Prayer
Enlighten each one of us as we are called to help and to serve those around us,
May our decisions and actions bring forth justice and healing.
May we embrace those around us with the same tenderness that we ourselves require,
We pray for God’s supportive love, wisdom and peace in all that we do.
Amen
Hôtel-Dieu Grace Healthcare Open Meeting Agenda
June 21, 2017 5:00 Meeting HDGH Corporate Boardroom
Item Topic Responsibility Time Action Required Approval Discussion Information
1.0 Call to Order & Opening Prayer s. Cunningham 5:00
1.1 Quorum S. Cunningham
1.2 Declaration of Conflict of Interest S. Cunningham
1.3 Agenda S. Cunningham X
2.0 Consent Agenda Items* S. Cunningham 5:05 2.1 Minutes of the previous open Board meeting – May 24, 2017 X
2.2 Minutes of the Professional Advisory Committee Meeting – May 3, 2017 X
3.0 Business Arising - none
4.0 Reports
4.1 Foundation Report B. Marra 5:10 X
4.2 Communications Report B. Marra X
4.3 Spiritual Care, Volunteer/Student Placements B. Marra
4.3 Chair Professional Advisory Committee Report A. Steen 5:15 X 4.4 Board Chair Report
• Lead Agency CorrespondenceS. Cunningham 5:20 X
4.5 CEO Report J. Kaffer 5:30
6.0 Date of Next Regular Meeting September 20, 2017 4:00 pm at HDGH
7.0 Adjournment S. Cunningham 5:40
8.0 Dinner break and media reporting 5:40-5:55
Hôtel-Dieu Grace Healthcare OPEN Meeting of the Board of Directors
May 24, 2017
1
Minutes of the Open meeting of the Board of Directors held Wednesday, May 24, 2017 at HDGH, Corporate Boardroom, 1453 Prince Road, Windsor
Community Members Present Ex-Officio Members Present
S.Cunningham- Chair B. Payne E. Lipnicki J. Kaffer
M. Horrobin–Vice Chair
C. Derbyshire–Past Chair
Dr.Steen (Interim CPAC)
Dr. Demarco
J. Clark K. Blanchette F. Bagatto
P. Soulliere P. Dumo
D. Wellington
T. Catherwood
Community Members Absent Ex-Officio Members Absent
R. Shahbazi A. Frederick
L. Lombardo M. Lomazzo
ADMINISTRATION: B. Marra M. Campagna M. Benson-Albers S. Grbevski M. Broga
1. CALL TO ORDERThe Board Chair called the meeting to order at 5:05 pm
1.1 QUORUM Confirmed
1.2 CONFLICT OF INTEREST S. Cunningham declared conflict for item 5.0 i) Foundation Donation Transfer
1.3 AGENDA It was moved by K. Blanchette and seconded by B. Payne THAT the agenda be approved as circulated with no additions. CARRIED
2.0 CONSENT AGENDA ITEMS It was moved by P. Soulliere and seconded by M. Horrobin THAT the consent agenda items be approved as distributed. CARRIED
3.0 BUSINESS ARISING None
4.0 FRENCH LANGUAGE SERVICES PLAN The Chief of Human Resources discussed the French Language Services Plan as provided in the meeting package circulated in advance of the meeting. HDGH has worked with the ESC LHIN to develop this plan.
It was moved by B. Payne and seconded by T. Catherwood THAT the French Language Services Plan be approved as presented. CARRIED
Hôtel-Dieu Grace Healthcare OPEN Meeting of the Board of Directors
May 24, 2017
2
5.0 FINANCE i. Foundation Donation Transfer
P. Soulliere reviewed the briefing note as included in the meeting package, transfer of funds to the Foundation. Previously, the Hotel Dieu Grace Hospital Foundation had desired to establish an endowment fund and had initiated some fundraising to support that endeavor. There were no terms of reference or restrictions established for these funds. Upon the amalgamation of the Hotel Dieu Grace Hospital Foundation and the Windsor Regional Hospital Foundation, these funds were agreed to be transferred directly to HDGH rather than the newly amalgamated foundation. However upon the creation of the Changing Lives Together Foundation, these funds are now appropriate to transfer back to the hospital’s foundation from HDGH.
It was moved by K. Blanchette seconded by P. Soulliere THAT the request for Hôtel-Dieu Grace Healthcare (HDGH) to transfer funds in the amount of $190,485 to the Changing Lives Together Foundation (CLTF) be approved as presented. CARRIED
ii. Year-End Results
P. Soulliere along with M. Campagna, CFO reviewed the briefing note included in the meeting package providing the following highlights of a year end summary:
Results were consistent with forecast, ending with a $2M surplus
Full evaluation of employee benefits showed no changes or impacts.
Reported on sick time savings and special consideration sick time review.
Overtime realized savings due to benchmarking and managed vacancies; continued affects expected in coming year while benchmarking continues to completion
It was moved by P. Soulliere and seconded by K. Blanchette THAT the Year-End Financial Statements be approved as presented. CARRIED
6.0 REPORTS 6.1 FOUNDATION REPORT The Executive Director of the Foundation was available to review the report as provided in the meeting package. There were no questions or discussion. Some of the upcoming events were highlighted. 6.2 COMMUNICATIONS REPORT B. Marra, VP External Affairs provided an overview of the report and stated that this will be provided on a monthly basis to the Board for information purposes. Feedback given that it is a good report, it was suggested to track impressions as well. There were no questions of the report. 6.3 CHAIR OF PROFESSIONAL ADVISORY COMMITTEE REPORT
Dr. Andrea Steen, Interim Chair of the Professional Advisory Committee (CPAC) provided a report in advance of the meeting; there were no questions or discussion.
Hôtel-Dieu Grace Healthcare OPEN Meeting of the Board of Directors
May 24, 2017
3
6.4 COMMITTEE CHAIR REPORTS:
i. WORKPLACE EXCELLENCE: J. Clark was called to chair the WPE meeting in May due to the absence of B. Payne. The written report circulated in advance of the meeting was highlighted. There were no questions or discussion
ii. AUDIT AND FINANCE: A written report was circulated in advance of the meeting; there was no question or discussion. The action to establish a Fiscal Advisory Committee in Sept 2017 was highlighted.
