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June 8, 2010 AgendaPAGE 1 26 27 -29 30 40 41 NOTICE: June 15, 2010 June 17, 2010 June 22, 2010 ORDERS OF THE DAY 9 FOR TUESDAY, June 8, 2010 A mil ORDER 1st Meeting Called to Order 2nd Adoption of Minutes May 25, 2010 3rd Disclosure of Pecuniary Interest and the General Nature Thereof 4th Presenting Petitions, Presentations and Delegations DELEGATION: Northern 911 Vice President of Operations, Mike Shantz 5 Motion to Move Into "Committee Of The Whole Council" 6th Reports of Council, Outside Boards and Staff 7th Council Correspondence see attached 1) Items for Consideration 2) Items for Information (Consent Agenda) 8th OTHER BUSINESS 1) Statements /Inquiries by Members 2) Notice of Motion 3) Matters of Urgency 9th Closed Meeting Items see separate Agenda 10th Recess 11th Motion to Rise and Report 12th Motion to Adopt Recommendations from the Committee Of The Whole 13th Consideration of By -Laws 14th ADJOURNMENT CASUAL ATTIRE PERMITTED and LUNCH WILL BE PROVIDED 1:00 p.m. Tree planting Dedication Ceremony at Bobier Villa Home Dutton 2nd Annual Warden's Charity Golf Tournament at Tarandowah Golfers Club 15125 Putnam Road, Avon, Ontario 9:00 a.m. County Council Meeting Council Reports (ATTACHED) Staff Reports (ATTACHED) REPORTS OF COUNCIL AND STAFF June 8, 2010 2 Councillor Lynn Acre Health Recruitment Partnership Update (deferred from May 25 County Council meeting) 4 Engineering Technologist/Emergency Management Coordinator 911 Emergency Response Network Primary Public Safety Answering Position (PPSAP) 6 Engineering Technologist/Emergency Management Coordinator Mutual Assistance Agreement 19 Library Coordinator, Community and Cultural Services Institutional Memberships to Elgin County Library 24 Administrative Services Coordinator 2010 Revised Council Meeting Schedule 25 Director of Senior Services, Elgin Manor Ministry of Labour Visit 26 Director of Senior Services, Bobier Villa Terrace Lodge 2010 -2013 Long -Term Care Home Service Accountability Agreement ElgInCounty F.M,;ressig df l'4:fuR FROM: Councillor Lynn Acre Mark G. McDonald, Chief Administrative Officer DATE: May 11, 2010 SUBJECT: Health Recruitment Partnership Update INTRODUCTION: As Council is aware from previous reports the Health Recruitment Partnership has enjoyed much success in its first few years of operation. In 2009 a local pharmacist and developer entered into an agreement to attract physicians to the area under the terms and conditions of the partnership funding arrangement ($100,000 for equipment), with the promise of attracting three new physicians. The budget for 2010 is attached showing uncommitted funds of $62,500. Recently, the East Elgin Family Health Team approached the Partnership for funding assistance under the program. DISCUSSION: CONCLUSION: REPORT TO COUNTY COUNCIL The Partnership is recommending that the remaining uncommitted balance of $62,500 be awarded to the East Elgin Family Health Team to aid in equipment purchases to help attract physicians, in accordance with the previously established contract and criteria. It is noted that the Partnership's mandate ends this year and would have to be renewed next year in order to continue. Therefore, the East Elgin Family Health Team would be required to approach the Partnership in the following year (if it continues) to request the balance of the $100,000 request. In the meantime, a number of initiatives will continue this year such as participating in Medical Discovery Week and the Health Professional Tour. The Health Recruitment Partnership continues to attract interest and prospects of recruiting new physicians to the Elgin -St. Thomas area appear promising. RECOMMENDATION: THAT Elgin County Council endorse and approve the 2010 budget for the Health Recruitment Partnership and support the allocation to the East Elgin Family Health Team as recommended by the Partnership committee. All of which is Respectfully Submitted Approved for Submission Mark Chief Administrative Officer DATE: May 24, 2010 INTRODUCTION: DISCUSSION/ CONCLUSION REPORT TO COUNTY COUNCIL FROM: Meredith Goodwin Engineering Technologist Emergency Management Co- ordinator Sonia Beavers, Purchasing Coordinator SUBJECT: 911 Emergency Response Network Primary Public Safety Answering Position (PPSAP) On March 23, 2010 County Council directed County staff and the 911 Steering Committee to develop and advertise a Request for Proposal (RFP) and solicit a 911 Emergency Response Network (PPSAP) Contract. The RFP was advertised on Saturday April 10 and submissions were received until May 3, 2010. The current 911 Central Emergency Reporting Bureau (CERB) Services Contract with the Ontario Provincial Police (OPP) expires on December 13, 2010. Two companies responded to the proposal; Ontario Provincial Police (the County's Current 911 CERB provider) and Northern 911. The two proposals were reviewed and evaluated based on: a) Service Qualification and Reference, b) Cost, c)Technical Requirements, d) Management Requirements, and e) Demonstration. The Evaluation Committee comprised of a representative from the following agencies: St. Thomas City Police, Aylmer Police, St Thomas Fire, London Central Ambulance Communications Centre (LCACC), Elgin -St. Thomas EMS, and a representative from the 7 municipalities and the City of St.Thomas. Three of those representatives are Fire Chiefs for their municipalities. The two respondents Northern 911 and Ontario Provincial Police attended an interview and provided a demonstration to members of the committee on May 18, 2010. The proposals were evaluated by ten members