Whitewater Bromley Community Health Centre
Advisory Board of Directors
Box 509, Cobden, ON, K0J 1K0
Whitewater Bromley CHC Directors Meeting
June 10, 2008, Cobden Site, 7pm.
Present: Pat Krose, Rob McKenzie, Jack McLaren, Izett McBride, Ron Jaremkow, Lynne Dunn, Earl Bennett
Regrets: Randi Keith, Bev Buchanan, Brian Yuke
1.Pat opened the meeting at 7:04 with greetings to all present. Pat thanked Ron for being the chair for the last two years. She suggested that the directors give some thought to the direction the board should move and that we have a “think tank” in a future meeting to develop new ideas.
2.Program Directors Report - Veli presented his report as follows:
Programming Updates
WBCHCS
1.Food for Learning Partnership: With the school year winding down, a report should be coming to me during the early part of the summer.
2.Health Happenings: The newsletter is being finalised for distribution next week.
3.Newspaper article: Bonny is on deck with her article “Diet and Exercise in preventing chronic disease?” This article is also a tool for advertising the Optimizing Life group.
4.Child Car Seat Safety: The car seat clinics are happening at 1:30 pm on the 2nd and 4th Tuesday of the month. We also have the support of the Upper Ottawa Valley OPP and the Renfrew County Paramedic/Ambulance Service for additional help if there are a lot of people wanting appointments.
5.Optimizing Health: Evaluation of the last group is being done. With initial feedback from the group we will look at creating a peer-support group for graduates of the program.
6.The Leading Edge: Similar to last year, we are waiting to hear about the HRDC funding regarding our ability to hire one or two students for the Leading Edge Program. This year will be addressing environmental issues as well as organized games for youth. The name for this year is the “Games and Green Edition”. We are also promoting a more independent environment for the students to develop this summer program with less intervention on Lara and Ray’s part.
Other Community Issues
·The Renfrew County Health Network has a meeting planned with Jeremy Stevenson tentatively on the 9th or 10th of July. I am looking forward to the response from our LHIN representatives.
·We will be preparing for our next client satisfaction survey that will be completed at the end of the summer / early fall. This survey may be done a little differently as we are trying to determine region usage as well as satisfaction with services (meaning how many people are not using the clinic at the time of the survey.
·The Renfrew County Community of Care Advisory Forum is having their AGM on Thursday June 19th at Miramichi Lodge.
Staff Development
·Our staff attended their first “Staff Development Day” held locally at Nangor Resort as they were able to give us an exceptional price on use of their building plus lunch. Our guest speaker lead the team through communication, teamwork, team building and an exercise called “True Colours”. The exercise identifies people’s individual personalities and how they interact with other “colour types”. Overall it was a great day with a lot of self evaluation and reflection on how our personalities interact at work. The afternoon was used for a team style activity using the services of the Ottawa Valley Tourism Association. Alastair Baird took the team through a GPS 101 class and lead us through a “Geo-Caching” exercise to show us other ways to encourage clients to use the region for their healthy lifestyle plans.
·Our front-line staff completed a “Crisis Intervention Workshop” with our former Program Director Sandra Tait on Friday June 6, 2008. The group was happy to have this kind of workshop as it has helped them prepare for potential ‘crisis’ type situations than could occur in their daily front-line work.
·Members of the team will be attending the AOHC conference this week. This will be an excellent opportunity for me to network with my peers to get a better idea of what to expect in the future if our RCHN plans come to fruition.
·I have also completed another course on my way to certification in the Ontario Management Development Program at Algonquin college.
Volunteer Recognition Day
Lara organized our volunteer recognition day with a potluck lunch and some musical entertainment for our wonderful volunteers. It was nice to meet some of the people who really make things happen for the residents in our catchment area. I only wish we would be able to do a lot more in the future - we will see where this leads as we move forward.
