
Chronic and Rehabilitation
Adults & Children
Newborn Bassinettes
OCCUPANCY FOR
RATED BEDS
Chronic
Medicine and Surgery
Rehabilitation
Obstetrics
Paediatrics
HOSPITAL STAFF
Nursing - Full Time
Nursing - Part Time
Paramedical Staff - Full Time
Paramedical Staff - Part
Time
Service Staff - Full Time
Service Staff - Part Time
Administrative - Full Time
Administrative - Part Time
HOSPITAL
2009-10
653
0
10,551
676
0
10,693
25,506
7,788
11,644
721,329
23,296
7,373
11,910
714,706
2,126
5,423
3,464
327
27,680
207,207
2,192
4,667
3,371
335
28,717
199,906
15
22
0
15
22
0
2008-09
684 Admissions - adultes et enfants
0 Naissances
10,022 Journées/patients - adultes et
enfants
23,262 Visites au service d'urgence
6,275 Cliniques externe
11,042 Radiographies
789,528 Unités de mesure du laboratoire pour
tous les patients
1,599 Ultrasons
3,658 Consultations en physiothérapie
2,727 Électrocardiographies
-Ostéodensitométrie
28,031 Repas servis
194,658 Heures de travail rémunérées
NOMBRE DE LITS
15 Malades chroniques et réadaptation
22 Adultes et enfants
0 Nouveau-nés
TAUX D'OCCUPATION
DES LITS AUTORISÉS
84.87 Malades chroniques
66.93 Médecine et chirurgie
-Réadaptation
-Obstétrique
-Pédiatrie
84.50
77.60
60.22
---
90.40
71.15
----
17
48
6
14
20
48
5
11
20
45
5
10
16
32
12
2
16+
29
11
3
16
21
11
3
- 44 -
PERSONNEL HOSPITALIER
Soins infirmiers - temps plein
Soins infirmiers - temps partiel
Personnel paramédical - temps plein
Personnel paramédical - temps
partiel
Services de soutien - temps plein
Services de soutien - temps partiel
Administration - temps plein
Administration - temps partiel
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
BYLAW AMENDMENTS
RECOMMENDED BY THE BOARD OF DIRECTORS
FOR RATIFICATION AT THE ANNUAL GENERAL MEETING OF
THE CORPORATION
By-Law
Additions
Article 2 - Definitions
#1(u) Professional Staff
#1(x) Rules
#1(y) Special Resolution
Page 2
Page 2
Page 2
Article 3 - Corporation
#2.3 Fees
#2.4 Voting
#3.1 Location
#3.2 Annual Meeting
#3.6 Votes (b and f)
#3.10(e) Business at the Annual Meeting
Page 4
Page 4
Page 5
Page 5
Page 6
Page 7
Article 4 - Board
#4.2 Duties and Responsibilities
#4.4 Vacation of Office
#4.10 Directors Remuneration
#4.1(c) Board Composition
#4.3(a and c) Qualifications
Page 7
Page 8
Page 9
Page 8
Page 8
Article 5 - Meetings of Directors
#5.3 Telephone Meetings
#5.11 Adjournment of Meeting
#5.12 Notice of Adjourned Meeting
Page 10
Page 11
Page 11
Article 7 - Protection of Officers
#7.1 Directors' Liability
#7.2(c) Indemnities to Directors
Page 12
Page 13
Article 8 - Committees
#8.4 Committee Members
#8.6 Executive Committees
#8.5(c) Procedures at Committee Meetings
Page 14
Page 14
Page 14
Article 10 - Duties of Officers
#10.1(a and g) Chair of Board
#10.3 Chief Executive Officer
Page 15
Page 16
Article 11 - Organization and #11.5 Financial Year
Financial
#11.7 Borrowing Power
Page 17
Article 14 - Professional Staff
Page 18
#14.1 Professional Staff
Page 17
Article 15 - Matters Required by #15.3 Chief Nursing Officer
Page 18
the Public Hospitals Act
#15.4 Nurses and Other Staff and Professionals Page 19
on Committees
#15.5 Retention of Written Statements
Page 19
Article 17 - Notices
#17.2 Notice
#17.2 Computation of Time
#17.3 Omissions and Errors
#17.4 Waiver of Notice
- 45 -
Page 20
Page 21
Page 21
Page 21
HÔPITAL
GLENGARRY MEMORIAL
By-Law
HOSPITAL
Deletions
Part I Preamble
Page 1
Article 2 - Definitions
Part II Definitions #1(r) Nurse
Page 2
Article 3 - Corporation
Part III Corporations #4(viii) Representative of
the Auxiliary
Page 6
Article 4 - Board
Part IV Board #10(c) Nominations from the
Floor
#11(3) Added as a different
section
#11(4) Special Directors
#13 Responsibility of Board
#25 Board Meeting - Chair
#26 (1-3) Procedures for Board
Meetings
#32 Chief Executive Officer
#35 Bonding - Fidelity Insurance
#39 Endowment Benefits
Page 8
Page 9
Page 9
Page 10
Page 15
Page 15
Page 17
Page 18
Page 19
Article 5 - Meetings of Directors
Part V Programs and Committees Regulated by Page 21
the Public Hospitals Act #45 Emergency
Planning Programme
Article 7 - Protection of Officers
Part VII Participation of Nurses #48 Failure to Page 23
Elect a Staff Nurse and Vacancies
#49 Election or Appointment of Page 23
Nurses Who Are Mangers
#50 Nurse Advisory Committee
Page 23
Article 8 - Committees
Part
VIII
Voluntary
Associations
Authorization
#52 Purpose
#53 Control
#54 Representation on Board
#55 Auditor
By-Law
#51 Page 24
Page 24
Page 24
Page 24
Page 24
Changes
Part III - Corporation
#2.1.1 and 2.1.2 Members
#2.1.5 (b-d) Annual Membership - Individual
Page 4
Page 4
Part IV - Board
#4.6 Election and Term
#4.7 Nomination Procedure
#4.8 Maximum Terms
#4.9 Filling Vacancies
Page 9
Page 9
Page 9
Page 9
Article 5 - Meetings of Directors
#5.5 Quorum
Page 10
Article 6 - Interest of Directors
#6.1 Declaration of Conflict
Page 11
Article 8 - Committees
#8.1(vi) Regular Board Committees
#8.5(c) Procedures at Committee Meetings
Page13
Page 14
Article 9 - Officers
#9.6 Appointment of Treasurer
#9.7 Appointment of Secretary
Page 15
Page 15
- 46 -
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
Current Wording:
Part I - PREAMBLE
Whereas it is the intent of the Hôpital Glengarry Memorial Hospital to serve the Community, and whereas
the mission of the Hôpital Glengarry Memorial Hospital is:
to provide innovative, accessible and quality primary health care services for the
residents of Eastern Counties and its surrounding population in both official languages.
Proposed Change:
DELETE Section.
- 47 -
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
Current Wording:
Part II: Definitions
1.
INTERPRETATION
In this By-law and all other By-laws of the Corporation,
(a)
"Act" means the Corporations Act (Ontario) and where the context requires, includes the
regulations made under it and any statute that may be substituted therefore, as from time
to time amended;
(b)
"Board" means the Board of Directors of the Glengarry Memorial Hospital;
(c)
“Chair” means the Chair of the Board;
(d)
“Chair of the Medical Advisory Committee” means the member of the Medical Advisory
Committee appointed by the Board as Chair of the Medical Advisory Committee;
(e)
"Chief Executive Officer" means in addition to “administrator” as defined in the Public
Hospitals Act, the President and Chief Executive Officer of the Corporation;
(f)
"Chief Financial Officer" means the senior employee, responsible to the Chief Executive
Officer for the treasury and controllership functions in the Hospital;
(g)
"Chief Nursing Officer" means the senior responsible to the Chief Executive Officer for the
nursing functions in the Hospital;
(h)
"Chief of Staff" means the Chief of Medical and Dental Staff;
(i)
"Corporation" means the Glengarry Memorial Hospital;
(j)
"Director" means a member of the Board;
(k)
"Ex officio" means membership "by virtue of the office" and includes all rights,
responsibilities, and power to vote unless otherwise specified;
(l)
“Extended Class Nursing Staff” means those Registered Nurses in the Extended Class
who are:
i)
nurses that are employed by the Hospital and are authorized to diagnose,
prescribe for or treat out-patients in the Hospital; and
ii)
nurses who are not employed by the Hospital and to whom the Board has
granted privileges to diagnose, prescribe for or treat out-patients by the
Corporation;
(m)
"Hospital" means the public Hospital operated by the Corporation;
(n)
“Hospital Volunteer Services” means the auxiliary association(s) and voluntary support
organization(s) of the Corporation;
(o)
“Medical Advisory Committee” means the Medical Advisory Committee established by the
board as required by the Public Hospitals Act;
- 48 -
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
(p)
“Medical Staff” means the Physicians who have been appointed to the Medical Staff by the
Board;
(q)
"Member" means member of the Glengarry Hospital Corporation;
(r)
"Nurse" means a holder of a current certificate of competence issued in Ontario as a
registered nurse.