of the committee and Northern 911 scored the highest rating. Northern 911 has also agreed to attend today's council to do the same demonstration. The 911 contract will be billed per capita at the current total population of 85,358. Once the County receives the bill from the service provider, each municipality and the City of St.Thomas will be billed separately. Municipality 2011 Rate 2011 Savings from Previous Contact Town of Aylmer $3,181.05 $784.66 Municipality of Bayham $3,027.15 $746.70 Municipality of Central Elgin $5,725.35 $1,412.25 Municipality of Dutton /Dunwich $1,722.60 $424.91 Township of Malahide $3,972.60 $979.91 Township of Southwold $2,125.80 $524.36 Municipality of West Elgin $2,407.05 $593.74 City of St.Thomas $16,249.50 $4,008.21 The rates per municipality will be as follows: (Total's do not include taxes and the price will increase with the annual Cost of Living Adjustment (COLA)) RECOMMENDATION THAT Northern 911 be selected to provide 911 Emergency Response Network (PPSAP) for the County of Elgin and the City of St.Thomas at a cost of $38, 411.10 (excluding taxes and annual Cost of Living Increase) for a three year term starting December 13, 2010 with the option to renew for up to an additional 6 years (two consecutive 3 year terms); and, THAT the Warden and Chief Administrative Officer be authorized to enter into an agreement with Northern 911 for the provision of 911 Emergency Response Network (PPSAP) for the County of Elgin and the City of St.Thomas (subject to the City's concurrence). All of which is Respectfully Submitted Meredith Goodwin Engineering Technologist/ Emergency Measures Co- ordinator Sonia Beavers Purchasing Coordinator Clayton Watters Director, Engineering Services M- G. McDonald Chief A mi str• e Officer FROM: Meredith Goodwin, Engineering Technologist/ Emergency Management Coordinator DATE: May 24, 2010 SUBJECT: Mutual Assistance Agreement INTRODUCTION REPORT TO COUNTY COUNCIL In the event of Emergency the seven municipalities, the County, and the City of St.Thomas may request each other's assistance to provide aid. The County and municipal Community Emergency Management Coordinators (CEMCs) have worked together over the past year to put together a Mutual Assistance Agreement. DISCUSSION/ CONCLUSION In the event of an emergency municipalities and the County may request assistance in the form of personnel, services, equipment, or material from other municipalities within the County of Elgin. The attached agreement has been reviewed by the County Solicitor and shall be the binding document for all services required by the municipality in the event of a declared emergency. The agreement would authorize the CAO to request or offer personnel, equipment, services and material in an emergency. The agreement would authorize the CAO to determine the nature and scope of assistance to be offered or requested in an emergency situation. Other specific provisions would include: notifying Emergency Management Ontario (EMO), that a request has been made under the agreement; payment by the municipality requesting aid of the cost of any assistance received from another municipality; recovery by the municipality requesting aid of costs for any assistance provided; insurance and indemnity provisions; information sharing capabilities; including advance information on available personnel, services, equipment or material; and assignment of a liaison officer to the Emergency Planning Office for exchanging information during an emergency. The agreement will formalize the process of requesting assistance and clarify roles and responsibilities. By signing the Mutual Assistance Agreement, municipalities would not be obligated or committed to provide assistance if and when a request is made. The Agreement would specifically exempt municipalities from any liability should it refuse a request for assistance, and further provides that municipalities may withdraw assistance once provided. The form of agreement reflects the input from the County solicitor and emergency planning personnel throughout the province. It has been supported in principle by Emergency Measures Ontario. RECOMMENDATION That Mutual Assistance Agreement be endorsed by County Council to be sent to the municipalities for their execution, and also That the Warden and Chief Administrative Officer be authorized and directed to sign the Mutual Assistance Agreement with the municipalities. Respectfully Submitted Meredith Goodwin Engineering Technologist/ Emergency Management Coordinator Clayton D. Watters Director of Engineering Services Chief Administrative Officer THIS MUTUAL ASSISTANCE AGREEMENT made this day of, 2010 BETWEEN: THE CORPORATION OF THE TOWN OF AYLMER THE CORPORATION OF THE MUNICIPALITY OF BAYHAM THE CORPORATION OF THE MUNICIPALITY OF CENTRAL ELGIN THE CORPORATION OF THE MUNICIPALITY OF DUTTON/DUNWICH THE CORPORATION OF THE MUNICIPALITY OF WEST ELGIN THE CORPORATION OF THE TOWNSHIP OF SOUTHWOLD THE CORPORATION OF THE CITY OF ST. THOMAS THE CORPORATION OF THE TOWNSHIP OF MALAHIDE THE CORPORATION OF THE COUNTY OF ELGIN WHEREAS the Emergency Management and Civil Protection Act, R.S.O. 1990, c. E. 9 provides that the Council of a municipality may make an agreement with another municipality for the provision of any personnel, service, equipment or material during a declared Emergency; AND WHEREAS the parties wish to provide for mutual aid and assistance to each other through the provision of personnel, services, equipment or material to one or the other during a declared Emergency within the meaning of the Emergency Management and Civil Protection Act; AND