6.4 BOARD CHAIR REPORT
The Chair attended the ESC LHIN Board to Board Governance Advisory Council. Dr. M. Girash, ESC LHIN Board Chair provided notes and they were included in the meeting materials. A key point of discussion for him was that the ESC LHIN will expect proposals to reflect collaboration/integration in the community. They don’t want to see silo proposals and that the Board of Directors must have a formal motion supporting the proposal before the LHIN Board will approve. Spoke at the OHA Panel; Effective Governance Collaboration to Advance Integration. Notes discussed were circulated in advance for the Directors to review. ESC LHIN Board Chair report for April 2017 was also included. Attended the Volunteer luncheon, the volunteer association presented a cheque in the amount of $30,000.00. Susan Richard was presented the Ron Truant Volunteer of the Year Award. Chair spent time with the past chair of the Downtown Mission; D. Davis and CEO R. Dunn having lunch and tour of the Ouellette site of the Downtown Mission. It is a very impressive facility. Congratulations to the HDGH CEO, she received a letter from the Minister of Labour - Kevin Flynn and Minister Hoskins of Minister of Health, regarding her work on the Workplace Violence Prevention in Health Care project.
7.0 DATE OF NEXT REGULAR MEETING – JUNE 21, 2017 HDGH 8.0 ADJOURNMENT It was moved by M. Horrobin and seconded by K. Blanchette that the meeting be
adjourned at 5:50 pm CARRIED
Open Minutes Hôtel-Dieu Grace Healthcare Professional Advisory Committee
Corporate Administration Boardroom May 3rd, 2017
Present: Dr. A. Steen, VP (Chair) Dr. J. Cohen Dr. K. Levang Ms. S. Grbevski, VP Dr. F. DeMarco Dr. B. Burke Dr. L. Jacobs Ms. L. DiRosa Dr. N. Liem Ms. E. Lipnicki, VP & CNO Ms. A. Murray Ms. S. Tompkins Ms. M. Campigotto Dr. L. Cortese Ms. J. Kaffer, CEO Regrets: Dr. D. Hellyer Recorder: Ms. A. Brooks
1. CALL TO ORDER The Chair, Dr. A. Steen called the open meeting of the Professional Advisory Committee to order at 1203 hrs.
1.1 QUORUM • Quorum was established. 1.2 DECLARATION OF CONFLICT
• None declared. 1.3 APPROVAL OF THE AGENDA MOTION It was MOVED by Dr. K. Levang and SECONDED by Dr. J. Cohen, that the agenda for May 3, 2017 be approved as written. CARRIED.
2. DISCUSSION/PRESENTATIONS • None to report.
3. CONSENT AGENDA ITEMS
3.1 APPROVAL OF THE MINUTES MOTION It was MOVED by Dr. J. Cohen and SECONDED by Dr. F. DeMarco, that the minutes of the Professional Advisory Committee held on April 5, 2017 be approved as written. CARRIED. 3.2 REGIONAL PHARMACY & THERAPEUTICS COMMITTEE
• The meeting minutes from the Regional Pharmacy and Therapeutics Committee from April 5, 2017.
• It was noted that members of the Medical Marijuana task force will begin meeting May 6th.
• The following motion was passed:
Page 1
MOTION It was MOVED by Dr. F. DeMarco and SECONDED by Dr. J. Cohen to accept THAT the Professional Advisory Committee of Hôtel-Dieu Grace Healthcare accepts the below recommended motions received from the Regional Pharmacy & Therapeutics Committee:
1704-01 P & T Approve the addition of Empagliflozin to formulary. 1704-02 P & T 1704-03 P & T 1704-04 P & T 1704-05 P & T 1704-06 P & T 1704-08 P & T 1704-09 P & T 1704-10 P & T 1704-12 P & T 1704-13 P & T 1704-14 P & T
Approve the addition of SMOF Kabiven to formulary to replace Clinoleic lipid and Clinimix TNA solution. Approve the deletion of Glyburide from formulary. Approve the Medication Use sub-committee Terms of Reference for 2017. Approve the interchange for Vimovo to Naproxen and Pantoprazole. Approve the adoption of the therapeutic interchange to formulary agent Sitagliptin. Approve the pump library Terms of Reference. Approve the deletion of Pamidronate from formulary and interchange any Pamidronate orders to Zoledronic Acid. Approve the interchange of all doses of Sodium Bicarbonate 500 mg to 2x325 mg tablets. Approve the Adult Total Nutrient Admixture (TNA) Order Set (HDGH), brought to PAC already and approved. Approve that to initiate with the safest starting dose, all future order sets will be prepopulated with the lowest narcotic dose only, and all range doses will be removed. Approve the addition of Micafungin to formulary to replace both caspofungin and anidulafungin. Prescribing will remain restricted to Infectious Diseases Physicians, Intensivists, and Oncologists. Caspofungin will remain on formulary at the Metropolitan campus for the treatment of febrile neutropenia in pediatric patients (based on the LHSC order set). All orders written for Caspofungin or Anidulafungin will be assessed by the pharmacist and substituted to micafungin.
3.3 INFECTION CONTROL COMMITTEE
• There was no meeting held in April 2017. 3.4 BRAIN AND BEHAVIOUR PROGRAM MEETING MINUTES – April 11, 2017.
• The department minutes were presented to members as information. It was noted that the Professorial rounds will begin tomorrow and the flyer has been circulated to hospital staff. Videoconferencing of the rounds will be set up at Chatham, Canadian Mental Health Association and both ACT Teams. It was noted that the residents will not be a part of the rounds and that no pharmacy industry sponsorship will be involved. The purpose of the rounds will be to educate the hospital staff. 3.5 RESTORATIVE CARE PROGRAM MEETING – April 20, 2017.
• The department minutes were presented to members as information.
4. BUSINESS ARISING
Page 2
• None to report.
5. REPORTS 5.1 REPORT OF THE ASSISTANT DEAN, WINDSOR FACULTY AFFAIRS– SCHULICH – Dr. L. Jacobs • It was stated that Dr. Denise Figlewicz, Vice Dean, Research and Innovation
has accepted a new role as Assistant Vice President, Research Enhancement and Development at Wayne State University effective April 18, 2017. A new Vice Dean will be hired and the announcement will be made in the next few weeks.
• The new Vice Dean of Faculty Affairs has been hired and an announcement will be made shortly.