(s)
"Patient" means, unless otherwise specified or the context otherwise requires, any inpatient or out-patient of the Corporation;
(t)
“Person” means and includes any individual, corporation, partnership, firm, joint venture,
syndicate, association, trust, government, government agency, board, commission or
authority, or any other form of entity or organization;
(u)
“Physician” means a medical practitioner in good standing with the College of Physicians
and Surgeons of Ontario;
(v)
“Public Hospitals Act” means the Public Hospital Act (Ontario), and, where the context
requires, includes the regulations made under it and any statute that may be substituted
therefore, as from time to time amended;
(w)
“Registered Nurse in the Extended Class” means a member of the College of Nurses of
Ontario who is a registered nurse and holds an extended certificate of registration under
the Nursing Act, 1991;
(x)
"Supervisor" means a physician or dentist who is assigned the responsibility to oversee
the work of another physician or dentist respectively.
Proposed Changes:
ARTICLE 1: Interpretation
ADD:
(u)
"Professional Staff" means the Medical Staff and Extended Class Nursing Staff;
(x)
"Rules", means a rule adopted by the Board in accordance with Section 16.1; and
(y)
"Special Resolution" means a resolution passed by the Directors and confirmed with or
without variation by at least two thirds (2/3) of the votes cast by those entitled to vote and
voting at a general meeting of the Members of the Corporation duly called for the purpose,
or at an annual meeting, or in lieu of such confirmation, by consent in writing of all
Members entitled to vote at such meeting.
DELETE:
(r)
"Nurse" means a holder of a current certificate of competence issued in Ontario as a
registered nurse.
- 49 -
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
Current Wording:
Part III: Corporations
2.
MEMBERS OF THE CORPORATION
(1)
Persons and corporations shall only be admitted to the categories of membership in the
Corporation set out below and individual members shall be a minimum 18 years of age.
(a)
(b)
(c)
(d)
(e)
(2)
(3)
(4)
Life membership
Long-Term membership
Annual membership (corporate)
Annual membership (individual)
Honorary membership
Life Membership
(a)
A person/Association/Corporation is eligible to be a life member where he or she
pays to the Corporation the life membership fee, an amount to be determined from
time to time by resolution of the Board, this full amount to be paid at the time of the
application.
(b)
The number of life members available at any time shall be no more than the
number determined from time to time by resolution of the Board.
(c)
A member shall not be entitled to vote at any meetings of the Corporation unless
the membership fee was paid in full at least 30 days prior to the date of the
meeting.
Long-Term Membership
(a)
A person is eligible to be a long-term member where he or she pays to the
Corporation long-term membership fee, an amount to be determined from time to
time by resolution of the Board, this full amount to be paid at the time of the
application.
(b)
Any long-term membership in the Corporation shall be effective only from the date
that the person was accepted by a resolution of the Board to that same date ten
years later.
(c)
A member shall not be entitled to vote at any meetings of the Corporation unless
the membership fee was paid in full at least 30 days prior to the date of the
meeting.
Annual Membership - Corporate
(a)
An association or corporation is eligible to be an annual member where the
association or the corporation pays to the Corporation the annual membership fee
for corporations, an amount to be determined from time to time by resolution of the
Board.
(b)
Where the association or corporation is accepted as an annual member, the
president or chief officer of the association or corporation shall be entitled to vote
on behalf of the corporation subject to clause 2(4)(d).
(c)
Any annual membership in the Corporation shall be effective only from February 1
in one year to January 31 in the following year.
- 50 -
HÔPITAL
(d)
(5)
(6)
(7)
GLENGARRY MEMORIAL
HOSPITAL
The president or chief officer of the association or corporation shall not be entitled
to vote at any meetings of the Corporation unless the association or corporation
has paid the membership fee in full at least 30 days prior to the date of the
meeting.
Annual Membership - Individual
(a)
Subject to clause 2(5)(b), a person is eligible to be an annual member where he or
she pays to the Corporation the annual membership fee for individuals, an amount
to be determined from time to time by resolution of the Board.
(b)
At the time of the payment of the fee in clause 2(5)(a), the person must, have been
a resident of, be employed, or carry on business in the Town of Alexandria or the
region or county of Glengarry or of the townships of Lochiel, Kenyon,
Charlottenburg, or Lancaster for a continuous period of at least 3 months
immediately prior thereto.
(c)
Any annual membership in the Corporation shall be effective only from February 1
in one year to January 31 in the following year.
(d)
A person's annual membership in the Corporation is automatically terminated in
the event that the person ceases to be a resident of, or ceases to be employed or
to carry on business in the said municipality, county, region or township.
(e)
A member shall not be entitled to vote at any meetings of the Corporation unless
the membership fee was paid in full at least 30 days prior to the date of the
meeting.
Honorary Membership
(a)
Honorary members shall not be subject to any fees whatsoever.
(b)
The length of time that an honorary membership is effective shall be determined
from time to time by resolution of the Board.
(c)
Honorary members shall not be eligible to vote.
Any member may resign his or her membership in the Corporation by resignation in
writing, which shall be effective upon acceptance thereof by the Board.
Proposed Changes:
ARTICLE 2: Membership in the Corporation
2.1
MEMBERS OF THE CORPORATION
2.1.1 Persons and corporations shall only be admitted to the categories of membership in the
Corporation set out below and individual members shall be a minimum 18 years of age.
(a)
(b)
(c)
(d)
(e)
Life membership
Long-Term membership
Annual membership (corporate)
Annual membership (individual)
Honorary membership
- 51 -
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
2.1.2
Life Membership
(a)
A person/Association/Corporation is eligible to be a life member where he or she
pays to the Corporation the life membership fee, an amount to be determined from
time to time by resolution of the Board, this full amount to be paid at the time of the
application.
2.1.4
(c)
2.1.5
Annual Membership - Individual
Any annual membership in the Corporation shall be effective only from February 1
April 1 in one year to January 31 March 31 in the following year.
(b)
At the time of the payment of the fee in clause 2(5)(a) 2.1.5(a), the person must,
have been a resident of, be employed, or carry on business in the Town of
Alexandria or the region or county of Glengarry or of the townships of
Lochiel, Kenyon, Charlottenburg, or Lancaster Eastern Counties for a
continuous period of at least 3 months immediately prior thereto.
(c)
Any annual membership in the Corporation shall be effective only from February 1
April 1 in one year to January 31 March 31 in the following year.
(d)
A person's annual membership in the Corporation is automatically terminated in
the event that the person ceases to be a resident of, or ceases to be employed or
to carry on business in the said municipality, county, region or township
counties.
ADD:
2.3
Fees
This is an amount to be determined from time to time by resolution of the Board, this full
amount to be paid at the time of the application.
2.4
Voting
Each Member shall be entitled to one vote.
- 52 -
HÔPITAL
GLENGARRY MEMORIAL
HOSPITAL
Current Wording:
Part III: Corporation
5.
7.
SPECIAL MEETINGS OF THE CORPORATION
(1)
The Board or Chair may call a special meeting of the Corporation.
(2)
The Secretary shall call a special meeting of the Corporation if ten members so
request in writing.
(3)
Notice of a special meeting shall be given in the same manner as provided in
subsection 3(1).
(4)
The notice of a special meeting shall specify the purpose or purposes for which it
is called, and only such matters as specified in the notice shall be transacted.
(5)
A quorum for a special meeting of the Corporation shall be ten members.
MEETINGS OF CORPORATION - CHAIR
(1)
The meetings of the Corporation shall be chaired by:
(a)
(b)
(c)
6.
(2)
All members in good standing are entitled to vote other than 7(3).
(3)
The chair shall vote only in order to break a tie except in the case of a tie in the
election of Directors in which case another vote will be conducted only for those
tied.
ADJOURNED MEETING
(1)
The meeting shall stand adjourned until a day within two weeks to be determined
by the Board if a quorum is not present within one-half hour after the time
appointed for a meeting of the Corporation.
(2)
4.
the Chair;
the Vice-Chair if the Chair is absent; or
a member of the Corporation elected by the members present if the Chair
and Vice-Chair are both absent.
At least 3 days notice of the re-scheduled meeting following an adjournment shall
be given by publication in a newspaper circulated in the municipality in which the
Corporation is located.
BUSINESS
The business transacted at the annual meeting of the Corporation shall include:
(a)
reading the:
i)
minutes of the previous meeting;
ii)
report of the Board including the audited financial statement;
iii)
report of the unfinished business from any previous meeting of the
Corporation;
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iv)
v)
vi)
vii)
viii)
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report of the Chief Executive Officer;
report of the Auditor;
report of the Medical Advisory Committee;
report of the Hospital Auxiliary;
report of the Chief Nursing Officer.
(b)
new business;
(c)
election of Directors; and
(d)
the appointment of an Auditor to hold office until the next annual meeting.
Proposed Changes:
ARTICLE 3: Meetings of Members
3.3
Calling Meetings
(f)
A quorum for a special meeting of the Corporation shall be ten members.
3.7
Chair of the Meeting
The chair of a meeting of the Members of the Corporation shall be:
(a)
the Chair of the Corporation; or
(b)
a Vice Chair of the Corporation, if the Chair is absent or is unable to act; or
(c)
a chair elected by the Members present if the Chair and vice Chair(s) are absent or
unable to act. The Secretary shall preside at the election of the chair of the
meeting, but if the Secretary is not present, the Directors, from those
present, shall choose a Director to preside at the election.