WHERAS the parties have Emergency Plans pursuant to the Emergency Management and Civil Protection Act; NOW THEREFORE in consideration of the mutual covenants herein contained, the parties agree as follows: 1. Definitions 1.1 In this Agreement, 1.1.1 "Assisted Municipality" means the municipality receiving aid or assistance pursuant to this Agreement; 1.1.2 "Assisting Municipality" means the municipality providing aid or assistance pursuant to this Agreement; 1.1.3 "Emergency `Emergency Area" and "Emergency Plan" shall have the same meanings as in the Emergency Management and Civil Protection Act; 1.1.4 "Mutual Assistance Agreement" means this Agreement and the attached Schedule(s) which embody the entire Agreement between the parties; 1.1.5 "Requesting Party" means the municipality asking for aid and/or assistance pursuant to this Agreement; 1.1.6 "Community Control Group" means the organisational entity responsible for directing and controlling the Assisted Municipality's response to an Emergency. 1.1.7 "Declared Emergency" means that, the Municipality asking for aid and /or assistance pursuant to this agreement has followed the proper procedures in declaring an emergency and has exhausted all resources in their own Municipality. 1 2. Role of the Minister 2.1 The parties acknowledge that pursuant to the Emergency Management and Civil Protection Act (the "Act the Minister of Community Safety and Correctional Services for the Province of Ontario is responsible for the administration of the Act and is the principal contact for all Emergencies. 2.2 The parties further agree that the Minister should be notified in writing of any request made under this Agreement. The Requesting Party agrees to notify, as soon as reasonably practicable, Emergency Management Ontario (EMO), Ministry of Community Safety and Correctional Services on the matter of any request for assistance made under this Agreement. 3. Authorization to Request /Offer Assistance 3.1 Each party hereby authorizes its Chief Administrative Officer, or such other senior officer of the party as the Chief Administrative Officer has designated (hereinafter "CAO to request, accept offers to provide, or to offer to provide assistance pursuant to this Agreement on behalf of that party. 4. Requests for Assistance 4.1 The parties agree that in the event of a Declared Emergency, a Requesting Party may request assistance in the form of qualified personnel, services, equipment, or material from the other party(s). 4.2 The request for assistance shall be made by the CAO of the Requesting Party to the CAO of the Assisting Municipality. The CAO may make the initial request for assistance orally. However, any request for assistance made orally shall be confirmed in writing by the Requesting Party within three (3) days of the initial oral request. The Assisting Municipality may provide assistance to the other party upon receipt of the oral request. 4.3 The request for assistance shall be confirmed in writing as soon as reasonably practicable by the Requesting Party in accordance with Schedule "A" attached hereto. The written request shall set out in detail the specific personnel, services, equipment or material that has been requested as assistance, and which the Assisting Municipality has agreed to provide. The Assisting Municipality may request such additional information, as it considers necessary to confirm the existence of a Declared Emergency and to assess the type, scope, nature and amount of assistance to be provided. 4.4 The Assisting Municipality shall respond to the request within one (1) day, and may in its sole discretion determine the type, scope, nature and amount of assistance it will provide. The Assisting Municipality shall confirm in writing the assistance it has agreed to provide. 4.5 The parties may by mutual agreement alter the assistance to be provided to the Assisted Municipality under this Agreement. Amendments to the scope, type, nature or amount of assistance shall be confirmed in writing by the Requesting Party within three (3) days of being agreed upon. 5. Limitations on Assistance Provided 5.1 Nothing in this Agreement shall require or obligate or be construed to require or obligate a party(s) to provide assistance. Each party shall retain the right to refuse the request to provide assistance, and the right to offer options to the assistance that has been requested. 2 5.2 No liability shall arise against the Assisting Municipality if it fails, for any reason whatsoever, to respond to a request for assistance made under this Agreement. 5.3 When assistance has been offered or provided by the Assisting Municipality, the Assisting Municipality shall not be obligated to provide any further assistance or to do anything or take any action beyond that which is specifically agreed to by the acceptance of the request for assistance. 5.4 Nothing in this Agreement shall prevent the Assisting Municipality, in its sole discretion, from withdrawing any or all assistance provided to the Assisted Municipality. 5.5 The Assisted Municipality may determine in its sole discretion that its requirement for assistance has ceased and shall notify the Assisting Municipality of this in writing. 6. Term and Termination 7. Costs 6.1 This Agreement shall be in effect from 6.2 Despite any other section of this Agreement, either party may terminate this Agreement upon at least sixty (60) days' written notice to the other party. 