• Schulich Medicine Education Conference for Faculty – May 5, 2017 - Keynote Speaker: Dr. David Snadden, Rural Doctors’ UBC Chair in Rural Health and Professor, Department of Family Practice, UBC Faculty of Medicine
• The conference will take place from 8:00 a.m. to 4:00 p.m. at Four Points by Sheraton in London. For more information and to register online visit http://www.schulich.uwo.ca/continuingprofessionaldevelopment/faculty_development/Schulich_Med_Ed_Conference.html
• Schulich students partnered with HDGH physicians and staff for a Quality Improvement Course. The students completed their presentation on Tuesday.
• Ms. N. Sbrocca and Dr. A. Steen will meet in during the summer months to discuss 4th year Elective Courses for students at HDGH.
5.2 REPORT OF THE CEO – MS. JANICE KAFFER • The CEO spoke to members regarding the announcement that came out in
the Ontario Budget. It was stated that the provincial budget announced that funding will be available for the next stage of planning for the new hospital system in Windsor. The CEO stated that HDGH is involved in 2 major initiatives regarding the new hospital system. The first initiative is the relocation of 60 acute care mental health beds to Tayfour Campus. Administration from both hospitals will be involved in planning of the process changes such as urgent assessment and supporting the remaining 8 mental health beds at Windsor Regional Hospital.
• The CEO discussed establishing a vision for chronic disease management in Windsor. It was stated that HDGH will have to create an image of how the downtown core will be taken care of and how will our acute care partners will assist. It was stated that Physicians will be brought in to discuss changes and initiatives going forward.
5.3 REPORT OF THE VP, BRAIN AND BEHAVIOUR HEALTH – Ms. S. Grbevski • There were two Mental Health Centre of Excellence Planning sessions have
been in progress with the last session taking place on June 9th. These sessions have been essential to develop the mapping process to establish
Page 3
the Centre of Excellence status and mechanism to track and measure outcomes.
• A teleconference was held on Friday, March 3rd with Dr. Marianne Farkas from Boston University to discuss the implementation of Recovery Oriented Care. It was suggested that HDGH first purchase the Recovery Toolkit, as the first step in initiating the model. The Recovery Toolkit has been purchased from Boston University with a licence for 3 years and members of the Centre of Excellence working group are currently reviewing its features.
• The date for the Mental Health Roundtable has been set for Monday, June 5th. This will consist of a full day working session with community partners to develop strategies to target gaps that have been identified through this process in Mental Health and Addictions system. Hotel-Dieu Grace Healthcare will host the event in the Brown Auditorium and invitations for the event have been sent out to community partners. Ms. Janice Forsyth has been hired to facilitate the Roundtable event.
• Windsor Police Services in partnership with Hôtel-Dieu Grace Healthcare will host speaker Brent Kalinowski from Global Network for Community Safety Canada Inc. on Thursday, June 1st in the Brown Auditorium. Mr. Kalinowski will train our community on how to mobilize a Situation Table and the benefits of establishing this format for complex care clients. Inspector Tammy Fryer will be scheduling the events for the day and inviting community partners to participate.
• The VP of Brain and Behaviour stated that funding has been received from the Ministry and Problem Gambling Services will be relocated to the Elms building as it currently occupies space in the Emara Building.
5.4 REPORT OF THE CNO & VP RESTORATIVE CARE – Ms. E. Lipnicki • No report.
5.5 REPORT OF THE CHAIR OF THE VPMA– Dr. A. Steen • The Vice President of Medical Affairs provided members with an update on
the Physician Evaluation Project. It was stated that both Program Medical Directors have received training in the Halogen software. Five physicians were selected in each program to be evaluation. This pattern will continue each month until all members in each department have been evaluated. The CEO noted that any feedback that she receives will be populated into Halogen and remain in the physicians file.
• The Vice President of Medical Affairs stated that the OHA 2017 Administrative Physician Compensation Survey was completed and that members will receive more information about the survey results at future meetings.
• It was stated that May 1st was Doctor’s Day and physicians were offered free coffee and a sweet treat to thank them for their services.
• The June Professional Staff Quarterly Meeting will now be held on Friday, June 2nd at 8am.
Page 4
• The Vice President of Medical Affairs stated that several physicians took part in a Joule Physician Leadership Training course that was held in April called “The Influencer”.
• The Annual Board Committee and Chair Survey will be sent out to all members for completion. Members will need to complete the survey by May 29th, 2017. A web link to complete the survey will be sent to all members.
6. DATE OF THE NEXT MEETING • The next Professional Advisory Committee will meet on Wednesday, June 7th,
2017 at 12pm.
7. ADJOURNMENT The meeting was adjourned at 1239 hours.
Submitted by:
Dr. A. Steen, Interim PAC Chair, Hôtel-Dieu Grace Healthcare
Page 5
DEPARTMENT AND EVENT
Annual Giving and Event Revenue Report Description July - Sept. Oct. - Dec. Jan. - March Apr. - June 12
Direct Appeals $ 2,950 $ 16,710 $ 380 $ 3,623
Tribute Donations $ 2,692 $ 11,855 $ 15,783 $ 803
General Donations $ 12,749 $ 3,529,794 $ 19,585 $ 5,966
HDGH Events $ 43,979 $ 84,044 $ 211,309 $ 106,622
Third Party Events $ 12,635 $ - $ 32,764 $ 6,126
The majority of annual giving revenue
realized from April 1 to June 12 are in
relation to the Third Party Event the Frank
Baumert Charity Golf Classic (in it’s final
year), the Heart Breaker Challenge, Bob
Probert Ride and the HDGH Golf Classic. In
addition to annual giving event activity we
are realizing direct mail appeal support
from the grateful patient mailing, spring
mailor, garden paver sales and tribute donations. T2B provided some funds for our major gifts revenue
stream in relation to parking passes, TV rental and a first installment on the Lisa Ventrella-Lucente healing
garden expansion. Finally this year we are commencing a relationship with the family of Opal Belawetz
who will be providing annual funds to help with palliative care nursing education over the next 10 years.
Data appears in gross amounts Department Revenue Report
Department July - Sept. Oct. - Dec. Jan. - March Apr. - June 12
Annual Giving $ 18,391 $ 3,558,360 $ 35,748 $ 10,393
Events $ 56,614 $ 84,044 $ 244,073 $ 112,748
Major Gifts $ 30,000 $ - $ 313,737 $ 61,004
Planned Giving $ - $ 6,000 $ 151,033 $ 1,000
Total Funds $ 105,005 $ 3,648,403 $ 744,592 $ 185,144
Proceeds from
the Frank
Baumert Golf
Classic have
been submitted,
and, as is the
case with the
majority of third
party events,
expenses have
been paid by
the organizers prior to submitting the funds to the Foundation. We will report on the Rohrer and GIO Walkathons along with
the Heart Breaker Challenge and Bob Probert Ride in the next board report.
