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 -1- 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 -2- 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 -3- 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. -4- 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 -5- 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. -6- 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 -7- 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. -8- 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 -9- 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 - 10 - 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 - 11 - 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. - 12 - 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 - 13 - 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. - 14 - 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 - 15 - 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 - 16 - HÔPITAL 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 - 17 - 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. - 18 - 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 - 19 - 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 - 20 - 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 - 21 - HÔPITAL GLENGARRY MEMORIAL - 22 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 23 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 24 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 25 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 26 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 27 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 28 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 29 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 30 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 31 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 32 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 33 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 34 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 35 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 36 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 37 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL - 38 - HOSPITAL HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 39 - HÔPITAL GLENGARRY MEMORIAL 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; - 53 - HÔPITAL iv) v) vi) vii) viii) GLENGARRY MEMORIAL HOSPITAL 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: - 54 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL (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 - 55 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 56 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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 - 57 - HÔPITAL (d) (2) 25. GLENGARRY MEMORIAL HOSPITAL 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. - 58 - HÔPITAL 26. 32. 39. HOSPITAL 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 - 59 - HÔPITAL (c) 4.3 4.5 HOSPITAL 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. - 60 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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; - 61 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL (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 - 62 - HÔPITAL GLENGARRY MEMORIAL (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) HOSPITAL the Vice-Chair if the Chair is absent, or - 63 - HÔPITAL (c) 26. 32. 39. HOSPITAL 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). - 64 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 65 - HÔPITAL (4) GLENGARRY MEMORIAL HOSPITAL 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. - 66 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 67 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 68 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 69 - HÔPITAL (f) GLENGARRY MEMORIAL HOSPITAL The provisions of this Article are in addition to any conflict of interest policy adopted by the Board from time to time. - 70 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 71 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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, - 72 - HÔPITAL (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (b) 8.3 GLENGARRY MEMORIAL HOSPITAL 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 - 73 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL of its members. Any Executive Committee member may be removed by a majority vote of the Board. - 74 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 75 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 76 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 77 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 78 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 79 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 80 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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; - 81 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL (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. - 82 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 83 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 84 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 85 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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: - 86 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL (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. - 87 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 88 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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 - 89 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 90 - HÔPITAL GLENGARRY MEMORIAL 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. - 91 - HÔPITAL 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. - 92 - HÔPITAL GLENGARRY MEMORIAL 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: - 93 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL (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: - 94 - HÔPITAL GLENGARRY MEMORIAL HOSPITAL 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. - 95 -