7.1 The parties agree that any and all costs for assistance are to be paid by the Assisted Municipality. The Assisted Municipality shall be responsible to pay for any and all actual costs incurred for the assistance or by the Assisting Municipality in providing the assistance. Such costs shall include wages, salaries, and expenses incurred in providing the assistance provided said expenses are reasonable in the circumstances relative to the need for assistance, but shall exclude employment benefits. 7.2 The Assisted Municipality shall also be responsible for all actual operating costs for all personnel, services, equipment, machinery or material furnished, including, but not limited to, costs of fuel, repairs, parts and any and all other items directly attributable to the operation of equipment and machinery, services and material furnished as assistance to the Assisted Municipality under the Agreement. The Assisted Municipality shall be responsible for the cost of replacing equipment or material furnished by the Assisting Municipality if damaged beyond reasonable repair. 7.3 The Assisting Municipality shall provide to the Assisted Municipality, if practical, an estimate of the cost of providing the assistance. 7.4 The Assisted Municipality shall be responsible for payment of wages, supply of materials and fuel, property damage to vehicles, and injury to personnel providing assistance in the event of a declared emergency and at all times relating to the rendering of assistance pursuant to this Agreement. 8. Payment 8.1 Payment by the Assisted Municipality for costs incurred for the assistance provided, shall be subject to the Assisted Municipality's receipt of an invoice from the Assisting Municipality. Such invoice shall set out in detail, to the reasonable satisfaction of the CAO, the costs actually incurred by the Assisting Municipality in providing assistance, and where practically available, receipts for disbursements shall be forwarded in support of the invoice. 8.2 The Assisted Municipality shall remit payment of the amount owing for the assistance provided within ninety (90) days of the termination of the Declared 3 Emergency or the receipt of the Assisting Municipality's invoice, whichever is later. 9. Employment Relationship 8.3 Any amount remaining unpaid and outstanding after the ninety (90) day period referred to in sub section 8.2 of this Agreement shall bear interest at the rate stipulated in the Assisting Municipality's invoice, which rate shall not exceed the Bank of Canada bank rate at the date of the invoice plus two (2 per cent per annum until paid. 9.1 Despite the fact that the employees, contractors, servants and agents (collectively "the workers of the Assisting Municipality may be assigned to perform duties for the Assisted Municipality and that for the duration of the Emergency, the Assisted Municipality shall reimburse the Assisting Municipality for the costs of the wages, salaries and expenses of the workers, in all other respects the workers of the Assisting Municipality retain their employment or contractual relationship with the Assisting Municipality. The parties acknowledge and agree that the Assisted Municipality is not to be deemed the employer of the Assisting Municipality's employees, agents, or contractors or servants, under any circumstances or for any purpose whatsoever. The Assisting Municipality shall remain responsible for all statutorily required deductions, contributions and /or payments, including but not necessarily limited to Employment Insurance and Canada Pension Plan and at all times at the current established rate for the Municipality. 10. Indemnity 10.1 The Assisted Municipality shall indemnify and save harmless the Assisting Municipality from all claims, costs, all manner of action or actions, cause and causes of action, duties, dues, accounts, covenants, contracts, demands or other proceeding of every kind or nature whatsoever at law or in equity arising out of the Agreement and out of the provision of any assistance pursuant to this Agreement. 11. Insurance 11.1 During the term of this Agreement, each party shall obtain and maintain in full force and effect, general liability insurance issued by an insurance company licensed to carry on business in the Province of Ontario, providing for, without limitation, coverage for personal and bodily injury, public liability and property damage. Such policy shall: 11.1.1 have inclusive limits of not less than Five Million Dollars ($5,000,000) for injury, loss or damage resulting from any one occurrence; 11.1.2 contain a cross liability clause endorsement of standard wording; 11.1.3 name the other party as an additional insured with respect to any claim arising out of the Assisted Municipality's obligations under this Agreement or the Assisting Municipality's provision of personnel, services, equipment or material pursuant to this Agreement; 11.2 The Assisting Municipality's and the Assisted Municipality's general liability insurance, when called upon to respond to a claim on behalf of the respective named insured municipality, shall each apply as primary insurance and not excess to any other insurance available to the additional insured designated on the named insured's policy 11.3 Upon the request of the other party, each party shall provide proof of insurance in a form satisfactory to the requesting party's CAO or his or her designate. 