April to June are very active months for the CLTF team who have presented a number of events listed on the following
page—most notably the Recognition of Service evening, a slate of nursing week activities and a new third party event, the
Michael C. Rohrer Heart and Soul Walkathon. This year also marked the 5th year of the Heart Breaker Challenge with
record attendance at the event.
While wrapping up financials on recent fundraising endeavors, preparing the CLTF budget and completing year end
financials, we continue to prepare for the 7th annual Bob Probert Ride that takes place later this month on June 25. The
Probert Classic held on June 2 enjoyed its greatest attendance to date and the momentum for the main event is mounting.
The 5th annual GIO Walkathon is set to take place on June 25th as well. The Scerbo family have decided to make this the
final year for the event which raises funds for the mental health Dual Diagnosis program.
The Foundation team hosted a free BBQ for staff which was also the launch of the Family Giving Campaign which will run
through to June 30. It is our hope that it will be well received given that individuals will be able to select the area to which
their donation will be directed.
The Foundation micro website is live and online event registration and donations are now functioning. The site can be
accessed at www.changinglivestogetherfoundation.org or by selecting the Foundation tab on the hospital website
www.hdgh.org.
2016/2017 Event Revenue and Expenses Report
Event Title Revenue Expenses Net Profit CPD
HDGH Golf Classic $ 24,408 $ 13,235 $ 11,173 $ 0.54
The Big Night $ 77,196 $ 26,161 $ 51,035 $ 0.34
Frank Baumert Golf Classic $ 5,926 $ - $ 5,926 $ -
Michael C. Rohrer Walkathon
Heart Breaker Challenge
GIO Walkathon
Bob Probert Ride
ATTENDANCE AND
Event Attendance Report and Upcoming Events Events continue to enjoy good attendance with a spike experienced
between October and December due to the Gala, Tree of Lights Launch,
Christmas luncheons and Kids Christmas party. However, April and June
are our largest attendance quarter, with a full schedule of events
including those reported to the right and the following: Healthy Aging Conference with Assumption University, June 14
Bob Probert Ride, June 25
GIO Walkathon, June 25
Emara Building Dedication, June 26
Health and Safety Day, June 28
July - Sept Oct - Dec Jan - Mar Apr - Jun 12
801 2100 361 4841
Event Description April—June 12 Service Awards 188
Fashion Show 280
Mental Health Week displays 60
Crazy for Life (Caboto Evening) 80
Crazy for Life Workshop 55
Volunteer Appreciation Lunch 60
Nurses Week Awards 70
Nurses Week Pizza Lunch 333
Nurses Week Ice Cream Social 450
Michael C. Rohrer Walkathon 375
Heart Breaker Challenge 2000
Probert Classic 500
Mental Health Round Table 55
Staff Memorial Service 25
Family Giving Campaign BBQ 310
Total Page Likes
Audience Page Views Page Likes People Reached
Reactions, Comments & Shares
Video Views
Bob Probert Ride 4,167
Female 36% Male 64%
715 116 44,566 13,932 6,253
Heart Breaker Challenge 3,748
Female 67% Male 33%
2,434 169 31,037 19,572 172
Social Media Report Every Friday are Foundation Fridays on the hospital’s various social media platforms allowing us to feature and
highlight fundraising activities in a more consistent manner. A calendar of posts has been created in tandem
with the hospital’s communications department. In addition to Friday Foundation posts, the communications
department has identified other times when they also promote our fundraising initiatives and event activity. Below you will
find some statistics from the last month as they relate to both the Ride and Challenge Facebook pages:
Date Message Focus Twitter Facebook
May 20 And they’re off! The Inaugural Mike Rohrer Walk. (video) Likes: 12 Retweets: 2 Reach: 876 Likes: 18
May 26 Unable to participate in HBC this year, then come watch. Likes: 10 Retweets: 5 Reach: 906 Likes: 14
May 29 Snapd photos of Heart Breaker n/a Reach: 860 Likes: 15
May 29 Collage of photos for Heart Breaker Likes: 5 Retweets: 2 Reach: 1935 Likes: 53
May 30 Reminder to get your Probert Classic Tickets Likes: 8 Retweets: 8 Reach: 308 Likes: 5
June 2 Probert Classic Likes: 7 Retweets: 2 Reach: 791 Likes: 3
June 9 Foundation website is live! Likes: 3 Retweets: 2 Reach: 687 Likes: 11
Foundation related posts appearing on the HDGH Facebook & Twitter accounts, May 15—June 12, 2017.
PREPARED FOR: Board of Directors, Changing Lives Together Foundation
CONTACT: Bill Marra,
Executive Director, CLTF VP, External Affairs, HDGH
Below you will find social media information specific to the Bob Probert Ride and Heart Breaker Challenge.