Final Words: Again, my comments about the learning process I have embarked on could not be stated any different - I LOVE IT! Although some days can be stressful, I can truly state that I am getting what I asked for in not being BORED. As we move forward to being self-governing, I hope everyone has the patience and flexibility to take the chance on some of our future decisions and not be afraid of making a “learning opportunity”.
Respectfully submitted,
Veli Rautio
Program Director
WBCHCS
3.Izett gave a very informative presentation on the creation and development of WBCHC and the role of a board member within WBCHC.
Brief history of Whitewater Bromley CHC
Started with a community group of interested people in the mid 90’s
Committee had tremendous Health Fair in Cobden that was a public “coming out”. I think it was in 2000.
Around this time (or before) a Nurse Practitioner Program officially started at Beachburg Medical Centre as a program of North Lanark Community Health Centre.
Formed board of Whitewater Bromley Community Health Centre and incorporated in 2002.
Nurse practitioner program extended to include a second person at Cobden in rented space at 70 Main.
Full blown application and lobbying was ongoing to the Ministry of Health for full CHC designation and funding.
Board purchased 70 Main in 2003 and subsequently had it paid off through Lanark’s budget for Nurse Practitioner Program.
Ministry announced funding in late 2004 for full time Satellite operations (of Lanark Health and Community Services) in Beachburg and Cobden and with Rainbow Valley CHC as well with a .6 “Point of Access” office in Killaloe. This gave us some 21 positions including a Program Director as our local manager who answers directly to Lanark’s Executive Director John Jordan.
A series of planning and information and training sessions followed to understand how this Satellite of what was now Lanark Health and Community Services would work. A lot of discussion was around separating this board’s role from operations to advisory roles. In that sense it was no change from the Nurse practitioner program which was managed from Lanark as well.
Current operation was and still is that funding and therefore responsibility and control flows through Lanark to the satellites under the supervision of the Program Director.
Our board and Rainbow Valley CHC serve as advisory boards to Lanark.
A satellite committee became part of the chain of command. It is made up of our chair (who also chairs the satellite committee) and 2 other members from WBCHC, 2 members from Rainbow Valley and the Program Director of these satellites, currently Veli. Lanark’s ED John Jordan is a frequent player. They currently meet every second month. The chair of our board chairs that committee as well as sits on Lanark’s board with full voting rights so he/she is our legal link.
WBCHC has a large function as Landlord with ownership of the Cobden site. This is under a formal lease agreement with Lanark Health and Community Service as does the Beachburg site which is owned by the municipality and leased to Lanark as well.
With the rapid growth in both sites workload it quickly became apparent that the Cobden site is inadequate so WBCHC undertook a functional plan study the winter of 06/07 and now have a full building background study and plan ready to roll. These are a required step in obtaining government funding for capital purposes. WBCHC also purchased 68 Main Street to square up the lot for the future construction.
We have not stopped lobbying for independent status since becoming a satellite although the funding has been a tremendous benefit to our areas. Lanark has been a terrific group to be affiliated with and they’ve been behind us all the way as we work towards autonomy.
Currently this board is involved with a steering committee with reps from this board, Rainbow Valley in Killaloe, Pikwakanagan Family Health team, Bonnechere Health group from Eganville as well as Lanark Health and Community Services. This committee is pursuing a new formation tentatively called the Renfrew County Health Network which would start with 5 centres run as one organization. Governance would be by a board made up of reps from each of the four participating groups. Again, these sites are Beachburg, Cobden, Eganville, Golden Lake and Killaloe.
Benefits that should be apparent to the LHIN and the Ministry would be economy of scale with central administration, a better mix of professionals that in some cases could move from site to site and governance that is local. We believe with this critical mass the case for self governance is that much stronger and as well creating a structure to be a major player in the provision of quality primary health care across this central section of Renfrew County.
Committee structures here are evolutionary and in all cases are committees of this board, usually but not necessarily, chaired by a board member.
Committees last year included fundraising, property, membership, political liaison and board affairs. Each year the chair and the board are free to establish committees that are needed but in cases of action the flow is the committee would bring a recommendation to the board.
