Capital Plan Development Task Force – Meeting # 27 MINUTES for Monday, March 4 th , 2019 SMMH Conference Room at 0730 – 0930hrs Committee Members: “ ” = Present “R” = Regrets Scott Aitchison Dr. Sheena Branigan Chair Cameron Renwick R Natalie Bubela Dr. Keith Cross Colin Miller (for John Curran) Charlane Cluett R Dr. Caroline Correia (telecon) Donna Denny Michael Duben Jan Davidson R Peter Deane R Dr. Biagio Iannantuono Dr. David Mathies Dr. Graeme Gair (telecon) R Harold Featherston R Cathy McMurray Esther Millar Terry Shields Dr. Jennifer Macmillan R Eric Spinks Cathy Still Graydon Smith = Attached Chair: Cameron Renwick Recorder: Paula Bildson Resources (non-voting members) Shannon Crowder (RPG) Melissa Cao (Stantec) Chuck Wertheimer (RPG) R Tim Eastwood (Stantec) telecon R Paula Bildson (MAHC) John Sisson (guest) Phil Matthews (guest) Allyson Snelling (MAHC) Katherine Craine (guest) Follow Up Date / Agenda Topics Outcome of Discussion / Decision Points Person Responsible 1. Introductions & Agenda The Chair welcomed everyone to the meeting. - 2. Confidentiality / Code of - Members were reminded to treat all discussions as well as any paper or electronic records Conduct Check-in in a confidential manner. 3. Previous Minutes - It was moved, seconded and carried that the task force minutes of February 4, 2019 be approved as circulated. 4. Business Arising/Continuing 4.1 Local Share - The Task Force was advised that KCI will be delivering a report at a meeting taking place following the Task Force meeting today and more will be reported on Local Share once the report is received. 4.2 Part B Schedule - Task Force members were provided with an updated Part B Schedule. 4.3 LHIN Update / Ministry - It was reported that a funding letter was received late Friday that MAHC had been Key message for Announcement granted a 1.6 million in additional funding to get the organization closer to a balanced update budget. Thanks went out to municipal leaders for their support in discussions with government officials. - It was shared with the Task Force that the Ontario Government is looking to develop overarching super agency which will take over the healthcare file of ON and be CONFIDENTIAL | MAHC Capital Plan Development Task Force Minutes | Mar. 4, 2019 | Page 1 of 4
responsible for centralized procurement. Elimination of LHINs, and other orgs such as E- Health Ontario and Cancer Care Ontario. There will be a fair amount of work around the N. Bubela legal side of HR as transition takes place. Call tomorrow with OHA that Natalie and Phil will be on tomorrow will help to learn more. The new initiative is not centered on hospital care but more healthcare delivery more at the primary care level. It was reported that a conversation took place between the Premier, Natalie, and Phil. - The Premier was very direct in that he said Muskoka needs two hospitals. Information was shared with him about the 6 community sessions taking place this week and that the Task Force has great cross representation including our municipal leaders. It seemed that the Premier is well aware of the healthcare planning in Muskoka and appears very supportive of the two hospitals model. 5. New Business 5.1 Community Engagement - The agenda and format for the sessions were summarized and explained that the Key message for pamphlet that was circulated at the meeting was created to provide attendees with update information to take with them. - There will be 4 main stations of poster boards (HDMH options, SMMH options, programs and services, and deign guiding principles. - It was requested that Task Force members advise of their availability if they had not already for what sessions that would be able to attend to assist in fielding questions at the different poster board stations. - The addition of a session for Lake of Bays residents has been arranged to take place at the Dwight Community Center at the request from a Task Force member. - The slide presentation for the community engagement sessions was reviewed. - A key message at the sessions will be further refinement occurs at every stage of planning. - Attendees at the sessions will be asked to provide their feedback on the different options by either filling out hard copies of a survey at the venues, or by filling out the on-line survey. Once survey closes on March 24, the feedback will be reviewed by the Task Force. - It was felt that the announcement last week by the Ford government with the future Ontario Health Teams may cause some change in the planning process, but it is unclear at this time what that may be. Thoughts are that MAHC is well positioned at this time to adapt or adopt what may be required to better suit any significant changes that the government may impose on healthcare planning. A question was raised re Mammography. It was shared MAHC is currently trying to get a - designation as a center with Cancer Care Ontario which could impact the model which could be adjusted further into the process. 5.2 Costing of Options - A slide depicting the construction costs provided to MAHC by Hanscomb was displayed Key message for for review and comment. It was explained to the group that the construction cost does update not include furniture, fixtures, and equipment and other items such as land acquisition, or CONFIDENTIAL | MAHC Capital Plan Development Task Force Minutes | Mar. 4, 2019 | Page 2 of 4