Date Message Focus—Bob Probert Ride Reach Engagement
May 17 Six message were posted on this date thanking our sponsors, the stats that follow are for all 6 posts collectively
12,050 Post Clicks: 1,478 Reactions: 295
May 18 Afghanistan photos and announcement of the road captain 4,357 Post Clicks: 553 Reactions: 165
May 24 Ride Shirts photo and promotion 2,648 Post Clicks: 240 Reactions: 116
May 25 One Month Away! 6,582 Post Clicks: 205 Reactions: 286
May 30 Thanking Media sponsors, Bell Media 3,997 Post Clicks: 100 Reactions: 92
May 31 Thanking Original Six sponsors 1,288 Post Clicks: 30 Reactions: 23
June 1 Thanking Hockey Town Hero sponsors 1,460 Post Clicks: 38 Reactions: 44
June 2 Probert Classic Videos 4,097 Video Views: 1,940 Reactions: 125
June 3 Probert Classic Pics 4,227 Post Clicks: 1,506 Reactions: 96
June 5 Happy Birthday to Bob 21,561 Post Clicks: 1,800 Reactions: 848
June 8 Thanking Cogeco, event sponsor 895 Post Clicks: 5 Reactions: 6
Jun 12 Thanking Fan Sponsors 612 Post Clicks: 12 Reactions: 10
Date Message Focus—Heart Breaker Challenge Reach Engagement
May 15 Thank you to Diamond sponsor 733 Post Clicks: 11 Reactions: 14
May 16 Don’t forget to check your spam folder for important details 1,739 Post Clicks: 366 Reactions: 5
May 17 Volunteers Needed 1,162 Post Clicks: 26 Reactions: 16
May 17 Check out frequently asked questions 169 Post Clicks: 6 Reactions: 3
May 18 Throwback Thursday photo 822 Post Clicks: 135 Reactions: 5
May 19 Thank you Gold Sponsor, RBC 418 Post Clicks: 7 Reactions: 7
May 19 Obstacle teaser 1,476 Post Clicks: 83 Reactions: 16
May 22 Thank you to Rehab First 390 Post Clicks: 1 Reactions: 3
May 23 Thank you to Integrity 1,046 Post Clicks: 69 Reactions: 8
May 23 Thank you to McTague 646 Post Clicks: 22 Reactions: 18
May 24 Event Packet pick up and variety of 3 other posts 5,738 Post Clicks: 696 Reactions: 120
May 25 Cumulative of 4 posts, variety of topics, hottest topic is MAP 20,245 Post Clicks: 2,185 Reactions: 631
May 26 Dehydration tips and thanks to Pure Water sponsor 1,666 Post Clicks: 303 Reactions: 28
May 27 5 posts related to course set up and thank you 12,766 Post Clicks: 1,580 Reactions: 400
May 29 3 posts related to event day photos 10,180 Post Clicks: 1,877 Reactions: 372
May 30 2 post event messages 6,247 Post Clicks: 567 Reactions: 181
May 31 Official HBC photos uploaded 2,319 Post Clicks: 448 Reactions: 34
COMMUNICATIONS REPORT:
March 15, 2017- April 15, 2017
Media Relations and Social Media May 15, 2017 - June 12, 2017
SOCIAL MEDIA REPORT CARD
The HDGH Facebook and Twitter accounts continued to have another successful 28 days. The HDGH Facebook account experienced growth in all six categories (listed below) while Twitter was down in all areas besides followers. To date, total HDGH Facebook likes are 2,135 while Twitter also continues its steady growth at 1,067. It should be noted that this month's most successful FB post was one advertising HDGH's current recruitment of RNs. This particular post received 193 comments, 7,331 clicks and reached 63,131 people.
TOP TWEET TOP MENTION TOP posters
@KafferJKaffer
earned 1,056 impressions earned 302 engagements
MEDIA RELATIONS REPORT CARD
TOP MEDIA SOURCES TOP 3 HDGH MEDIA TOPICS
1. Bob Probert Ride Media Launch2. Mental Health Roundtable3. Heart Breaker Challenge
MEdia exposure
ADVERTISING VALUE EQUIVALENCY (AVE)This graph represents the advertising value HDGH received through media coverage from May 15, 2017 - June 12, 2017. Coverage on the Probert Ride on May 18 th assembled the greatest montary value for HDGH with $22,400.
This graph represents the difference in HDGH media coverage from this period, May 15 - June 12, 2017 and the previous period, April 14 - May 14.
QUESTIONS?For questions related to any of the recommendations, please contact the corresponding ELT member.
PREPARED FOR:Hôtel-Dieu Grace Healthcare Board of Directors
CONTACT:Bill Marra,
VP External Affairs, Executive Director of The Changing Lives Together Foundation
email: [email protected]
STUDENT VOLUNTEER
NUMBERS OF STUDENT PLACEMENTS AT HDGH
FISCAL YEAR ENDING MARCH 31, 2017:
TOTAL 4
1 95 3
46 6 8
1 44
2
1 6496
1 0
3
2
2
THE D IFFERENCEIN SERVICE
A volunteer gives their time for a variety of reasons : to explore career paths, to acquire experience in areas of personal and/or professional interest, and to give back to the community – they are giving freely of their time
A student is here because the school program requires a mandated amount of placement hours in order to earn a credit(s), certificate, diploma or degree. The student is looking to gain the opportunity to apply the skills and knowledge they are learning in class. They are usually eager to get involved in what they have been studying.
Some of the placements have been so successful that the student has stayed on as a volunteer after the placement.
ST. CLAIR COLLEGE ADDICT IONS & MENTAL HEALTH CH ILD & YOUTH WORKER/EA DENTAL ASS ISTANTMEDICAL OFF ICE ADMIN - SCC & TR IOSNURS ING ( inc lud ing Masters - SCC & UW) OT/PT/OTA/PTA (western)PHARMACY TECH
UNIVERSITY OF WINDSOR COOMUNICAT IONS MASTERS PHDPSYCHOLOGYVIP
LOCAL HIGH SCHOOLS CO-OP 2 CREDIT
TRIOS COLLEGE COMMUNITY SERVICE WORKER
WESTERN UNIVERSITY SPEECH LANGUAGE PATHOLOGY
BRESCIA (division of Western) DIETARY/FOOD AND NUTR IT ION
SUCCESSES FROM STUDENTPLACEMENT
NUMBER OF VOLUNTEERS AT HDGHf i s ca l year ending March 3 1 , 2017:
The Residential Treatment Centre on Dougall has accepted High School co op students for placement. Some of the placements have been so successful that the student has stayed on as a volunteer after the placement. Not all students are interested in all placements but when we are able to provide a detailed description of the unit along with expected duties of the student we can create a win-win situation and it often yields a very successful placement experience;
TNI recently had an MSW complete her student placement. She has agreed to continue on as a volunteer;
CCC and Palliative have just recently enjoyed their MSW student so much that they also have asked her to stay on as a volunteer and they have asked to meet with Peggy O’Kane to discuss creating more volunteer options for MSW students in their area;
Some MSW students have recently been involved in HDGH mini conferences making presentations on their projects that have been very well received; and
Many students who were placed here are now part of HDGH staff (Michelle Mallais, David White, Biljana Josipovic, Nicole Martin-Crozier, Rijo Koshy, Maciah Telfer, to name a few). We often get calls from unit managers or from HR after a placement asking for the students’ health and police clearances as we are hiring them. Always a good feeling when this happens.