4 12. Liaison and Supervision 12.1 The Assisting Municipality shall have the right, to be exercised in its sole discretion, to assign an employee or agent (the "Liaison Officer of the Assisting Municipality to the Community Control Group of the Assisted Municipality. The Liaison Officer shall provide a liaison between the Assisting Municipality and the Community Control Group of the Assisted Municipality. The parties acknowledge that the purpose of the Liaison Officer shall be to permit communication between the Assisted and Assisting Municipalities. Subject to the Municipal Freedom of Information and Protection of Privacy Act, the Liaison Officer shall be permitted to inform the Assisting Municipality on the status of the declared Emergency and the actions taken by the Assisted Municipality. The Liaison Officer shall have the right to obtain information about the declared Emergency and the use of the assistance provided in order to report to the Assisting Municipality during and after the duration of the assistance provided and the Emergency. The Assisting Municipality shall keep confidential and not disclose any information concerning the emergency or the assistance provided without the prior consent of the Assisted Municipality, except as may be legally required. 12.2 The Assisting Municipality shall assign its personnel to perform tasks as directed by the Community Control Group of the Assisted Municipality. The Assisting Municipality shall have the right to assign supervisory personnel to operate or supervise the operation of any of the Assisting Municipality's personnel and/or equipment furnished as assistance to the Assisted Municipality. Such supervision shall be in accordance with the instructions of the Community Control Group. 13. Information Sharing 13.1 If requested, each party shall respond to the other party's request for information regarding specified types of personnel, services, equipment or material in the possession of each party that may be used in the provision of assistance under this Agreement. All such information shall be provided without any warranty of any kind as to its accuracy, reliability, usefulness or other characteristics. 14. Food and Lodging 14.1 For the duration of the assistance provided under this Agreement, the Assisted Municipality shall be responsible for providing all food, lodging and accommodation required by the personnel furnished by the assisting municipality pursuant to this Agreement. Where food and lodging cannot be provided in -kind, the Assisted Municipality shall pay a reasonable per diem to personnel for any food and lodging purchased by personnel of the Assisting Municipality. The per diem shall be no less than the Assisted Municipality pays to its own employees as a matter of policy or agreement. 15. Notice 15.1 If not otherwise provided in this Agreement, written notice given pursuant to this Agreement must be addressed, In the case of notice to the Corporation of the Municipality of Bayham, to: The Administrator The Corporation of the Municipality of Bayham 9344 Plank Road, P.O. Box 160 Straffordville, Ontario NOJ 1Y0 Fax: 519- 866 -3884 5 In the case of notice to the Corporation of the Town of Aylmer, to: The Administrator The Corporation of the Town of Aylmer 46 Talbot Street West Aylmer, Ontario N5H 1J7 Fax: 519- 765 -1446 In the case of notice to The Corporation of the Municipality of Central Elgin, to: The Chief Administrative Officer The Corporation of the Municipality of Central Elgin 450 Sunset Drive Elgin County Administrative Building St.Thomas, Ontario N5R 5V1 Fax: 519- 631 -4036 In the case of notice to the Corporation of the Municipality of Dutton/Dunwich, to: The Administrator The Corporation of the Municipality of Dutton/Dunwich 199 Currie Road P.O. Box 329 Dutton, Ontario NOL 1J0 Fax: 519- 762 -2278 In the case of notice to the Corporation of the Municipality of West Elgin, to: The Administrator The Corporation of the Municipality of West Elgin 22413 Hoskins Line P.O. Box 490 Rodney, Ontario NOL 2C0 Fax: 519- 785 -0644 In the case of notice to the Corporation of the Township of Southwold The Chief Administrative Officer The Corporation of the Township of Southwold 35663 Fingal Line Fingal, Ontario NOL 1K0 Fax: 519- 769 -2837 16. Rights and Remedies 17. Binding Effect 18. Incorporation of Schedules In the case of notice to the Corporation of the City of St. Thomas, to: The City Clerk The Corporation of the City of St. Thomas 545 Talbot Street P.O. Box 520 St. Thomas, Ontario N5P 3V7 Fax: 519- 633 -9019 In the case of notice to the Corporation of the Township of Malahide, to: The Chief Administrative Officer The Corporation of the Township of Malahide 87 John Street South Aylmer, Ontario N5H 2C3 Fax: 519- 773 -5334 -and in the case of notice to the Corporation of the County of Elgin, to: The Chief Administrative Officer The Corporation of the County of Elgin 450 Sunset Drive St. Thomas, Ontario N5R 5V1 Fax: 519- 663 -7661 15.2 If hand delivered, the notice is effective on the date of delivery; if faxed, the notice is effective on the date and time the fax is sent; if sent by electronic mail, the notice is effective on the date sent; and if mailed, the notice is deemed to be effective on the fifth business day following the day of mailing 15.3 Any notice given shall be sufficiently given if signed by the CAO or by a person authorized by or acting under the direction or control of the CAO. 16.1 Nothing contained in this Agreement shall be construed as restricting or preventing either party from relying on any right or remedy otherwise available to it under this Agreement, at law or in equity, in the event of any breach of this Agreement. 17.1 This agreement shall enure to the benefit of, and be binding upon the parties and their respective successors, administrators and assigns. 17.2 This Agreement shall not be construed as or deemed to be an agreement for the benefit of any third parties, and no third party shall have any right of action arising in any way or manner under this Agreement for any cause whatsoever. 