Presented by Izett June 10/08, hopefully to help us all understand that this has always been an evolution and we’re certainly not there yet!
4.Minutes of the May 13 Meeting - Jack moved that the minutes be accepted as presented, seconded by Ron, carried.
5.Business Arising from the minutes - Earl suggested that a meeting be arranged with John Jordan regarding an increase in rent for the Cobden Site. Earl, Jack and Randi will prepare the information justifying the increase.
6.Correspondence -
·Ron gave Earl a letter from Enbridge to relay to Randi.
·The AOHC conference takes place in Ottawa June 12, 13. Pat will register as a participant but if unable to attend due to personal reasons, Earl will attend on the Friday in her place.
·Lanark Mutual Insurance Golf Tournament will be held June 11 at White Oaks and they have selected WBCHC as recipient of any funds raised. Ron will attend to accept the donation.
·In regards to our liability insurance carrier HIROC, Earl made a motion that our liability insurance should be extended to cover volunteers as well as the elected directors. Seconded by Izett, carried.
7.New Business -
·WBCHC team for the Civitan Golf Tournament, it was suggested that Izett, Earl, Pat and Randi make up a team.
·A planned meeting with the Whitewater Region Finance Committee has been cancelled.
8.The Treasurers report prepared by Randi was presented by Earl. It was noted that $10,000 was applied to the loan from Renfrew County Futures at this time. Ron moved that the report be accepted as read, seconded by Jack, carried.
9.Committee Reports -
Property - Jack/Earl:
The two flower boxes belonging to Bonnechere have been moved to make better access to rear yard.
Regarding drainage in back yard, it had been graded to meet the elevation of the present manhole at the street. However it was much improved over previous years even with the extra amount of snow and then the heavy rain we had early, it seems every thing drains down from Ross Street through our property.
Talked to Hal he said the only solution would be to cut the side out of the manhole, this has been sawed down 15 inches by McLaren Systems.
Hal said he got word from the office not to do any work until they get a letter from WBCHC asking for work to be done & all work done was to be accounted for.
We have two routes we can go. Lower & reslope the present area 15 in. This will do nothing for the water behind this building, but should fix the back yard problem.
Install drain pipe full length of the two lots, install a tee and come across the drive way to get the water from behind this building & back fill trench with gravel
Rough estimated costs 350 ft 4 in tile with sock @ 68 = $ 350.68
1 tee 5.00
2 end caps 5.00
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$ 360. plus tax $ 403.00
Back hoe 4 hrs,@ $80.00 $ 320.00
1 load pit run @ $ 105. $ 105.00
2 load crushed @ 165.00 $ 330.00
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$ 755.00 GST $ 792.75
MISC ???????
TOTAL $ 1195.00
Pipe across drive way will have to be protected
Have to get service locations marked where wires are and dig these areas by hand.
Jack McLaren
At this point, Earl made a motion that the board approve up to $1500 for drainage improvement of 68 and 70 Main St. Motion seconded by Lynne, carried.
Fund Raising - Pat described various issues that have held up the production of the Fund Raising Brochure. It should be ready very shortly.
Committee Chairs
After discussion around the table, the following positions were established:
Property Chair - Earl Bennett and Jack McLaren
Political Liaison - Izett McBride
Publicity and Web Site - Ron Jaremkow
Fund Raising - Lynne Dunn
Board Affairs & Membership - Rob McKenzie and Brain Yuke
Moved by Izett that the list of Committee Chairs be accepted, seconded by Rob, carried.
10.Next Meeting - to be held at Pat’s home, evening of July 29. Rob offered to supply the beef for BBQ hamburgers while other members made various offers of baking, salads etc. Pat will send out a mail to organize the meeting.
11.Round Table Comments - a discussion on the merit of holding future AGM’s in the Cobden Civitan Hall was weighed against the value of continuing the practice of rotating the AGM between Cobden, Beachburg and Admaston/Bromley. No consensus was reached at this time.
12. Adjournment - at approx 9:55PM