Applicant
University College
T2B
Spiritual Care
Pet Visitation (4)
Hospice
Distress Centre
Adult
40 Hr Community
24
111
57
146
81
47 99
32
AGE TOTAL15-18 4919-20 2121-30 10131-40 1341-50 1851-60 2961-65 1566-70 2171-80 22Over 80 7Unknown 449
AREAS WE PLACE VOLUNTEERS
ALL VOLUNTEERS GO THROUGH THE PROCESS OF AN INTERVIEW AND IF ACCEPTED PROCEED TO COMPLETE THE STEPS REQUIRED AS HEALTH CLEARANCE, POLICE CLEARANCE AND VOLUNTEER/HOSPITAL ORIENTATION. ONCE THAT IS COMPLETED THEN THEY ARE SCHEDULED FOR TRAINING IN THE UNIT AND AFTER THEY FEEL COMFORTABLE THEY ARE PLACED ON THE SCHEDULE.
Our volunteer numbers keep rising each year. The hours that volunteers contribute save the hospital lots of money each year. We are building relationships with our staff so that we can increase our areas for volunteers.
WE HAVE FORMED 2 WORKING RELATIONSHIPS WITH OUTSIDE ORGANIZATIONS TO HELP WITH OUR PATIENT AREAS.
We have formed 2 working relationships with outside organizations to help with our patient areas. One is with T2B and they help on the Palliative unit and provide volunteers to help with the food that is provided for families.
Our other partnership is with Hospice and that we have established a call system that if patients need services as reiki, healing touch etc.
We can call them and they will send a volunteer over. We also reestablished the No One Dies Alone Program and if someone who is passing has no family or friends Hospice sends a volunteer to sit and stay with them until they pass. Hospice trains and educates all the volunteers placed and we work together at getting them able to volunteer here at our site.
MIS WORKLOAD CATEGORIES
MIS ACTIVITY CATEGORIES
WORKLOAD MINS
PERCENT OF TOTAL WKLD MINS
Service Recipient Activities 1 - Assessment 285.0 4%Service Recipient Activities 2 – Therapeutic Intervention 3,025.6 42%Service Recipient Activities 3 – Consultation/Collaboration 1,525.5 21%Non Service Recipient Activities 4 – Functional Centre Activities 2,250.0 32%Non Service Recipient Activities 60 – Teaching/In Service 40.0 1%
TOTAL 7,126.10 100%
GIFT SHOPS COFFEE BARSAt our Volunteer Appreciation Luncheon we presented the hospital with a
cheque to help with patient needs . We are hoping to keep selling items and making the patients, staff and visitors aware that it all comes back to the hospital.
At this time Spiritual Care is running with one chaplain. We are in the process of looking and recruiting for a couple chaplains to replace Cynthia Dwyer and prepare for Glenys Butt’s retirement. We have a volunteer that comes in weekly to help with the paperwork and inputs numbers. We also have volunteers that come in twice a week to meet with all new admissions.
SP IR ITUAL CARE FOR THE MONTH
PREPARED FOR:Hôtel-Dieu Grace Healthcare Board of Directors
CONTACT:Bill Marra, VP External Affairs
Executive Director of The Changing Lives Together Foundationemail: [email protected]
Board Committee Chairperson Report (open) – Professional Advisory Committee (PAC) FOR INFORMATION ONLY
Date: Author: Date of Meeting:
• The draft Terms of Reference for the Restorative Care Program Council were presented to members. The Council will be co-chaired by Dr. Cohen and Director of Restorative Care. The Council was formed in keeping with the move to a Program Management model at HDGH. The Unit Based Council Chair and Physician Leads from the Restorative Care Model would sit on the council. It was noted that the council may assist in carrying out recommendations that come from Quality Care Reviews (QCIPA’s).
• A regional policy may be in place for cannabis use by September 2017. It was stated that there will be an Interim Policy in place for patients that are currently using cannabis oil and that this policy will be presented to the PAC in September 2017.
• The Medical Affairs Department will be reviewing and amending the HDGH Rules and Regulations over the summer months. The current Rules and Regulations have been adapted from the previous Rules and Regulations that were used in an acute care setting. The Chair stated that the Rules and Regulations speak to the work physicians do routinely and how physicians conduct their work at HDGH.
• The Chair presented the current research initiatives to the committee. It was noted that many HDGH Physicians are currently involved with research projects. The Chair encouraged members’ involvement research initiatives and projects. Physicians wanting to participate in research initiatives at HDGH were urged to contact Marla Jackson, Manager of Research, in the Project Management Office.
June 15, 2017 Dr. A. Steen
June 7, 2017
• ECT (Electroconvulsive Therapy) services officially restarted on Monday, May 29th in the Brain and Behaviour Program.
1. Events • See the Line Concussion Research and Awareness - August 16, 2017 - the Schulich School of
Medicine & Dentistry will be offering a full-day CME inclusive of the afternoon Community Symposium that will educate you on the latest in concussion research - hearing from world-class medical experts, health care advocates and professional athletes through a series of events. More information, can be found at http://seetheline.ca/.
2. Update from Schulich – Windsor Campus • Windsor Campus students presented their end-of-year quality improvement projects and service
learning projects during the first weeks in May (Year 2 students on May 1st and Year 1 students on May 10th); these projects are connected to the Professional Identity and Social Medicine courses and were very well executed. For the Social Medicine course, Dr. Teresa VanDeven, the Course Chair came to the Windsor Campus to hear in person the students present their project work.
• Dr. Matthew DiBartolomeo will be the incoming Chief Resident for the Post-graduate Family Medicine Program in Windsor.
• The Windsor Campus will again be hosting Orientation for all new permanent Family Medicine and Psychiatry residents. We have tentative plans and timelines in place for program deliverables. We have received great feedback from the current FM and Psych Residents and plan to incorporate all suggestions and speakers into the session on the June 29th. We will also have OMA and PARO representatives on hand this year.
Meeting Highlights
Strategic Focus – People-Patients-Identity
Schulich Report
New Physician - Hôtel-Dieu Grace Healthcare Dr. Ryan Mills
Department of Brain and Behaviour – Hospitalist Program
Dr. Ryan Mills grew up in Essex, Ontario and attended Essex District High school. He completed his Undergraduate Degree in Honours Chemistry with Thesis at the University of Windsor and also received his MBA there with a specialization in Health Care Management. Dr. Mills completed his Medical School and Residency at Western's Schulich School of Medicine - Windsor Campus. Dr. Mills started his family practice in July 2016 and currently holds active privileges at Windsor Regional Hospital as well. Dr. Mills has been the house physician at Bruce Villa Retirement Home since November 2016 working with vulnerable populations, which has brought him to become involved with the Specialized Mental Health Hospitalist program at Hôtel-Dieu Grace Healthcare. Dr. Mills looks forward to joining the team of physicians at HDGH.