18.1 This Agreement and the attached Schedule "A embody the entire Agreement and supersede any other understanding or agreement, collateral, oral or otherwise, existing between the parties prior to or at the date of execution. 7 19. Other Agreements 19.1 The parties hereto acknowledge and agree that if assistance is provided pursuant to this Agreement, then aid in such event this Agreement and its provisions shall take precedence over any other mutual assistance agreements or mutual aid agreements in effect and to which the Assisted Municipality or the Assisting Municipality may be a party. 19.2 The parties acknowledge that each party may have its own local boards that have emergency management or response capabilities or responsibilities or both. Each party shall inform these local boards of the existence of this Agreement and offer such local boards the opportunity to become party to this Agreement. 20. Provisions Surviving Termination 20.1 Sections 5.2, 7, 8, 9, 10, 11, 15, 16, 20, 21 and 22 of this Agreement shall survive termination of this Agreement. 21. Governing Law 21.1 The parties agree to be governed by the laws of the Province of Ontario and Canada. 22. Arbitration 22.1 The parties hereby agree that in the event of any dispute arising under or pursuant to this Agreement, which dispute cannot be resolved by the mutual agreement of the Chief Administrative Officer of any party to such dispute, then and in such event any such Chief Administrative Officer shall refer the dispute to the respective Head of Council of the parties for resolution. In the event that the Head of Council cannot resolve the dispute, either party may, on providing ninety (90) days written notice to the other, refer the dispute to a third party arbitrator of their mutual choice for resolution. Such arbitration shall be conducted pursuant to the Arbitration Act, 1991, S.O. 1991 c. 17, as amended 8 IN WITNESS WHEREOF the parties have executed this Agreement. SIGNED SEALED AND DELIVERED In the presence of: Witness SIGNED SEALED AND DELIVERED In the presence of: Witness SIGNED SEALED AND DELIVERED In the presence of: Witness SIGNED SEALED AND DELIVERED In the presence of: Witness SIGNED SEALED AND DELIVERED In the presence of: THE CORPORATION OF THE MUNICIPALITY OF BAYHAM THE CORPORATION OF THE TOWN OF AYLMER THE CORPORATION OF THE MUNICIPALITY OF CENTRAL ELGIN THE CORPORATION OF THE MUNICIPALITY OF DUTTON/DUNWICH THE CORPORATION OF THE MUNICIPALITY OF WEST ELGIN Witness 9 SIGNED SEALED AND DELIVERED In the presence of: Witness SIGNED SEALED AND DELIVERED In the presence of: Witness SIGNED SEALED AND DELIVERED In the presence of: Witness SIGNED SEALED AND DELIVERED In the presence of: Witness THE CORPORATION OF THE TOWNSHIP OF SOUTHWOLD THE CORPORATION OF THE CITY OF ST. THOMAS THE CORPORATION OF THE TOWNSHIP OF MALAHIDE THE CORPORATION OF THE COUNTY OF ELGIN 10 SCHEDULE "A" Mutual Assistance Agreement I, Chief Administrative Officer /Designated Official of duly authorized to do so by the Council of do hereby request of The Municipality of to Provide assistance in the form of Chief Administrative Officer Municipality of PERSONNEL SERVICES EQUIPMENT MATERIAL AS IS MORE PARTICULARLY SET OUT IN DETAIL AS FOLLOWS: The above confirms the assistance verbally requested on and which assistance the Municipality of has agreed to provide. Dated at this day of, 11 INTRODUCTION: PURPOSE: REPORT TO COUNTY COUNCIL FROM: Sandi Loponen Library Coordinator, Community and Cultural Services DATE: June 8, 2010 SUBJECT: Institutional Memberships to Elgin County Library This report seeks Council's approval for a new Institutional Membership policy for Elgin County Library. An institutional library membership is designed to support the needs of an institution or community organization that requires supplementary materials to support core programming, e.g. a school, preschool, daycare centre, medical or seniors' facility. With an institutional card, an approved staff member, volunteer or other worker can borrow materials from any library branch for use by the institution. DISCUSSION: If approved, this policy will govern loans of library materials to institutions or community organizations. At the present time, a number of teachers are borrowing materials for classroom use on their personal library accounts that are subject to standard fines and loan periods. Institutional memberships will give library staff the flexibility to loan materials beyond normal lending periods to a recommended 60 days as needed by classrooms or long -term care facilities and will make it easier to keep an accurate accounting of where materials are being used (e.g. in different classrooms in the same school). In addition, providing longer loans to residents of long -term care facilities respectfully accounts for any needs to take more time to enjoy materials. The library currently provides a similar type of loan to several long -term care facilities that are administered by library staff. However, there are is no formal policy governing this practice. If materials are to be used by an institution, responsibility for those materials is more appropriately assigned to the institution and not to the individual who collects materials from the library. CONCLUSION: The library will publicize this policy to raise awareness of the availability of this membership option to organizations within the County and to clarify borrowing responsibilities to existing institutional partners. RECOMMENDATION: THAT the "Institutional Membership" policy of