servicing of land, parking lots, gift shops etc. - It was shared that the one reason for higher cost for HDMH options is for additional square footage for One Kids Place and the Family Health Team to be brought into the main building . This isn’t the case for SMMH. It was asked if the government is favouring one concept over the other; FHT on campus or off campus. It was reported that their preference is not known, but the Ministry is looking for innovative models for service delivery. - Numbers are still to be refined. Reality is that what is submitted at stage 1 will go through much refinement and modification. It is also possible that budgetary restraints could be imposed by the Ministry. - A requirement may be to see how the options can be phased over time to make option affordable. But the current costing provided is the level of detail that the Ministry is looking for at this stage. This costing will assist the Task Force in selecting a preferred option for each site. - It was asked how the additional costs not included in the 10% will be explained to the public. It will be shared that FFE and other costs can amount as much if not more than the 10%. There is a lot of variability in that unknown number and is somewhat dependent on the option chosen, what MAHC is investing in today that can support the future planning. There is much unknown at this stage, but this is the norm and not unique to MAHC. Planning and strategizing will continue. 5.3 Options Evaluation - The options evaluation slide was reviewed. Criteria have been identified in two Key message for categories, Qualitative and Quantitative. update - In each of the approaches, have a new tower, if want to do in a more scaled back way from what is planned for the towers, may need some adjustments. Within all of the models, the new beds are located in new towers. Can the new tower be built and then connected to the current building. Yes this can be done. - It was stated that construction will cause disruptions. Interruption in service and/or construction will happen. For example, Emerg renos affect Ophthalmology surgery. Construction crews have to halt working during these scheduled surgeries. 6. Communication 6.1 - The communication plan for the community sessions was included in agenda package. Key message for - The online feedback survey for feedback will go live on Monday, March 4, along with all update documents associated with the community engagement (i.e.: poster boards of option drawings, brochure, presentation) posted on the MAHC website Planning for the Future section – Building Design Options (Part B) webpage. The survey will remain open for feedback until March 24. - There has been great support from the municipalities to help get the word out about the community sessions through tools shared around. - Media uptake to promote the sessions has also been good, and the CEO has facilitated TV CONFIDENTIAL | MAHC Capital Plan Development Task Force Minutes | Mar. 4, 2019 | Page 3 of 4
interviews, including Cogeco (YourTV) and CTV Barrie. - Allyson will produce a series of short videos to explain each option. These will be uploaded to MAHC ’s YouTube channel and shared on the website and social media in an attempt to reach those who were unable to attend the information sessions. 7. Next Steps: 7.1 Next Meeting Monday, April 8 HDMH Boardroom CONFIDENTIAL | MAHC Capital Plan Development Task Force Minutes | Mar. 4, 2019 | Page 4 of 4
Capital Plan Development Task Force March 4 th , 2019 Meeting 1
Code of Conduct Reminder • Speak in a professional, respectful manner at all times • Do not use condescending or raised voices, be aware of tone of voice and body language • Be attentive and listen without judgment • Respect the sensitivity of issues communicated • Be mindful of the words and language we use and the impact on others • Use positive language • Have a positive attitude • Do not tolerate aggression and discrimination in any form 2
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