3.8
Adjourned Meetings of Members
If within one-half (1/2) hour after the time appointed for a meeting of the Members of the
Corporation, a quorum is not present, the meeting shall stand adjourned until a day to be
determined by the Board.
3.9
Notice of Adjourned Meeting
Not less than three (3) days notice of an adjourned meeting of Members shall be given in
such manner as the Board may determine.
3.10
Business of the Annual Meeting
The business transacted at the annual meeting of the Corporation shall include:
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(a)
reading the:
i)
minutes of the previous meeting;
ii)
report of the Board including the audited financial statement;
iii)
report of the unfinished business from any previous meeting of the
Corporation;
iv)
report of the Chief Executive Officer;
v)
report of the Auditor;
vi)
report of the Medical Advisory Committee;
vii)
report of the Hospital Auxiliary;
viii)
report of the Chief Nursing Officer.
(b)
new business;
(c)
election of Directors;
(d)
the appointment of an Auditor to hold office until the next annual meeting; and
(e)
any other matters such that the Chair may from time to time determine.
ADD:
3.1
Location
Meetings of the Members shall be held at HGMH in the boardroom or at any place in
Ontario as the Board may determine.
3.2
Annual Meetings
In accordance with the Public Hospitals Act, the annual meeting of Members shall be held
between the 1st day of April and the 31st day of July of each year.
3.6
Votes
(a)
Each Member entitled to vote and in attendance at a meeting shall have the right
to exercise one vote.
(b)
At all meetings of Members of the Corporation every question shall be determined
by a majority of votes unless otherwise specifically provided by statute or by the
Bylaw.
(c)
Votes at all meetings of Members shall be case in person and not by proxy, in
accordance with the Public Hospitals Act.
(d)
Every question submitted to any meeting of Members shall be decided in the first
instance by a show of hands and in the case of an equality of votes, whether on a
show of hands or at a recorded vote, the chair of the meeting shall have a second
vote to break the tie.
(e)
At any meeting of Members, unless a recorded vote is demanded, a declaration by
the chair of the meeting that a resolution has been carried or carried unanimously
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or by a particular majority or lost or not carried by a particular majority shall be
conclusive evidence of the fact.
(f)
A recorded vote may be demanded either before or after any vote by show of
hands by any Member entitled to vote at the meeting. If a recorded vote is
demanded on the election of a chair or on the question of adjournment it shall be
taken forthwith without adjournment. If a recorded vote is demanded on any other
question or as to the election of Directors, the vote shall be taken by ballot in such
manner and either at once, later in the meeting or after adjournment as the chair of
the meeting directs. The result of a recorded vote shall be deemed to be the
resolution of the meeting at which the recorded vote was demanded. A demand for
a recorded vote may be withdrawn.
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Current Wording:
Part IV: Board
10.
NOMINATIONS FOR ELECTION OF DIRECTORS
Subject to section 11 and all other provisions of this By-law, nominations for election as
Director at the annual meeting of the Corporation may be made only by:
(a)
the Board Governance, Nominating
Performance Committee of the Board, or
(b)
(c)
11.
and
Executive
Management
members of the Corporation provided that each nomination by members;
(i)
is in writing and signed by at least two members in good standing; and,
(ii)
is accompanied by a written declaration signed by the nominee that he or
she will serve as a Director in accordance with this By-law if elected; and
nominations received from the floor and moved and seconded by members of the
Corporation in good standing, and the nominee, if elected
(i)
agrees to serve as a Director in accordance with this By-law and,
(ii)
agrees to satisfy the requirements of the application process as put in place
by the Board.
BOARD COMPOSITION
(1)
The Board shall consist of:
(a)
Eight elected Directors, elected by the members as herein after set forth:
(i)
at the first election to be held in June 2011, and all subsequent
elections, the three (3) elected members receiving the greatest
number of votes are elected for three (3) years, and the remaining
five (5) elected members receiving the greatest number of votes are
elected for two (2) years.
(ii)
In the event that the Directors are elected by acclamation the terms
of three years and two year shall be determined on the basis of
seniority of the said members. In the case of a tie, the vote shall be
decided by lot.
(b)
No more than one Director to be appointed bi-annually for a 2-year term by
each of the following:
Township of North Glengarry
Township of South Glengarry
(c)
The following Ex Officio Director:
The Chief of Staff
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(d)
(2)
25.
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The following staff members:
The Chief Executive Officer (no voting privileges)
The Chief Nursing Officer (no voting privileges)
The Chief Financial Officer (no voting privileges)
QUALIFICATIONS
(a)
There shall be no less than three (3) French speaking members on the
Board.
(b)
No member of the medical staff or dental staff of the Hospital shall be
eligible for election or appointment to the Board except as where otherwise
provided in this By-law.
(c)
No employee of the Hospital shall be eligible for election or appointment to
the Board except as where otherwise provided in this By-law.
(d)
No spouse of any person included in (b) or (c) above shall be eligible for
election or appointment to the Board, except by resolution of the Board.
(e)
No undischarged bankrupt person shall be a Director, and if a Director
becomes a bankrupt, he or she thereupon ceases to be a Director.
(3)
Except for the Chief Executive Officer, the Chief Nursing Officer, the Chief
Financial Officer and the Chief of Staff, no person may be elected or appointed a
Director for more terms than will constitute ten (10) consecutive years of service,
provided however that following a break in the continuous service of at least one
year the same person may be re-elected or re-appointed a Director.
(4)
SPECIAL DIRECTORS
Honorary Directors may be appointed by the Board.
(5)
REMOVAL OF A DIRECTOR
The members may by a resolution passed by at least two-thirds (2/3) of the votes
cast at a meeting of the Board of Directors of which notice specifying the intention
to pass such resolution has been given, remove any Director before the expiration
of his or her term of office, and may, by a majority of the votes cast at that
meeting, elect any person in his or her stead for the remainder of the term.
BOARD MEETINGS - CHAIR
Board meetings shall be chaired by:
(a)
the Chair,
(b)
the Vice-Chair if the Chair is absent, or
(c)
a Director elected by the Directors present if the Chair and Vice-Chair are both
absent.
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26.
32.
39.
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PROCEDURES FOR BOARD MEETINGS
(1)
The declaration of the Secretary or Chair that notice has been given pursuant to
the By-law, shall be sufficient and conclusive evidence of the giving of such notice.
(2)
No error or omission in giving notice for a meeting of Directors shall invalidate such
meeting or invalidate or make void any proceedings taken or had at such meeting
and any Director may at any time waive notice of any such meeting and may ratify
and approve any or all proceedings taken or had thereat.
(3)
Minutes shall be kept for all meetings of the Board.
CHIEF EXECUTIVE OFFICER
(1)
The Chief Executive Officer shall be appointed by the Board in accordance with its
approved selection process.
(2)
35.
GLENGARRY MEMORIAL
The Board may at any time revoke or suspend the appointment of the Chief
Executive Officer.
BONDING - FIDELITY INSURANCE
(1)
Directors, Officers and employees as the Board may designate, shall
secure from a guarantee company a bond of fidelity of an amount approved by the
Board.
(2)
The requirements of subsection 46(1) may be met by an alternative form of
employee fidelity insurance such as, but not limited to, a blanket position bond, a
commercial blanket bond, or a comprehensive dishonesty, disappearance and
destruction policy, at the discretion of the Board.
(3)
The Corporation shall pay the expenses of any fidelity bond or policy secured
under this section.
ENDOWMENT BENEFITS
No benefit given in trust to or to the use of the Corporation for endowment purposes shall
be hypothecated, transferred or assigned to obtain credit or to receive funds except as
allowed by clause 38(a).
Proposed Changes:
ARTICLE 4: Directors
4.1
Board Composition
The Board shall consist of:
(a)
Eight elected Directors, elected by the members as set forth in 4.7.
(b)
No more than one Director to be appointed bi-annually for a 2-year term by each of
the following:
Township of North Glengarry
Township of South Glengarry
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(c)
4.3
4.5
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The following Ex Officio Directors :
The Chief of Staff
The Chief Executive Officer
The Chief Nursing Officer
The Chief Financial Officer
The President of the Medical Staff
Qualifications
No person shall be qualified for election or appointment as a Director referred to in
subsection 4.1 if he or she:
(a)
is less than eighteen (18) years of age;
(b)
has the status of a bankrupt;
(c)
does not have their principal residence or carry on business with the
area served by the Corporation as established by the Board from
time to time; and,
(d)
is a current or former employee or member of the Professional Staff
unless the board otherwise determines.
(e)
There shall be no less than three (3) French speaking members on the
Board.
(f)
No spouse of any member of the professional staff, dental staff or
employee of the hospital shall be eligible for election or appointment to
the Board, except by resolution of the Board.
Removal
The office of a Director may be vacated by a simple majority resolution of the Board:
(a)
if a Director, without being granted a leave of absence by the Board, is absent for
three (3) consecutive meetings of the Board, or if a Director is absent for one
quarter (1/4) or more of the meetings of the Board in any twelve (12) month period;
or
(b)
4.6
GLENGARRY MEMORIAL
if a Directors fails to comply with the Public Hospitals Act, the Act, the
Corporation's Letters Patent, by-laws, rules, policies and procedures adopted by
the Board, including without limitation, confidentiality and conflict of interest
requirements.