Elgin County Library as attached to this report be hereby approved. All of which is Respectfully Submitted 5 L Sandi Loponen Library Coordinator Brian Masschaele Director of Community and Cultural Services Appro, f Mary Donald Chief Administrative Officer Elgin County Library POLICY: Institutional Memberships to Elgin County Library PURPOSE: An institutional library membership is designed to support the needs of an institution or community organization that requires supplementary materials to support core programming, e.g. a school, preschool, daycare centre, medical or seniors' facility. With an institutional card, an approved staff member, volunteer or other worker can borrow materials from any library branch for use by the institution. POLICY STATEMENT: Institutional memberships are issued in the name of the organization. Accounts in good standing can be renewed annually. The institution is responsible for all materials borrowed on this card and is subject to billing for lost, long overdue or damaged materials. Standard fines do not apply to materials borrowed by an institution. Loaned materials should be returned within 60 days of borrowing. The maximum number of items that may be borrowed by an institution at one time will be at the discretion of library staff. The library reserves the right to withhold items from institutional loan that are in high demand or in limited supply. The library also reserves the right to revoke an institutional membership at any time if privileges are abused. If an institutional membership remains inactive for one year past the expiry date, it will be removed from the library's records. PROCEDURE: A company or organization may obtain an institutional membership application from the issuing library that must be signed by a responsible person, such as an owner, manager or principal of the institution. The application must designate who from the organization may use the card and must be approved by a library manager. Authorized users should be reviewed annually prior to privilege renewal. It is recommended that the institutional card be left on file at the circulation desk of the issuing library to ensure its availability, especially when there is more than one authorized user. A small fee is charged for the replacement of a lost card. Authorized users may be asked to show identification. All changes to an institution's list of authorized users should be requested in writing. ATTACHMENT: Institutional Membership Application Approved by Elgin County Council: Elgin County Library gin Institutional Membership Application PLEASE PRINT CLEARLY Issuing Library Institution Name Member Number Primary Contact Street Address Postal Code Email Address Authorized Users (Please list full names and job titles) 06279 Job Title City Phone As the administrator of this institution, I am qualified to apply for membership to Elgin County Library on its behalf. I understand that I am responsible for all materials borrowed by authorized users of this account and that these materials are subject to replacement fees if they are lost or damaged. Materials borrowed under this membership are not for personal use. I will notify the library of any changes to our list of authorized users in writing and understand that our membership will be reviewed annually. Our authorized users understand that the library reserves the right to withhold materials from institutional loan that are in high demand or limited supply and that borrowing privileges may be suspended as a result of unpaid bills or materials that are long overdue. This membership will be revoked by the library if privileges are abused. Signature: Date: FOR LIBRARY USE ONLY applications may be approved by a Branch Supervisor, Library Coordinator or Director of Community Cultural Services Approved By; (print name) (signature) FROM: Susan McConnell Administrative Services Coordinator DATE: May 19, 2010 SUBJECT: 2010 Revised Council Meeting Schedule INTRODUCTION: This report provides a recommendation for a revised Council Meeting Schedule for one month in 2010 to accommodate scheduling around a special event. DISCUSSION: Elgin County Council and County staff have undertaken a considerable and comprehensive partnership with the Elgin hosting committee of the International Plowing Match. The participation by both councillors and staff leading up to and including the event, on September 21 -25, 2010, east of St. Thomas, will become more intensive as the date of the event approaches, and during the four -day Match. With this in mind, a recommendation will be made regarding September's meeting schedule for Council. RECOMMENDATION: THAT Elgin County Council revise the existing 2010 Council Meeting Agenda to include one meeting only in September on the 14 2010. All of which is Respectfully Submitted Approved for Submission REPORT TO COUNTY COUNCIL Susan McConnell Mark G. Y cDon Administrative Services Coordinator Chief Administrative Officer Eton_ Prd,Mrosle: kr Atsturc FROM: Pat Vandevenne Director of Senior Services, Elgin Manor DATE: May 26, 2010 SUBJECT: Ministry of Labour Visit INTRODUCTION: On Friday, May 14, 2010, the Ministry of Labour (MOL) visited Elgin Manor, unannounced, for the purpose of reviewing two specific issues: young worker safety awareness, and safe ladder use. DISCUSSION: The MOL inspector was carrying out a "blitz" regarding young worker safety awareness and safe ladder use. The inspector spoke with a new hire that was under 25 years of age and reviewed the County's orientation, on- the -job processes and procedures, as they pertained to new hires. The inspector was