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Minutes of the meeting of the board of directors

Board of Directors Meeting
Toronto Central Local Health Integration Network
Wednesday, February 25, 2015, 4:00 – 7:00 p.m. Boardroom, Toronto Central LHIN 425 Bloor Street East, Suite 201, Toronto, Ontario Directors Present
Staff Present
Angela Ferrante (Chair) Camille Orridge, Chief Executive Officer Vania Sakelaris, Senior Director, Health System Carol Perry (via teleconference) Integration, Design and Development Raj Krishnapillai, Senior Director, Finance, Corporate and Shared Services Kevin Robinson, IT Director, LHIN Shared Christopher Hoffmann Bill Manson, Senior Director, Performance Nello Del Rizzo, Senior Consultant, Performance Management Sophia Ikura, Senior Director, Community Engagement and Corporate Affairs Tim O'Leary, Pan Am Games Emergency Lead Planner, Community Engagement and Corporate Affairs Rachel Solomon, Senior Director, Performance Measurement and Information Management Sue Robertson, Recorder Director Regrets:
Staff Regrets:
Heidi Hay, Senior Director, LHINC Guest Presenters:
Tim O'Leary, Lead Emergency Planner/PAN AM/Parapan Games


Notice of the meeting having been properly given to each Board member and seven (7) Board
members being present at the meeting, the Chair declared the meeting duly constituted for the
transaction of business.
1.
Call to Order
The Chair called the meeting to order at 4:05 p.m. Minutes from the Toronto Central LHIN Board Meeting – February 25, 2015 Welcome and Guide to Open Meetings of the Toronto Central Local Health
Integration Network


The Chair welcomed the public to the open Board of Directors meeting.
The Chair invited the Board members and members of the Senior Management Team to
introduce themselves.
The Chair outlined the process for stakeholders and community members to request a
presentation to the board during regular meetings.
3.
Approval of Agenda
The Chair invited comments from the Board regarding the meeting agenda. UPON MOTION duly made, and unanimously carried, the Toronto Central LHIN
Board approved the Agenda of the February 25, 2015 Board of Directors meeting
as tabled.

Declaration(s) of Conflict(s)

No declaration(s) of conflict(s) were made.
5.
Voluntary Integration – Community Resource Connections Toronto / Fred Victor

The Chair referred members to the briefing note in the meeting materials that outlines the
background and rationale for the proposed integration.
An overview of the proposed integration was provided by staff person Nello Del Rizzo. Upon
assessment of the business case, Toronto Central LHIN determined that it provided sufficient
evidence that this voluntary integration will result in the sustainability of the organization and
that services will be maintained. Select services expanded over time. In addition, it is expected
that service quality will also be enhanced through the leveraging of expertise and strengths from
both organizations.
Subject to the voluntary integration proceeding, the agency will be required to provide progress
reports to Toronto Central LHIN, which will track the system impacts and progress of the
voluntary integration over time. Progress reports will be required at 6, 12, 18 and 24 months and
will include progress on the service levels compared to baseline; savings/efficiencies and
reinvestment; quality improvement and update on any issues including human resource and
follow up community engagement.
In response to a question raised, Nello Del Rizzo clarified an amount of ongoing savings of
$163,000. It was also noted that Toronto Central LHIN funded $164,000 one-time funds for legal
and due diligence costs associated with the voluntary integration.
In response to a question raised it was noted that a high level organizational review revealed
that an integration would benefit the organization. Agency partners were invited to submit
integration proposals, of which 3 proposals were shortlisted. It was determined that integration
Minutes from the Toronto Central LHIN Board Meeting – February 25, 2015 between Community Resource Connections Toronto and Fred Victor provided the opportunity to enhance benefits to clients. There being no further questions raised, the following motion was passed: UPON MOTION duly made, and unanimously carried, the Toronto Central LHIN
Board will not stop the voluntary integration between Community Resource
Connections Toronto and Fred Victor from proceeding.