Election and Term
4.6.1 At the first election to be held in June 2011, and all subsequent elections, the three
(3) elected members receiving the greatest number of votes are elected for three
(3) years, and the remaining five (5) elected members are elected for two (2)
years.
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4.6.2 In the event that the Directors are elected by acclamation the terms of three years
and two year shall be determined on the basis of seniority of the said members. In
the case of a tie, the vote shall be decided by lot.
4.7
Nomination Procedure for Election of Directors
Nominations made for the election of Directors at a meeting of members may be made
only by the Board in accordance with the nominating and election procedures prescribed
by the Board from time to time. For greater certainty, no nominations shall be
accepted by the Members of the Corporation which are not submitted and
approved by the Board in accordance with the Board approved process. The
decision of the board as to whether or not a candidate is qualified to stand for
election shall be final.
4.8
Maximum Terms
Each Director referred to in subsection 4.1(a) shall be eligible for re-election provided that
such Director shall not be elected or appointed for a term that will result in the director
serving more than six (6) consecutive years. Such Director may also be eligible for reelection for another term or terms (to a maximum of six (6) consecutive years) if two (2)
or more years have elapsed since the termination of his or her last term. In determining
a director's length of service as a Director, service prior to the coming into force of this Bylaw shall remain at a maximum of ten (10) years. Despite the foregoing, a Director may,
by resolution of the board, have their maximum term as a director extended for the sole
purpose of that director succeeding to the office of chair or service as Chair. Despite the
foregoing, where a Director was appointed to fill an unexpired term of a director, such
partial term shall be excluded from the calculation of the maximum years of service.
4.9
Filling Vacancies
So long as there is a quorum of Directors in office, any vacancy occurring in the Board of
Directors may be filled by a qualified person appointed until the next annual meeting.
In the absence of a quorum of the Board, or if any vacancy has arisen from the failure of
the Members to elect the number of directors required to be elected at any meeting of the
Members, the Board shall forthwith call a meeting of Members to fill the vacancy. A
Director so appointed or elected shall hold office for the unexpired portion of the term
vacated.
ADD:
4.2
Duties and Responsibilities
The Board shall govern and oversee the management of the affairs of the Corporation
and may exercise all such other powers and do all such other acts and things as the
Corporation is, by its charter or otherwise, authorized to exercise and do.
4.4
Vacation of Office
The office of a Director shall be automatically vacated:
(a) if a Director shall resign such office by delivering a written resignation to the Secretary
of the Corporation;
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(b) if the Director becomes bankrupt; or
(c) if, in the case of an elected Director, he or she ceases to meet the requirements of
subsection 4.3(c) or becomes a person referred to in subsection 4.3(d) except by
resolution of the Board.
Where there is a vacancy in the Board, the remaining Directors may exercise all the
powers of the Board so long as a quorum remains in office.
4.10
Directors Remuneration
The Directors shall serve as such without remuneration and no Director shall directly or
indirectly receive any profit from his or her position as such provided that a Director may
be reimbursed reasonable expenses incurred by the Director in the performance of his or
her duties.
DELETE:
Part IV: Board
10.
(c)
nominations received from the floor and moved and seconded by members of the
Corporation in good standing, and the nominee, if elected
(i)
agrees to serve as a Director in accordance with this By-law and,
(ii)
agrees to satisfy the requirements of the application process as put in place
by the Board.
The following staff members:
The Chief Executive Officer (no voting privileges)
The Chief Nursing Officer (no voting privileges)
The Chief Financial Officer (no voting privileges)
11.
(1)
(d)
11.
(3)
Except for the Chief Executive Officer, the Chief Nursing Officer, the Chief
Financial Officer and the Chief of Staff, no person may be elected or appointed a
Director for more terms than will constitute ten (10) consecutive years of service,
provided however that following a break in the continuous service of at least one
year the same person may be re-elected or re-appointed a Director.
11.
(4)
SPECIAL DIRECTORS
Honorary Directors may be appointed by the Board.
13.
RESPONSIBILITIES OF THE BOARD (These responsibilities exist in the form of a policy)
The Board shall govern and manage the affairs of the Corporation and:
(1)
Financial Oversight
(a)
Ensures stewardship of financial resources
(b)
Approves policies for financial planning
(c)
Approves operational and capital budgets
(d)
Monitors financial performance against budget
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(e)
(f)
(2)
(3)
(4)
(5)
(6)
(7)
25.
Approves investment policies and monitors compliance
Ensures accuracy of financial information through oversight of
management and approval of audited financial statements
(g)
Ensures management has put measures in place to ensure the integrity of
internal controls.
Quality and Performance Measurement and Monitoring
(a)
Monitors quality of patient care
(b)
Assesses management performance
(c)
Monitors financial conditions
(d)
Monitors and assesses external relations
(e)
Ensures fulfillment of strategic direction consistent with mission, vision
and values
Strategic planning, mission, vision, values
(a)
Ensures hospital operations in alignment with the mission, vision and
values
(b)
Receives progress reports on strategic direction
(c)
Conducts annual review of the strategic plan
(d)
Ensures development of a strategic plan and approves the plan
Risk identification and Oversight
(a)
Be knowledgeable about risks inherent in hospital operations and ensures
that appropriate risk analysis is performed
(b)
Oversees the management's risk management program
(c)
Identifies unusual risks to the organization and ensures there are plans in
place to prevent and manage risks
Stakeholder Communication and Accountability
(a)
Identifies hospital stakeholders and understands stakeholder
responsibility
(b)
Contributes to the maintenance of strong stakeholder accountability
(c)
Advocates on behalf of the hospital with stakeholders where required in
support of the mission, vision and values and strategic directions of the
hospital
Oversight of Management
(a)
Develops and approves the CEO job description
(b)
Recruits and selects the CEO
(c)
Reviews and approves the CEO's annual performance goals
(d)
Reviews CEO performance and sets compensation
(e)
Reviews Chief of Staff performance and compensation
Governance
(a)
Monitors the quality of its own governance
(b)
Ensures recruitment of skilled and qualified board members
(c)
Ensures ongoing Board training and education
(d)
Periodically evaluates Board and Committee structures and composition.
BOARD MEETINGS - CHAIR
Board meetings shall be chaired by:
(a)
the Chair,
(b)
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the Vice-Chair if the Chair is absent, or
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(c)
26.
32.
39.
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a Director elected by the Directors present if the Chair and Vice-Chair are both
absent.
PROCEDURES FOR BOARD MEETINGS
(1)
The declaration of the Secretary or Chair that notice has been given pursuant to
the By-law, shall be sufficient and conclusive evidence of the giving of such notice.
(2)
No error or omission in giving notice for a meeting of Directors shall invalidate such
meeting or invalidate or make void any proceedings taken or had at such meeting
and any Director may at any time waive notice of any such meeting and may ratify
and approve any or all proceedings taken or had thereat.
(3)
Minutes shall be kept for all meetings of the Board.
CHIEF EXECUTIVE OFFICER
(1)
The Chief Executive Officer shall be appointed by the Board in accordance with its
approved selection process.
(3)
35.
GLENGARRY MEMORIAL
The Board may at any time revoke or suspend the appointment of the Chief
Executive Officer.
BONDING - FIDELITY INSURANCE
(1)
Directors, Officers and employees as the Board may designate, shall
secure from a guarantee company a bond of fidelity of an amount approved by the
Board.
(2)
The requirements of subsection 46(1) may be met by an alternative form of
employee fidelity insurance such as, but not limited to, a blanket position bond, a
commercial blanket bond, or a comprehensive dishonesty, disappearance and
destruction policy, at the discretion of the Board.
(3)
The Corporation shall pay the expenses of any fidelity bond or policy secured
under this section.
ENDOWMENT BENEFITS
No benefit given in trust to or to the use of the Corporation for endowment purposes shall
be hypothecated, transferred or assigned to obtain credit or to receive funds except as
allowed by clause 38(a).
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Current Wording:
Part IV: Board
24.
23.
SPECIAL MEETINGS OF THE BOARD AND NOTICE
(1)
The Chair may call special meetings of the Board.
(2)
The Secretary shall call a special meeting of the Board if three Directors so
request in writing.
(3)
Notice of a special meeting of the Board shall specify the purpose of the meeting,
may be given by telephone, shall be given at least 24 hours in advance of the
meeting, and only such matters as specified in the above notice shall be
transacted.
REGULAR MEETINGS OF THE BOARD AND NOTICE
(1)
The Board may appoint one (1) or more days for regular meetings of the Board at
a place and time named. A copy of any resolution of the Board fixing the place and
time of regular meetings of the Board shall be given to each Director forthwith after
being passed and no other notice shall be required for any such regular meeting.
(2)
The Secretary shall give notice of the meeting to the Directors if the meeting is to
be held at another time or day or at a place other than the Head Office. If notice is
to be given it shall be delivered or telephoned to each Director at least 24 hours in
advance of the meeting or shall be mailed to each Director at least 5 days in
advance of the meeting.
(3)
There shall be at least 9 regular meetings of the Board per annum.