New Physician - Hôtel-Dieu Grace Healthcare Dr. Patricia Hizo-Abes
Department of Restorative Care – Palliative Care Program
Dr. Patricia Hizo-Abes grew up in Mississauga and completed her Bachelor of Health Sciences at the University of Western with an Honors Specialization in Health Sciences and a Major in Pharmacology and Toxicology in 2009. She attended Medical School at Western as part of the 2nd class from the Windsor Campus and graduated in 2013. Dr. Hizo-Abes completed her residency in Family Medicine at McMaster at the Halton Regional Site and finished in 2015 with my CCFP certification. She completed her Palliative Care Fellowship at Western and finished in 2016 with a Certificate of Added Competency. Since completing her training, she has worked periodically at the Hospice of Windsor and Essex County covering community practices and the Hospice Residential Homes in Windsor and Erie Shores. Dr. Hizo-Abes relocated last September to Saskatoon to be with her fiancé who is an Anesthesia Resident, born and raised in Windsor, but currently completing his training at the University of Saskatchewan. She has worked full time in Saskatoon over the last year under the departments of Palliative Care, Geriatrics, and Family Medicine with an innovative inter-professional program called Seniors First, providing transitional care to frail elderly, medically complex, and palliative patients in the community. Dr. Hizo-Abes also works part-time on the Inpatient and Palliative Consultative Service at the Royal University, City, and St. Paul's Hospitals in Saskatoon. She is also a Clinical Assistant Professor at the University Of Saskatchewan College Of Medicine. Dr. Hizo-Abes will be splitting her time between Saskatoon and Windsor going forward as the palliative opportunities are limited in Saskatoon, and she is planning to settle back in Windsor in the future, looking forward to calling it home again.
Ministry of Children and Youth Services Moving on Mental Health:
Provincial and Local Roles and Responsibilities of Lead Agencies
1
Purpose
The purpose of this document is to set out key high-level roles and responsibilities of child
and youth mental health lead agencies in addition to current responsibilities as a core
service provider (CSP). It is important to note that these roles and responsibilities will be
further defined over the next several months, in collaboration with the Lead Agency
Consortium. The service contract between the Ministry of Children and Youth Services
(MCYS) and individual lead agencies will set out the roles and responsibilities of the lead
agency in its service area. The result of this work will be consistently defined through
operational business processes, and will include the respective roles and responsibilities of
CSPs, lead agencies, as well as regional and corporate offices of the ministry1.
Overview
The Ministry of Children and Youth Services (MCYS) is committed to an Ontario in which
child and youth mental health is recognized as a key determinant of overall health and
well-being, and where children and youth grow to reach their full potential.
Building on A Shared Responsibility: Ontario’s Policy Framework for Child and Youth
Mental Health (2006), and Ontario’s Comprehensive Mental Health and Addictions
Strategy (2011), in 2012, the ministry launched Moving on Mental Health (MOMH) - the
next step in the transformation of the community-based child and youth mental health
system. MOMH seeks to transform the experience of children and youth with mental health
problems and their families, so that regardless of where they live, they will know:
What services are available; and
How to access the services and supports that meet their needs.
At the core of transformation is the establishment of lead agencies in 33 defined service
areas across the province. Lead agencies, as system leaders, are responsible for
planning for the delivery of MCYS-funded core community-based child and youth mental
health services, and working with community partners across the broader continuum of
CYMH services and supports. The ministry works with lead agencies both locally through
regional offices, and provincially with the Lead Agency Consortium.
1 Any legislation or regulation that defines the roles and responsibilities of lead agencies will take precedence over this
document. The ministry’s service contracts with lead agencies will reflect and be in compliance with all current and future legislation and regulations.
Ministry of Children and Youth Services Moving on Mental Health:
Provincial and Local Roles and Responsibilities of Lead Agencies
2
MCYS has been working closely with the Lead Agency Consortium throughout the
implementation of MOMH, and acknowledges the shared commitment to successful
implementation. Lead agencies are critical partners in the transformation, have an in-depth
understanding of the needs of children and youth in their service areas, and have built
strong partnerships across sectors locally to respond to these needs. With this knowledge,
lead agencies are now well positioned to assume their responsibilities across the five
functional areas of lead agencies, which are described below.
Under the Child, Youth and Family Services Act, the ministry will be in a position to define
the functions of lead agencies in regulation. The regulation will further embed lead
agencies within the CYMH service delivery system, formalize and clarify their role, and
support related changes to service contracts for lead agencies and CSPs.
Principles
In defining lead agency responsibilities, it is important to note that the work of the ministry
with lead agencies is built on key principles which include:
Collaboration: The ministry is committed to working in collaboration with lead
agencies to help ensure the successful implementation of MOMH, and the creation
of a more effective and responsive child and youth mental health system in Ontario;
Mutual respect: The ministry recognizes the expertise of lead agencies as system
leaders in their communities, and respects this as a significant input at both a local
and provincial-level;
Consistency: Whenever possible the process of work between lead agencies and
the ministry will be conducted in a consistent manner;
Transparency and sharing of information: To the greatest extent possible, the
ministry is committed to open communication, which includes sharing information
with lead agencies that may impact its leadership, planning, implementation or
performance management role(s), in a timely manner;
Co-creation: The ministry respects the perspective of lead agencies and values a
co-creation approach to inform policy, programs and service delivery decisions
when possible;
A common language and one voice: The ministry will work with lead agencies to
communicate using common language and one voice as much as possible;
Clear accountability: The ministry will work with lead agencies so that accountability
for the delivery of local CYMH services is clearly articulated and communicated
across the ministry, lead agencies and local CSPs to maximize effectiveness of the
new service system arrangement and to reduce ambiguities; and
Ministry of Children and Youth Services Moving on Mental Health:
Provincial and Local Roles and Responsibilities of Lead Agencies
3
System Transformation: The ministry recognizes the integral importance of the
Core Services Delivery Report (CSDR) and Community Mental Health Report
(CMHR) in achieving the vision of CYMH system transformation.
These principles define the ministry’s commitment to guiding current and future work with
lead agencies.