Integration Report

The CEO noted that last year the Board requested a full integration report on the integrations to
date. Going forward, Toronto Central LHIN will be providing this integration report on an annual
basis.
The Toronto Central LHINs role is to plan and fund health care services in its catchment area.
The CEO noted that while up to now the LHIN has supported voluntary integrations, the LHIN
will be looking at broader system planning which may result in facilitated integrations going
forward.
In response to a question raised, the CEO noted that the shift from voluntary to facilitated
integration would support smaller agencies that are experiencing difficulties. The LHIN is
holding Board to Board meetings with the sectors and this will be discussed with the governors
as part of the LHINs strategic plan priorities.
A question was raised with respect to third party review of integrations to date. Bill Manson,
Senior Director clarified that Toronto Central LHIN was at the beginning stages of the process,
highlighting that the goal of the review will be to gain a system perspective on how the
integrations are affecting the health care system and provide a platform for planning facilitated
integration possibilities.
In response to a question raised regarding how the LHIN budgets for integrations, the CEO
noted that there is an estimated budget line allocated to integration support dollars for agencies.
7.
Presentation – Emergency Preparedness in the TC LHIN

Sophia Ikura, Senior Director introduced Tim O'Leary, Pan Am Games Emergency Lead
Planner, Community Engagement and Corporate Affairs presented to the Board on
preparedness for the Pan Am Games.
Toronto Central LHIN has assumed the lead for health system emergency preparedness across
the seven LHINs hosting venues for the Pan AM and Parapan Am Games taking place in July-
August 2015. A plan has been developed for standardization of communication and
coordination for emergency planning and response, as well as clarifying guidelines and
providing emergency preparedness training. An emergency management communications tool
has been developed to secure near real-time dissemination of relevant information across the
health sector.
In response to a question raised it was highlighted that risks can be mitigated through
conducting exercise scenarios and regular testing. It is also important that the emergency
management communications tool be maintained as a legacy system after the Games. Toronto
Minutes from the Toronto Central LHIN Board Meeting – February 25, 2015 Central LHIN is working closely with the Ministry's Emergency Management Branch to help with
sustainability of the communications system.
A question was raised with respect to timelines. It was noted that Toronto Central LHIN had
received a memorandum from the Ministry's Emergency Management Branch with their
expectations of what roles the LHINs will assume in an emergency management situation
during the games. Sophia Ikura, Senior Director noted that Toronto Central LHIN is in the
process of compiling a project plan of the seven LHIN's responsibilities. The Board requested
that a checklist be presented based on the Ministry's memorandum.

8.

Minutes for Approval

The Chair advised that due to Toronto Central LHIN's document management system being
inoperable there had not been enough time for the Board to review the minutes of the last
meeting therefore, this item is deferred to the next Board meeting.
9.
Consent Agenda

The Board received the CEO Q3 Report in the meeting materials. Further to the report, the
CEO noted that the Thorncliffe Pregnancy Clinic opening event took place on February 2, 2015.
Premier Kathleen Wynne, along with several partners, came together to make this important
announcement to improve the health of Thorncliffe Park residents with the opening of a new
pregnancy clinic that supports mothers and babies.
Two items were tabled for approval within the consent agenda.
Chair Attestation
The Chair noted that a request for exemption has been submitted to the Ministry of Health and
Long Term Care with respect to the LHINs HIROC non-compliance. Toronto Central LHIN is
awaiting a response on the matter. In the meantime the LHINs insurance coverage remains
intact and there are no issues with coverage.
The Board passed the following motion related to the Attestation Form to be signed and
executed by Chair:
UPON MOTION duly made, and unanimously carried, the Toronto Central LHIN
Board of Directors authorizes the Chair to execute and submit the Chair
Attestation (Declaration of Compliance) to the Ministry for the third quarter
2014/15.


Delegation of Authority re MLPA Negotiations
The Chair noted that the LHINs have agreed to a PAN LHIN process for MPLA Negotiations and
principles for Provincial LHIN Negotiating Committees to negotiate on behalf of LHINs on issues
of common interest. The negotiating team will report back to the Board as work progresses.

In response to a question raised, the Chair noted that a conversation should take place at the
Board level to determine what TC LHIN would be looking to achieve in the MPLA.
Minutes from the Toronto Central LHIN Board Meeting – February 25, 2015 The CEO noted that individual LHIN work is not reflected in the MLPA indicators to that level of detail. The MLPA outlines the accountability relationship between a LHIN and the Ministry of Health and Long-Term Care. The Ministry's priorities and action plans are transposed to indicators. UPON MOTION duly made, and unanimously carried, the Toronto Central LHIN
Board of Directors hereby authorizes a Work Group with representation from LHIN
Legal Services, LHIN CEOs (Erie St. Clair and Waterloo Wellington LHINs) and
Board Chairs (North Simcoe Muskoka and Mississauga Halton LHINs) to act on
behalf of the Toronto Central LHIN to coordinate and manage the negotiation
process for the renewal of the LHIN-Ministry Performance Agreement for 2015/16,
with a focus on two key areas of discussion: (1) improved alignment of
performance indicators to the ministry's mandate and priorities; and (2) working
towards an agreement that reflects a true partnership between the ministry and
LHINs with a focus on outcomes.