(4)
A meeting of the Board may be held without notice, immediately following the
annual meeting of the Corporation.
(5)
All regular monthly Board meetings are open to the public.
27.
QUORUM
A quorum for any meeting of the Board shall be a majority of the Directors.
26.
PROCEDURES FOR BOARD MEETINGS
(1)
The declaration of the Secretary or Chair that notice has been given pursuant to
the By-law, shall be sufficient and conclusive evidence of the giving of such notice.
(2)
No error or omission in giving notice for a meeting of Directors shall invalidate such
meeting or invalidate or make void any proceedings taken or had at such meeting
and any Director may at any time waive notice of any such meeting and may ratify
and approve any or all proceedings taken or had thereat.
(3)
Minutes shall be kept for all meetings of the Board.
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(4)
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Business arising at any meeting of the Board shall be decided by a majority of
votes, provided that:
(a)
except as provided by clause (b) votes shall be taken in the usual way by a
show of hands.
(i)
The chair shall not have a vote.
(ii)
(b)
(c)
6.
If there is an equality of votes, the chair shall vote in order to break
the tie.
votes shall be taken by written ballot if so demanded by any voting member
present.
(i)
The chair shall have a vote.
(ii)
If there is an equality of votes, the motion is lost.
a declaration by the chair that a resolution, vote or motion has been carried
and an entry to that effect in the minutes shall be admissible in evidence as
prima facie proof of the fact without proof of the number or proportion of the
votes recorded in favour of or against such resolution, vote or motion.
ADJOURNED MEETING
(1)
The meeting shall stand adjourned until a day within two weeks to be determined
by the Board if a quorum is not present within one-half hour after the time
appointed for a meeting of the Corporation.
(2)
At least 3 days notice of the re-scheduled meeting following an adjournment shall
be given by publication in a newspaper circulated in the municipality in which the
Corporation is located.
Proposed Changes:
ARTICLE 5: Meetings of Directors
5.1
Meetings of Directors
The Board shall meet at such times and in such places as may be determined by the
Board, the Chair, a Vice Chair or the Chief Executive Officer. Special meetings of the
Board may be called by the Chair, a Vice Chair or by the Chief Executive Officer and
shall be called by the Secretary upon receipt of the written request of four (4)
Directors.
5.2
Regular Meetings
The Board may appoint one (1) or more days for regular meetings of the Board at a place
and time named. A copy of any resolution of the Board fixing the place and time of regular
meetings of the Board shall be given to each Director forthwith after being passed and no
other notice shall be required for any such regular meeting. There shall be at least nine
(9) regular meetings of the Board per annum.
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5.4
Notices
Notice of meetings, other than regular meetings, shall be given to all Directors at least
twenty-four (24) hours prior to the meeting. The Chair, a Vice Chair or the Chief
Executive Officer may call a meeting on less notice, by such means as are deemed
appropriate, provided that notice is given to all Directors and the majority of the
Directors consent to the holding of such meeting. In calculating the said twenty-four
(24)) hour notice period Saturdays, Sundays and statutory holidays shall be excluded.
5.5
Quorum
A quorum for any meeting of the Board shall be a majority of the voting Directors with
voting privileges.
5.6
First Meeting of a New Board
A meeting of the Board may be held without notice, immediately following the annual
meeting of the Corporation.
5.7
Persons Entitled to be Present
Guests may attend meetings of the Board with the consent of the meeting on the
invitation of the Chair or Chief Executive Officer. The Board may adopt a policy from
time to time with respect to the attendance of the public at meetings of the Board.
5.8
Voting
Each Director present at a meeting of the Board shall be entitled to one (1) vote on
each matter, except for the Chair unless a secret ballot is requested, at which time he is
allowed to vote. If there should be an equality of votes with a secret ballot, the
motion is defeated. A Director shall not be entitled to vote by proxy. Any question
arising at any meeting of the Board or any committee of the Board, shall be decided by
a majority of votes.
5.9
Casting a Vote
If there is an equality of votes after a show of hands, the chair shall vote in order to break
the tie.
5.10
Polls
The vote on any question shall be taken by secret ballot if so demanded by any Director
present and entitled to vote. Such ballots shall be counted by the chair of the meeting.
Otherwise a vote shall be taken by a show of hands. A declaration by the chair of the
meeting that a resolution has been carried by a particular majority or not carried shall
be conclusive.
5.12
Notice of Adjourned Meeting
At least twenty-four (24) hours notice of the adjourned meeting by an appropriate
means shall be given to each Director; provided that in calculating such twenty-four (24)
hour notice period Saturday, Sundays and statutory holidays shall be excluded.
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ADD:
5.3
Telephone Meetings
If all the Directors present at or participating in the meeting consent, a meeting of
Directors or a meeting of a committee of the Board may be held by such telephone,
electronic or other communication facilities that permit all persons participating in the
meeting to communicate with each other simultaneously and instantaneously, and the
Director or committee member participating in the meeting by those means is deemed
to be present at the meeting.
5.11
Adjournment of Meeting
If within one-half (½) hour after the time appointed for a meeting of the Board a quorum
is not present, the meeting shall stand adjourned until a day within two (2) weeks to be
determined by the chair of the meeting.
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Current Wording:
Part IV: Board
15.
CONFLICT OF INTEREST
All directors have a duty to ensure that the trust and confidence of the public in the
integrity of the decision-making processes of the board are maintained by ensuring that
they and other members of the board are free from conflict or potential conflict in their
decision-making. It is important that all directors including ex-officio directors and all
non-board members of committees understand their obligations when a conflict of
interest or potential conflicting interest arises.
Proposed Wording:
ARTICLE 6: Interest of Directors in Contracts
6.1
Declaration of Conflict
(a) Any Director who is in any way, directly or indirectly, interested in a contract or
proposed contract with the Corporation shall disclose in writing or have entered in
the minutes, the nature and extent of such Director's interest in such contract or
proposed contract with the Corporation.
(b)
The disclosure required by subsection 6.1(a), shall be made:
(i)
at the meeting at which a proposed contract is first considered if
the Director is present, and otherwise, at the first meeting after
the Director becomes aware of the contract or proposed contract;
(ii)
if the Director was not then interested in a proposed contract, at
the first meeting after such Director becomes so interested; or
(iii)
(c)
if the Director becomes interested after a contract is made, at the
first meeting held after the Director becomes so interested.
A Director referred to in subsection 6.1(a) is not liable to account for any profit
made on the contract by the Director or by a corporate entity, business firm or
organization in which the Director has a material interest, provided:
(i)
the Director disclosed the Director's interest in accordance with subsection
6.1(b) or (e); and
(ii)
the Director has not voted on the contract.
(d)
A Director referred to in subsection 6.1(a) shall not vote on any resolution to
approve the contract and shall not take part in the discussion or consideration of,
or in any way attempt to influence the voting on any question with respect thereto
and shall exit the meeting when the applicable issue is under consideration.
(e)
For the purposes of this section 6.1, a general notice to the Directors by a
Director declaring that the person is a director or officer of or has a material
interest in a body corporate, business firm or organization and is to be regarded
as interested in any contract made therewith, is a sufficient declaration of interest
in relation to any contract so made.
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The provisions of this Article are in addition to any conflict of interest policy
adopted by the Board from time to time.
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Current Wording:
Part IV: Board
17.
INDEMNIFICATION
Every Director or Officer of the Corporation and every member of a committee, and his or
her heirs, executors an administrators, and estate and effects, respectively, shall from
time to time and at all times, be indemnified and saved harmless out of the funds of the
Hospital, from and against:
(a)
all costs, charges and expenses whatsoever which such Director, Officer or
committee member sustains or incurs in or about any action, suit or proceeding for
damages or otherwise which is brought, commenced or prosecuted against him or
her, for or in respect of any act, deed, matter or thing whatsoever, made, done or
permitted by him or her, in or about the execution or intended execution in good
faith of the duties of his or her office; and
(b)
all other costs, charges and expenses that he or she sustains or incurs in or about
or in relation to the affairs thereof, except such costs, charges or expenses as are
occasioned by his or her own willful neglect or default.
Proposed Wording:
ARTICLE 7: Protection of Offers and Directors
ADD:
7.1
7.2
Directors Liability
Any Director or officer of the Corporation shall not be liable for any act, receipt, neglect
or default of any other Director, officer or employee or for any loss, damage or expense
happening to the Corporation through any deficiency of title to any property acquired by
the Corporation or for any deficiency of any security upon which any moneys of the
Corporation shall be invested or for any loss or damage arising from bankruptcy,
insolvency or tortious act of any person including any person with whom any moneys,
securities or effects shall be deposited or for any loss, conversion, or misappropriation
of or any damage resulting from any dealings with any moneys, securities or other
assets belonging to the Corporation or for any other loss, damage or misfortune which
may happen in the execution of the duties of such Director's or officer's respective
office unless such occurrence is as a result of such Director's or officer's own willful
neglect or default.
(c)
The indemnity provided for in the preceding paragraph:
(i)
shall not apply to any liability which a Director or officer of the Corporation
may sustain or incur as the result of any act or omission as a member of
the Professional Staff of the Corporation; and
(ii)
shall be applicable only if the Director or officer of the Corporation acted
honestly and in good faith with a view to the best interests of the
Corporation and in the case of criminal or administrative action or
proceeding that is enforceable by a monetary penalty, had reasonable
grounds for believing that his or her conduct was lawful.
