Functioning Effectively
How do we ensure the Board has a mix of experience and competencies
Use a skills based and matrix
Nominations
Renewal cycle to support additions
Advertising campaign
How was the Board involved in developing the Mission-Purpose Statement?
-retreat
-used a third party consultant to develop the plan
-meetings with key stakeholders
-updates to Board on the planning process
-approved plan and indicators
How do we recruit the CEO
-documented process for recruitment and selection
-search committee
-Interim successors designated in the event of a sudden vacancy
-Long-term succession plans
How is the Board involved in credentialing or physicians?
-Credentialing Committee reviews applications
-Recommendations from MAC come to the Board
-Annual review of all credentials with recommendations present to Board
The term of Director appointed to Board
3 years
How does the Board incorporate the patients voice?
PEPs on Quality Committee
Patient stories
Patient experience reports
How does the Board oversee the strategic plan
-balanced scorecards
-program updates
-annual reports
-annual environmental scan provided to look at issues that affect the organization and ability to achieve goals and objective
What ways does the Board support Patient Safety?
- Quality Improvement Plan approval
-Quality Committee of Board
-Receives quality reports
-IRM report
-Patient Experience report
-IPAC reports
How do we make decisions about resources being allocated?
-Resources Utilization and Audit Committee (RUAC) reviews resources
-RUAC- makes recommendations to the Board for approval
How many consecutive terms can a Director complete
3
Orientation includes....
-onboarding reading material- policies, by-laws
-orientation with Board Chair and CEO
-touring units
-Board and committee orientation
-retreats
-presentations at meetings
-mentor assigned
-Ethical framework
-Ethicist
-Ethical Tools- pocket guide for decision making
How does the Board support financial planning?
-reviews and approves annual operating plans
-reviews capital planning
-reviews financial statements
-provided with a quarterly Chief Financial Officer Certificate
How do we involve key stakeholders in decision making?
-Feedback from community panels
-OHT reports
-Partnerships- i.e. LEO, CMHA-Board
-Directors are Sarnia Lambton residents
-Integrated roles
-Accountability agreements with Ministry
-Community engagement plans shared with Board
-Roles- Indigenous Navigators
Can you name the Bluewater Health Purpose (Mission) Statement
Health through partnership- Caring with kindness
Name 2 ways we ensure and drive Quality.
-Approve QIP
-Directors on Quality Committee
-Quality receives reports on critical incidents
-Risks monitored- IRM
-Scorecard
-CEO evaluated
-Approve Quality and Patient Safety Plan
-Review recommendations
How do we address conflict within the Board?
-review, investigate potential conflict of interest
-policy to remove a Director if required
-by-laws related to confidentiality and conflict of interest signed annually
-conflict of interest asked and declared at every meeting
How does the Board work with the CEO to reduce risk to the organization?
-receives, reviews and approves the Integrated Risk Management program reports and Top 3 IRM
-IRM- Board liaison role
-Receives critical incident report
-reviewing key indicators
How do we monitor and evaluate performance of the Board or a Director?
-Self-assessment survey
-Board survey
-Committee effectiveness survey
-Chair evaluation
-Individual feedback
-Peer evaluation
-attendance and education records
What level of standing did we receive by Accreditation Canada at our 2019 assessment?
Exemplary