Finance and Audit Committee Report

Felix Wu, Chair of the Finance and Audit Committee referred members to the Committee's
report in the meeting materials.
Mr. Wu advised the Board the membership for the LSSO/LHINC Audit Subcommittee has been
set for the upcoming year.
TC LHIN Q3 Consolidated Financial Statements
No issues or concerns were raised regarding the statements.
UPON MOTION duly made, and unanimously carried, that the Board of Directors
hereby approve the Q3 2014/15 Consolidated Financial Results Report
(unaudited).


Approval Audit Plan 2014/15
The Finance and Audit Committee met with Deloitte to review the audit plans for the TC LHIN
and its divisions – LHIN Shared Services Office (LSSO) and the LHIN Collaborative (LHINC).
Mr. Wu advised the Board that the Committee is satisfied that the audit approach adheres to
applicable professional auditing standards.
UPON MOTION duly made, and unanimously carried, the Board of Directors
approve the 2014/15 Audit Plans for TC LHIN, LSSO, and LHINC.

Annual Business Plan Felix Wu reported that Toronto Central LHIN aim is to have alignment between the Annual Business Plan and the Strategic Plan. The Ministry has agreed to Toronto Central LHIN's use of the updated Strategic Plan as the framework for the new Annual Business Plan. The Finance and Audit Committee agreed to amend the process this year and a draft 2015/16 Annual Business Plan will be provided directly to the Board of Directors for review in March 2015. Minutes from the Toronto Central LHIN Board Meeting – February 25, 2015 Q3 Risk Report
It was highlighted that the Finance and Audit Committee discussed the CCAC waiver details
which is very detailed in terms of clearly articulating expectations for both the LHIN and CCAC.
In response to a question raised, the CEO noted that work continues with the CCAC to review
revenues and services to determine how they can balance next year. It was also noted that the
Toronto Central LHIN is working in collaboration with the Ministry of Health and agencies on the
unintended circumstances of the HSFR funding model.

A question was raised regarding hospital privacy breaches and it was determined that the Board
would address this item at a future board meeting.

11.

Long Term Care Capacity Planning in Toronto Central LHIN
The CEO referred members to the briefing note in the meeting materials that outlines the major issues facing long term care in the Toronto Central LHIN. The Board was asked to support the proposal to develop a GTA long term care capacity plan. UPON MOTION duly made, and unanimously carried, the Toronto Central LHIN
Board of Directors hereby supports the proposal that one Long Term Care plan be
developed for the GTA and authorizes the TC LHIN Board Chair to facilitate a
request to the Boards of the Central, Central East, Central West, and Mississauga
Halton LHINs to participate in the preparation of a Long Term Care Capacity plan
for the GTA.

Chair's Report

The Chair noted that the LHIN Leadership Council met in January to discuss collaborative
governance. The Council also discussed a proposed approach for future regional sessions on
collaborative governance.
The Chair Council also met in January and discussed the public appointments secretariat
governance training. Notifications would be sent about these sessions. It was noted that some
of the Board had already completed this training
Board Evaluation
The Chair reported an analysis would be undertaken to included year over year Board
evaluation. Results will be presented at the Governance and Nominations Committee in April
2015.

13.

Other Business - Collaborative Governance

The Chair referred members to the report on the November pan-LHIN Board education session
on collaborative governance. Board members were asked to review the report, reflect on what
other LHINs had commented on and identify any further thoughts and ideas.
Minutes from the Toronto Central LHIN Board Meeting – February 25, 2015 The Board determined that there were no surprises in the report and no areas of concerns. It
was noted that while there is ongoing discussions about the difference of services between
LHIN to LHIN, the designs of services needs to fit with the local geography and this is an
important distinction between the LHINs across the Province.
14.

Next Board Meeting
The next regularly scheduled Board of Directors meeting will be held on April 29, 2015, from 4:00 -7:00 p.m. in the Toronto Central LHIN Boardroom. UPON MOTION duly made, and unanimously carried, the Toronto Central Local
Health Integration Network Board of Directors meeting was moved into a closed
session pursuant to s.9(5) of the Local Health Systems Integration Act, 2006 to:

Consider financial and other matters concerning personal or public
interest and personnel matters.


and that Board Members, along with Camille Orridge and Sue Robertson join the
Board in the closed session.

Termination

The Board meeting was terminated by the Chair at 7:00 p.m.
Angela Ferrante, Meeting Chair Minutes from the Toronto Central LHIN Board Meeting – February 25, 2015

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