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Current Wording:
Part IV: Board
29.
31.
COMMITTEES OF THE BOARD
At the first meeting of the Board following the annual meeting of the Corporation, the
Board shall:
(1)
Set out the following Committees of the Board:
(a)
the Executive Committee,
(b)
the Finance Committee,
(c)
the Joint Conference Committee,
(d)
the Board Governance, Nominating and Executive Management
Performance Committee,
(e)
the Strategic Planning Committee, and
(f)
the Quality, Patient Safety and Risk Management Committee.
(g)
the Public Relations Committee
(h)
the Building & Property Committee
(i)
the French Language Services Committee
(2)
All Board members shall be a member of at least one committee.
(3)
The functions, duties, responsibilities and powers of committees shall be
provided in the resolution of the Board by which such committee is established or
in terms of reference adopted by the Board.
PROCEDURES FOR BOARD COMMITTEE MEETINGS
(1)
Board Committee meetings shall be held at the call of the Chair, the chair of the
Board Committee or at the request of any two members of the Board Committee.
(2)
Minutes shall be kept for all Board Committee meetings.
(3)
Guests may attend Board Committee meetings at the invitation of the chair.
(4)
Business arising at any Board Committee meeting shall be decided as in
subsection 26(4), except that the chair of the Board Committee shall have an
original vote but cannot exercise a second vote in order to break a tie.
(5)
Any motion is lost if there is an equality of votes including that of the chair of the
Board Committee, but shall be recorded in the minutes.
Proposed Wording:
8.1
Regular Board Committees
At the first meeting of the Board following the annual meeting of the Corporation, the
Board shall:
(a)
Set out the following Committees of the Board:
(i)
the Executive Committee,
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(ii)
(iii)
(iv)
(v)
(vi)
(vii)
(viii)
(ix)
(b)
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the Finance Committee,
the Joint Conference Committee,
the Board Governance, Nominating and Executive Management
Performance Committee,
the Strategic Planning Committee,
the Board Quality Committee,
the Public Relations Committee,
the Building & Property Committee, and
the French Language Services Committee
All Board members shall be a member of at least one committee.
Functions, Duties, Responsibilities and Powers of Committees
The functions, duties, responsibilities and powers of committees shall be provided in
the resolution of the Board by which such committee is established or in terms of
reference adopted by the Board
ADD:
8.4
Committee Members, Chair
Unless otherwise provided by by-law or by Board resolution, the Board shall appoint the
members of the committee. The members of any committee (other than an Executive
Committee, if any) need not be Directors of the Corporation. The members and the
chair of a committee will hold their office at the will of the Board. Each chair of a
Standing Committee shall be a member of the Board. Unless otherwise provided, the
Chair and Chief Executive Officer shall be ex-officio members of all committees.
8.5
Procedures at Committee Meetings
(a)
Board Committee meetings shall be held at the call of the Chair, the chair of the
Board Committee or at the request of any two members of the Board Committee.
(b)
Minutes shall be kept for all Board Committee meetings.
(c)
Guests may attend Board Committee meetings at the invitation of the chair,
pending approval of the Board chair.
(d)
Business arising at any Board Committee meeting shall be decided as in
subsection 5.8, except that the chair of the Board Committee shall have an original
vote but cannot exercise a second vote in order to break a tie.
(e)
Any motion is lost if there is an equality of votes including that of the chair of the
Board Committee, but shall be recorded in the minutes.
8.6
Executive Committee
The Board may, but shall not be required to, elect an Executive Committee consisting of
not fewer than three (3) elected Directors and may delegate to the Executive Committee
any powers of the Board, subject to such restrictions, as may be imposed by the Board
by resolution. The Executive Committee shall fix its quorum at not less than a majority
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of its members. Any Executive Committee member may be removed by a majority vote
of the Board.
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Current Wording:
Part IV: Board
18.
OFFICERS
(1)
The Directors shall elect a President from among themselves at the meeting
immediately following each annual meeting of the Corporation.
(2)
The President shall preside as the Chairman of the Board and is herein referred to
as the "Chair".
(3)
The Board shall appoint a Vice-President, who shall preside as the Vice-Chairman
of the Board, herein referred to as the "Vice-Chair", a Treasurer and a Secretary at
the meeting immediately following each annual meeting of the Corporation.
(4)
No Director may serve as Chair, Vice-Chair or Treasurer, for more than three (3)
consecutive years in one office, provided however that following a break in the
continuous service of at least one year the same person may be re-elected or
re-appointed to any office.
(5)
Ex officio Directors are ineligible for election as Chair or appointment as
Vice-Chair.
(6)
The following shall be Officers of the Corporation:
(a)
(b)
(c)
(d)
the Chair,
the Vice-Chair,
the Treasurer,
the Secretary.
(7)
The Officers of the Corporation shall be responsible for the duties set forth in the
By-laws and they are not necessarily required to perform such duties personally,
but they may delegate to others the performance of any or all such duties.
(8)
Any Officer of the Corporation shall cease to hold office upon resolution of the
Board.
(9)
The Chief Financial Officer may be appointed Treasurer, but shall not be a Director
and shall not be entitled to a vote at Board meetings.
(10)
The Chief Executive Officer may be appointed Secretary but shall not be a Director
and shall not be entitled to vote at Board meetings.
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Proposed Wording:
ARTICLE 9: Officers
9.1
Officers of the Corporation
The following shall be Officers of the Corporation:
(a)
the Chair,
(b)
the Vice-Chair,
(c)
the Treasurer,
(d)
the Secretary.
The Directors shall elect the Officers from among themselves at the meeting immediately
following each annual meeting of the Corporation.
9.2
Terms of Office
No Director may serve as Chair, Vice-Chair or Treasurer, for more than three (3)
consecutive years in one office, provided however that following a break in the continuous
service of at least one year the same person may be re-elected or re-appointed to any
office.
9.3
Ex officio Directors
Ex officio Directors are ineligible for election as Chair or appointment as Vice-Chair.
9.4
Duties
The Officers of the Corporation shall be responsible for the duties set forth in the By-laws
and they are not necessarily required to perform such duties personally, but they may
delegate to others the performance of any or all such duties.
9.5
Removal of Officers
Any Officer of the Corporation shall cease to hold office upon resolution of the Board.
9.6
Appointed Treasurer
The Chief Financial Officer may be appointed Treasurer, but shall be an Ex-Officio
Director and shall not be entitled to a vote at Board meetings.
9.7
Appointed Secretary
The Chief Executive Officer may be appointed Secretary but shall be an Ex-Officio
Director and shall not be entitled to vote at Board meetings.
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Current Wording:
Part IV: Board
19.
22.
DUTIES OF THE CHAIR
The Chair shall:
(a)
chair all meetings of the Board;
(b)
ensure that there is a chair of each committee of the Board;
(c)
be responsible for the naming of Directors to committees not otherwise provided
for in this By-law;
(d)
report to each annual meeting of members of the Corporation concerning the
management and operations of the Hospital; and
(e)
perform such other duties as may from time to time be determined by the Board.
DUTIES OF THE SECRETARY
The Secretary shall:
(a)
attend meetings of the Board and Board Committees as required;
(b)
keep minutes of all Board and Board Committee meetings and circulate the
minutes to all members of the Board or Committee; a recording secretary may be
appointed.
(c)
attend to correspondence of the Board;
(d)
prepare all reports required under any Act or Regulation of the Province of Ontario;
(e)
be the custodian of all minute books, documents and registers of the Corporation
required to be kept by the provisions of the Corporations Act and all minutes,
documents and records of the Board;
(f)
keep copies of all testamentary documents and trust instruments by which benefits
are given to the use of the Hospital;
(g)
be the custodian of the seal of the Corporation;
(h)
give such notice as required by this By-law or by law of all meetings of the
Corporation, the Board and its Committees; and
(i)
perform such other duties as may from time to time be determined by the Board.
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Proposed Wording:
ARTICLE 10: Duties of Officers
10.1
10.5
Chair of the Board
The Chair shall be elected by the Board from among the elected Directors. The Chair
shall:
(a)
represent the Corporation and the Board as may be required;
(b)
chair all meetings of the Board;
(c)
ensure that there is a chair of each committee of the Board;
(d)
be responsible for the naming of Directors to committees not otherwise provided
for in this By-law;
(e)
report to each annual meeting of members of the Corporation concerning the
management and operations of the Hospital; and
(f)
perform such other duties as may from time to time be determined by the Board.
(g)
be an ex officio member of all committees of the Board.
Secretary
The Secretary shall:
(a) attend meetings of the Board and Board Committees as required;
(b) keep minutes of all Board and Board Committee meetings, record all votes, and
circulate the minutes to all members of the Board or Committee; a recording secretary
may be appointed.