Lead Agency Responsibilities at a Provincial Level
MCYS acknowledges the critical value of engaging the Lead Agency Consortium in CYMH
activities. As work is undertaken to further define key elements of system transformation at
an operational level over the coming months, roles and responsibilities of lead agencies
will include working with the ministry to:
Further delineate lead agency roles and responsibilities through operational
business processes, including the development of guidelines as required, to support
consistency;
Develop a planning cycle that supports a multi-year service area planning horizon
(e.g., three years), that meets the needs of lead agencies and the ministry, and is
consistent with the ministry’s annual financial/contracting cycle:
o As part of this development process, consideration will be given to the name
of the CSDR and CMHR, the further development of CSDR and CMHR
templates, and how most appropriately to support service recommendations
or priorities that cross service areas;
Develop a risk-based issues escalation process and guidelines, built around the
principles of collaboration, transparency and mutual respect, to facilitate a timely
and consistent approach;
Support the successful implementation of the proposed funding allocation model,
pending approval, and the optimal use of CYMH core service funding;
Provide input to documents, guidelines and directives supporting the
implementation of the activities outlined above; and
Develop a workplan(s) for successful completion of the above activities, including
milestones and timeframes.
The lead agency responsibilities will include:
Providing input from a service area-specific lens into broader activities, and
supporting effective stewardship of the CYMH system;
Informing, on an ongoing basis, the ministry’s establishment of priorities through:
Ministry of Children and Youth Services Moving on Mental Health:
Provincial and Local Roles and Responsibilities of Lead Agencies
4
o Analysis of CSDRs and the CMHRs leveraging resources such as the Centre
of Excellence for CYMH including identifying risks and opportunities to
improve services;
o Active participation in cross-sectoral forums (e.g., joint Lead Agency/Mental
Health Leaders forums); and
o Contributing to an assessment of progress against priority milestones,
including identification of any barriers and solutions to facilitate achievement;
Supporting effective performance management of the CYMH system, including
recommending the establishment of meaningful performance targets and indicators,
ongoing monitoring of the system, and a common understanding of data and
evidence-informed services;
Contributing to an approach that responds effectively to concerns cited through
Provincial Reports (e.g. the Auditor General of Ontario (2017); the Provincial
Advocate for Children and Youth);
Ongoing accountability and continuous quality improvement of the CYMH system,
including ongoing enhancements to key documents, guidelines, directives etc.; and
Providing input into broader CYMH system recommendations (e.g., Mental Health
and Addictions Leadership Advisory Council).
Lead Agency Responsibilities at a Service Area Level
Leadership
The lead agency will provide leadership at the service area level and lead key functions in
the areas of planning, service delivery and program alignment and performance
management.
To fulfill this expectation the lead agency will:
Ensure appropriate governance processes that reflect the lead agency role;
Develop structures and processes to lead engagement in the development and
implementation of the CSDR and CMHR, engaging CSPs, community partners,
youth and families and incorporating the perspectives of diverse populations such
as Francophone, First Nations, Métis, Inuit and urban Indigenous populations; and
Communicate and implement local and provincial priorities, within the service area,
based on the CSDR and CMHR, in partnership with the ministry.
Ministry of Children and Youth Services Moving on Mental Health:
Provincial and Local Roles and Responsibilities of Lead Agencies
5
Planning (Core Service Delivery Report and Community Mental Health
Report)
The lead agency is responsible for working with CSPs and community partners to develop
an annual report (i.e. CSDR and CMHR), within the context of the established planning
horizon, subject to the ministry’s reporting guidelines. The report(s) will be a key input to
the ministry’s annual core service resource allocations, as well as provide a key role in
supporting community-level engagement, dialogue and implementation of service area
priorities, and broader cross-sectoral alignment with Local Health Integration Networks,
School Boards, etc.
In the development of the CSDR and CMHR, which will incorporate provincial priorities as
directed, the lead agency will:
Use and analyze service area demographic, cultural and language needs as well as
program and service data to identify service area needs and priorities;
Identify needs, opportunities, and associated risks to improve services for children
and youth at a local level, while demonstrating evidence for change;
Recommend changes within the service area to maximize access, effectiveness
and value for public money;
Support effective access and pathways to core services and other CYMH services
available in other sectors; and
Propose CYMH core service resource allocation and service targets, supported by
evidence and data.
The ministry will make final decisions regarding key system functions, including
recommendations for system planning and funding allocations.
Financial Management
The CSDR will include a proposed financial resource allocation plan to address service
gaps and service area priorities by recommending funding levels among services,
adjustments to service targets, volumes and funding to CSPs.
To support the proposed financial resource allocation plan, the lead agency will:
Ministry of Children and Youth Services Moving on Mental Health:
Provincial and Local Roles and Responsibilities of Lead Agencies
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Provide local community perspective and analysis to inform pre-contract
discussions related to core services with the ministry, and will be involved in
financial management/resource allocation discussions at critical junctures;
Through the CSDR, recommend distribution of the approved budget allocation
among services and CSPs within the service area;
Collaborate with the ministry and CSPs in its use of the CSDR as a key input into
CYMH core service resource allocations, and support alignment of service contracts
Participate in in-year resource allocation discussions regarding pressures or
surpluses related to CYMH core services in the service area; and
Participate in capital resource allocation discussions regarding CSPs where the
CSDR is a relevant input.
Service Delivery and Program Alignment
As part of service delivery, lead agencies will be expected to work closely with the ministry
and CSPs to effect the implementation of the CSDR and CMHR.
To accomplish this, lead agencies will:
Work collaboratively with community partners in the implementation of the CSDR
and CMHR;
In their core service provider role, deliver core services as outlined in their service
contract in line with the CSDR and ministry expectations;
Support other CSPs to deliver core services as outlined in their service contract, in
line with the CSDR and ministry expectations; and
Provide regular updates to the ministry on challenges and difficulties in the delivery
of the CSDR and CMHR, and work with the ministry to address and appropriately
escalate local service issues.
Performance Management
Lead agencies will support the continuous improvement of CYMH core services within the
service area.
The lead agency will:
Report on progress made on local and provincial priorities identified in the CSDR;
Ministry of Children and Youth Services Moving on Mental Health:
Provincial and Local Roles and Responsibilities of Lead Agencies
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Analyze and validate data, and work with the ministry to monitor CSPs’ progress on
service targets, priorities/milestones and potential risks to targets as set out in
service contracts;
Work with the ministry to address in-year financial issues impacting service delivery
and the delivery of CSDR priority targets;
Work with the ministry to identify performance management issues and escalate
appropriately;
Support the ministry and CSPs to develop, implement and monitor action plans to
address identified performance issues; and
Work with the ministry to develop continuous quality improvement strategies.