(c) attend to correspondence of the Board;
(d) prepare all reports required under any Act or Regulation of the Province of Ontario;
(e) be the custodian of all minute books, documents and registers of the Corporation
required to be kept by the provisions of the Corporations Act and all minutes,
documents and records of the Board;
(f) keep copies of all testamentary documents and trust instruments by which benefits
are given to the use of the Hospital;
(g) be the custodian of the seal of the Corporation;
(h) give such notice as required by this By-law or by law of all meetings of the
Corporation, the Board and its Committees; and
(i) perform such other duties as may from time to time be determined by the Board.
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ADD:
10.3
Chief Executive Officer
The Chief Executive Officer shall be a Director, the President of the Corporation and
the administrator of the Hospital for the purposes of the Public Hospitals Act. Subject to
the authority of the Board, the Chief Executive Officer shall be responsible for the
administration, organization, and management of the affairs of the Corporation.
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Current Wording:
Part IV: Board
37.
SEAL
The seal of the Corporation shall be in the form impressed hereon.
36.
SIGNING OFFICERS AND BANKING
(1)
The Chair or Vice-Chair and the Treasurer or Chief Executive Officer jointly shall
sign on behalf of the Corporation and affix the Corporate Seal to all conveyances
or mortgages as may be required by law or as authorized by the Board.
(2)
40.
38.
For the purposes of banking, any cheque may be signed by any two of the Chair,
Vice-Chair, Treasurer, the Chief Executive Officer or the Chief Financial Officer.
AUDITOR
(1)
The Corporation shall at its annual meeting appoint an Auditor who shall not be a
member of the Board or an Officer or employee of the Corporation or a partner or
employee of any such person, and who is duly licensed under the Public
Accountancy Act, to hold office until the next annual meeting of the Corporation.
(2)
The Auditor shall have all the rights and privileges as set out in the Corporations
Act of Ontario and shall perform the audit function as prescribed therein.
(3)
In addition to making the report at the annual meeting of the Corporation, the
Auditor shall from time to time report through the Finance Committee to the Board
on the audit work with any necessary recommendations.
INVESTMENTS
The Board may invest only in securities authorized by the Trustee Act of the Province of
Ontario:
(a)
all monies given in trust to the Corporation for the use of the Corporation,
(b)
all Corporation monies not required for operating expenses, and
(c)
notwithstanding the provisions of clause (a), the Board may, in its discretion, retain
investments not authorized by the Trustee Act which are given to the Corporation
in specie.
Proposed Wording:
ARTICLE 11: Organization and Financial
11.1
Seal
Until changed in accordance with the Act, the seal, an impression whereof is stamped in
the margin hereof, shall be the seal of the Corporation.
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11.2
Execution of Documents
Subject to section 11.3, deeds, transfers, assignments, contracts, agreements,
mortgages, conveyances, obligations, certificates or any other instruments or documents
requiring the signature of the Corporation, shall be signed by any one of the Chair or a
Vice Chair together with any one of the Chief Executive Officer or a Director and all
instruments or documents so signed shall be binding upon the Corporation without any
further authorization or formality.
11.3
Other Signing Officers
In addition to the provisions of section 11.2, the Board may from time to time by resolution
direct the manner in which and the person or persons by whom any particular instrument
or class of instruments or document may or shall be signed. Any signing officer may affix
the seal of the Corporation to any instrument or document and may certify a copy of any
instrument, resolution, by-law or other document of the Corporation to be a true copy.
11.4
Banking Arrangements
The banking business of the Corporation or any part thereof shall be transacted with such
banks, trust companies or other financial institutions as the Board may, by resolution,
from time to time determine. For the purposes of banking, any cheque shall be signed
by any two of the Chair, Vice-Chair, Treasurer, the Chief Executive Officer, or the Chief
Financial Officer.
11.6
Appointment of Auditor
The Members entitled to vote shall, at each annual meeting, appoint an auditor to audit
the accounts of the Corporation and to report to the Members at the next annual meeting.
The auditor shall hold office until the next annual meeting, provided that the Directors may
fill any casual vacancy in the office of auditor. The remuneration of the auditor shall be
fixed by the Board of Directors. In addition to making the report at the annual meeting of
the Corporation, the Auditor shall from time to time report through the Finance Committee
to the Board on the audit work with any necessary recommendations.
11.8
Investments
Subject to the Corporation's charter, the Board is authorized to make or receive any
investments which the Board in its discretion considers advisable.
ADD:
11.5
Financial Year
Unless otherwise determined by the Board and subject to the Public Hospitals Act, the
fiscal year end of the Corporation shall be the last day of March in each year.
11.7
Borrowing Power
Without limiting the borrowing powers of the Corporation as set forth in the Act, the Board
may from time to time, on behalf of the Corporation, without authorization of the
Members:
(a)
borrow money on the credit of the Corporation;
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(b)
issue, sell or pledge securities (including bonds, debentures, notes or other similar
obligations, secured or unsecured) of the Corporation; or
(c)
charge, mortgage, hypothecate or pledge all or any of the real or personal property
of the Corporation, including book debts and unpaid calls, rights and powers,
franchises and undertakings, to secure any securities or for any money borrowed,
or other debt, or any other obligation or liability of the Corporation.
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Current Wording:
Part IV: Board
34.
RETENTION OF WRITTEN STATEMENTS
The Chief Executive Officer shall cause to be retained as per legislation, all written
statements made in respect of the destruction of medical records, notes, charts and other
material relating to patient care and photographs thereof.
Proposed Wording:
ARTICLE 12: Books and Records
12.1
Books and Records
The Directors shall see that all necessary books and records of the Corporation required
by the by-laws of the Corporation or by any applicable statute or law are regularly and
properly kept.
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Current Wording:
Part IV: Board
16.
CONFIDENTIALITY
Every Director, Officer, member of the medical and dental staff and employee of the
Corporation shall respect the confidentiality of matters brought before the Board or before
any committee or any matter dealt with in the course of the employee's employment or
the medical staff or dental staff member's activities in the Hospital.
14.
PUBLIC RELATIONS
The Board may give authority to one or more Directors, Officers or employees of the
Corporation to make statements to the news media or public about matters brought
before the Board.
Proposed Wording:
ARTICLE 13: Confidentiality
13.1
13.2
Confidentiality
Every Director, officer, member of the Professional Staff, member of a committee of the
Board, employee and agent of the Corporation shall respect the confidentiality of matters:
(a)
brought before the Board;
(b)
brought before any committee;
(c)
dealt with in the course of the employee's employment or agent's activities; or
(d)
dealt with in the course of the Professional Staff member's activities in connection
with the Corporation.
Board Spokesperson
The Board may give authority to one or more Directors, officers or employees of the
Corporation to make statements to the news media or public about matters brought
before the Board.
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Current Wording:
(none)
Proposed Wording:
ADD:
ARTICLE 14: Professional Staff
14.1
Professional Staff
There shall be a Professional Staff of the Hospital whose appointment and functions shall
be as set out in the Professional Staff By-law of the Corporation.
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Current Wording:
Part V: Programs and Committees Required by the Public Hospital Act
45.
EMERGENCY PLANNING PROGRAM
(1)
There shall be an Emergency Planning Program for the hospital.
(2)
The Program referred to in subsection (1) shall include procedures with respect
to:
(a)
fire and evacuation plans (Code Orange / Green)
(b)
disaster planning
(c)
bomb threat (Code Black)
(d)
hazardous incidents including bioterrorism (Code Brown)
(e)
missing persons (Code Yellow)
(f)
violent/aggressive patients (Code White)
(3)
The Program referred to in subsection (1) will be developed by a committee that
shall have representation from:
(a)
the C.E.O.
(b)
the C.N.O.
(c)
other departments as selected
The C.E.O. shall report to the Board as necessary on matters in respect of the
Emergency Planning Program.
Proposed Wording:
ADD:
ARTICLE 15: Matters Required by the Public Hospitals Act
15.3
Chief Nursing Officer
The Chief Executive Officer shall ensure there are appropriate procedures in place for the
appointment of the Chief Nursing Officer.
15.5
Retention of Written Statements
The Chief Executive Officer shall cause to be retained for at least twenty five (25) years,
all written statements made in respect of the destruction of medical records, notes, charts
and other material relating to patient care and photographs thereof.
DELETE:
45.
EMERGENCY PLANNING PROGRAM
(1) There shall be an Emergency Planning Program for the hospital.
(2) The Program referred to in subsection (1) shall include procedures with respect to:
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(a) fire and evacuation plans (Code Orange / Green)
(b) disaster planning
(c) bomb threat (Code Black)
(d) hazardous incidents including bioterrorism (Code Brown)
(e) missing persons (Code Yellow)
(f) violent/aggressive patients (Code White)
(3) The Program referred to in subsection (1) will be developed by a committee that
shall have representation from:
(a) the C.E.O.
(b) the C.N.O.
(c) other departments as selected
The C.E.O. shall report to the Board as necessary on matters in respect of the
Emergency Planning Program.
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Current Wording:
Part VII: Participation of Nurses
48.
FAILURE TO ELECT A STAFF NURSE AND VACANCIES
(1)
Where the election process for staff nurses has been carried out and no staff
nurse is elected, then the Board may appoint a staff nurse to be a member of such
committee.
(2)
Where a duly elected staff nurse resigns his or her seat on a committee, or is
unable to complete his or her term for any reason, then the Board may appoint the
staff nurse with the next highest number of votes, or appoint a staff nurse to
complete the term.
49.
ELECTION OR APPOINTMENT OF NURSES WHO ARE MANAGERS
The Chief Nursing Officer shall determine the mechanism by which nurses who are
managers are elected or appointed to the various committees in the Hospital that require
nursing participation.
50.
NURSE ADVISORY COMMITTEE
(1)
The CNO shall be the Chair. All members of the nursing staff may attend
committee meetings.
(2)
Meetings will be held a minimum of three times per fiscal year.
(3)
The Nursing Advisory Committee shall, through the CNO, advise the Board on:
(a) nursing quality assurance
(b) education
(c) nursing manpower plan
(d) client satisfaction
Proposed Changes:
DELETE:
48.
FAILURE TO ELECT A STAFF NURSE AND VACANCIES
(1)
Where the election process for staff nurses has been carried out and no staff
nurse is elected, then the Board may appoint a staff nurse to be a member of such
committee.
(2)
Where a duly elected staff nurse resigns his or her seat on a committee, or is
unable to complete his or her term for any reason, then the Board may appoint the
staff nurse with the next highest number of votes, or appoint a staff nurse to
complete the term.
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49.
ELECTION OR APPOINTMENT OF NURSES WHO ARE MANAGERS
The Chief Nursing Officer shall determine the mechanism by which nurses who are
managers are elected or appointed to the various committees in the Hospital that require
nursing participation.
50.
NURSE ADVISORY COMMITTEE
(1) The CNO shall be the Chair. All members of the nursing staff may attend committee
meetings.
(2)
Meetings will be held a minimum of three times per fiscal year.
(3)
The Nursing Advisory Committee shall, through the CNO, advise the Board on:
(a) nursing quality assurance
(b) education
(c) nursing manpower plan
(d) client satisfaction
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Current Wording:
Part VIII: Voluntary Associations
51.
AUTHORIZATION
The Board may sponsor the formation of a voluntary association(s) as it deems advisable.
52.
PURPOSE
Such associations shall be conducted with the advice of the Board for the general welfare
and benefit of the Corporation and the patients treated in the Hospital.
53.
CONTROL
Each such association shall elect its own officers and formulate its own by-laws, but at all
times the by-laws, objects and activities of each such association shall be subject to
review and approval by the Board.
54.
REPRESENTATION ON BOARD
The Board may determine a mechanism to provide for representation by the voluntary
association(s) on the Board.
55.
AUDITOR
(1)
Each unincorporated voluntary association shall have its financial affairs reviewed
by an auditor for purposes of assuring reasonable internal control.
(2)
The Auditor for the Hospital may be the auditor for the voluntary association(s)
under this section.
Proposed Changes:
DELETE section.
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HOSPITAL
Current Wording:
(none)
Proposed Wording:
ADD:
ARTICLE 17: Notices
17.1
Notice
Whenever under the provisions of the by-laws of the Corporation notice is required to be
given, unless otherwise provided such notice may be given in writing and delivered or
sent by prepaid mail, by facsimile transmission or by electronic mail addressed to the
Director, officer, member of a committee, Member or auditor at the postal address, the
facsimile number or electronic mail address, as the case may be, as the same appears
on the books of the Corporation.
If any notice is sent by prepaid mail, it shall, subject to the following paragraph, be
conclusively deemed to have been received on the third (3rd) business day following the
mailing thereof. If delivered, a notice shall be conclusively deemed to have been received
at the time of delivery, or if sent by facsimile transmission or electronic mail, it shall be
conclusively deemed to be received on the next business day after transmission.
Notwithstanding the foregoing provisions with respect to mailing, in the event that it may
be reasonably anticipated that, due to any strike, lock out or similar event involving an
interruption in postal service, any notice will not be received by the addressee by no later
than the third (3rd)business day following the mailing thereof, then the mailing of any such
notice as aforesaid shall not be an effective means of sending the same but rather any
notice must then be sent by an alternative method which it may reasonably be anticipated
will cause the notice to be received reasonably expeditiously by the addressee.
Any person entitled to receive any such notice may waive such notice either before or
after the meeting to which such notice refers.
17.2
Computation of Time
In computing the date when notice must be given under any provision requiring a
specified number of days' notice of any meeting or other event, the date of giving the
notice shall be excluded and the date of the meeting or other event shall be included.
17.3
Omissions and Errors
The accidental omission to give any notice to any Member, Director, officer, member of a
committee or the auditor of the Corporation or the non-receipt of any notice by any
Member, Director, officer, member of a committee or the auditor of the Corporation or any
error in any notice not affecting the substance thereof shall not invalidate any action taken
at any meeting held pursuant to such notice or otherwise founded thereon.
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17.4
GLENGARRY MEMORIAL
HOSPITAL
Waiver of Notice
Any Member, Director, officer, member of a committee or the auditor of the Corporation
may waive any notice required to be given to him or her under any provision of the Public
Hospitals Act, the Act or the Letters Patent or the by-laws of the Corporation, and such
waiver, whether given before or after the meeting or other event of which notice is
required to be given, shall cure any default in giving such notice. Attendance and
participation at a meeting constitutes waiver of notice.
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HOSPITAL
Current Wording:
Part XII: Amendments
137.
AMENDMENTS TO BY-LAWS
(1)
The Board may pass or amend the By-laws of the Corporation from time to time.
(2)
(3)
(4)
(a)
Where it is intended to pass or amend the By-laws at a meeting of the
Board, written notice of such intention shall be sent by the Secretary to
each Director at his or her address as shown on the records of the
Corporation by ordinary mail not less than ten days before the meeting.
(b)
Where the notice of intention required by clause (2)(a) is not provided, any
proposed By-laws or amendments to the By-laws may nevertheless be
moved at the meeting and discussion and voting thereon adjourned to the
next meeting, for which no notice of intention need be given.
Subject to clauses (4)(b) and (4)(c) below, a By-law or an amendment to a By-law
passed by the Board has full force and effect:
(a)
from the time the motion was passed, or
(b)
from such future time as may be specified in the motion.
(a)
A By-law or an amendment to a By-law passed by the Board shall be
presented for confirmation at the next annual meeting or to a special
general meeting of the members of the Corporation called for that purpose.
The notice of such annual meeting or special general meeting shall refer to
the By-law or amendment to be presented.
(b)
The members at the annual meeting or at a special general meeting may
confirm the By-law as presented or reject or amend it, and if rejected it
thereupon ceases to have effect and if amended it takes effect as
amended.
(c)
Those sections of the By-laws passed or amended pursuant to regulations
made under the Public Hospitals Act shall be forwarded to the Minister of
Health for approval and shall cease to be effective forthwith upon notice of
disapproval by the Minister.
(5)
138.
In any case of rejection, amendment, or refusal to approve a By-law or part of a
By-law in force and effect in accordance with any part of this section, no act done
or right acquired under any such By-law is prejudicially affected by any such
rejection, amendment or refusal to approve.
AMENDMENTS TO MEDICAL STAFF PART
Prior to submitting the medical staff part of this By-law to the process established in
section 147, the following procedures shall be followed:
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(a)
notice specifying the proposed medical staff part of the By-law or amendment
thereto shall be posted;
(b)
the medical staff shall be afforded an opportunity to comment on the proposed
medical staff part of the By-law or amendment thereto; and
(c)
the Medical Advisory Committee shall make recommendations to the Board,
concerning the proposed medical staff part of the By-law or amendment thereto.
Proposed Wording:
ARTICLE 18: Amendments of By-laws
18.1
Amendment
Subject to applicable legislation, the provisions of the by-laws of the Corporation may be
repealed or amended by by-law enacted by a majority resolution of the Directors at a
meeting of the Board of Directors and sanctioned by at least a majority of the Members
entitled to vote and voting at a meeting duly called for the purpose of considering the said
by-law.
18.2
Effect of Amendment
Subject to the Act and to section 18.3 below, a by-law or an amendment to a by-law
passed by the Board has full force and effect:
18.3
(a)
from the time the motion was passed, or
(b)
from such future time as may be specified in the motion.
Member Approval
A by-law or an amendment to a by-law passed by the Board shall be presented for
confirmation at the next annual meeting or to a general meeting of the Members of the
Corporation called for that purpose. The notice of such annual meeting or general
meeting shall refer to the by-law or amendment to be presented.
The Members entitled to vote at the annual meeting or at a general meeting may confirm
the by-law as presented or reject or amend it, and if rejected, it thereupon ceases to have
effect and if amended, it takes effect as amended.
In any case of rejection, amendment, or refusal to approve the by-law or part of the bylaw in force and effect in accordance with any part of this section, no act done or right
acquired under any such by-law is prejudicially affected by any such rejection,
amendment or refusal to approve.
18.4
Amendments to Professional Staff By-law
Prior to submitting all or any part of the Professional Staff By-law to the process
established in sections 18.1 and 18.3, the following procedures shall be followed:
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a. notice specifying the proposed medical staff part of the By-law or amendment
thereto shall be posted;
b. the medical staff shall be afforded an opportunity to comment on the proposed
medical staff part of the By-law or amendment thereto; and
c. the Medical Advisory Committee shall make recommendations to the Board,
concerning the proposed medical staff part of the By-law or amendment thereto.
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