pleased with the program information in relation to Human Resources Orientation, Homes Orientation, as well as responses from the new hire regarding on -the -job orientation at Elgin Manor. The inspector spoke with a maintenance staff member regarding safe ladder use; the inspector reviewed the safe ladder use policy. CONCLUSION: The inspector was satisfied with the young worker safety awareness, the in -depth orientation in place and staff knowledge of safe ladder use. Two orders were given relating to review dates on current policies. The County is working towards full compliance. RECOMMENDATION: REPORT TO COUNTY COUNCIL THAT the report titled "Ministry of Labour Visit" be received and filed. All of which is Respectfully Submitted Director of Senior Services, Elgin Manor Approved for Submission Pat Vandevenne Mare Chief Administrative Services P;ogit$S1Ft ty 0 -mac FROM: Rhonda L. Roberts Director of Senior Services Bobier Villa Terrace Lodge DATE: May 25, 2010 SUBJECT: 2010 -2013 Long -Term Care Home Service Accountability Agreement INTRODUCTION: The Current Long Term Care Service Accountability Agreement (L -SAA) will expire July 1, 2010. The South West Local Health Integration Network (SWLHIN) requires renewal of the agreement for the County of Elgin Homes. Pat Vandevenne Director of Senior Services Elgin Manor DISCUSSION /CONCLUSION: In 2007, all service agreements between the Ministry of Health and Long -Term Care (MOHLTC) and Long -Term Care Home (LTCH) were assigned to the LHINs. These agreements would terminate after March 31, 2009 and were subsequently extended pending the proclamation of the Long -Term Care Homes Act (LTCHA), 2007. The Lieutenant Governor has issued a proclamation naming July 1, 2010 as the day on which the Long -Term Care Homes Act, 2007 comes into force. As of this date, the LHIN will enter into service accountability agreements under the Local Health System Integration Act, 2006 and the Commitment to the Future of Medicare Act, 2004 with LTCH operators. RECOMMENDATION: THAT the CAO and Homes' Directors sign the Long Term Care Service Accountability Agreement for the County of Elgin Homes. Respectfully Submitted Rhonda L. Roberts Director of Senior Services -BV TL Pat Vandevenne Director of Senor Services -EM REPORT TO COUNTY COUNCIL Approved fo Mark McDona CORRESPONDENCE June 8, 2010 Items for Consideration (ATTACHED) 1. Rebecca McLean, Supervisor of Planning, London District Catholic School Board providing written notice of available space for community partnerships at Assumption Catholic Elementary School in Aylmer. May 26, 2010 Mr. Mark McDonald Chief Administrative Officer County of Elgin 450 Sunset Drive St. Thomas, ON N5R 5V1 Dear Mr. Mark McDonald: L O N D O N D I S T R I C T Catholic School BOARD Re: Notice Facility Partnership Opportunity Ms. Rebecca McLean Supervisor of Planning London District Catholic School Board P. O. Box 5474 5200 Wellington Road South London, ON N6A 4X5 e -mail: r.mclean @ldcsb.on.ca CATHOLIC EDUCATION CENTRE Mailing Address: P.O. Box 5474, N6A 4X5 5200 WELLINGTON RD. S., N6E 3X8 London, Ontario Canada Fax (519) 663 -9250 Tel (519) 663 -2088 IVED MAY a 1 2010 As per Policy Code: K 4.4 Facility Partnerships, the London District Catholic School Board is required to provide written notice of available space for community partnerships to a prioritized list of specified public agencies. You are one of those agencies. At its regular meeting on May 25, 2010, the Board of Trustees determined that Assumption Catholic Elementary School, 42 South Street East, Aylmer, Ontario, may be suitable for community partnership subject to further evaluation of site- specific criteria. A copy of the Board's Facility Partnerships Policy, and further facility information is available from the Board's website at www.ldcsb.on.ca. Administration has scheduled a meeting to discuss this partnership opportunity with all interested agencies on Wednesday, June 23, 2010 at 9:00 a.m. in the Board Room, at the Catholic Education Centre, 5200 Wellington Road South, London, Ontario. If more than one agency expresses an interest in a partnership at this location, the Board is required to negotiate with the highest ranking agency first as per the priority ranking specified in the policy. If your agency is interested in pursuing partnership opportunities, I would ask that you please notify the undersigned as soon as possible. Interested agencies are also encouraged to attend the meeting on June 2 3 to obtain further information. All community partnerships will be subject to the approval of the Board of Trustees, and where applicable, the Ministry of Education. Yours truly, Rebecca McLean Supervisor of Planning CORRESPONDENCE June 8, 2010 Items for Information (Consent Agenda) (ATTACHED) 1. Sandra Pupatello, Minister of Economic Development and Trade thanking Elgin County for supporting the Elgin -St. Thomas Small Business Enterprise Centre, Valerie Clark, Regional Information Coordinator, Ministry of Agriculture, Food and Rural Affairs, with copy of 2010 Guide to Your Farm and Rural Community. (copy is available upon request and is also posted on County of Elgin website) 3. Communication Update from the South West Local Health Integration Network. 4. Thank you card from the family of Steve Evans. Minister of Economic Development and Trade Hearst Block, Queen's Park 900 Bay Street Toronto ON M7A 2E1 Telephone: (416) 325-6900 Facsimile: (416) 325 -6918 www.ontario.ca/economy M2010- 0521 -32983 May 21, 2010 Mr. Mark G. McDonald CAO Elgin County 450 Sunset Dr. St. Thomas ON N5R 5V1 mmcdonald @elgin- county.on.ca Dear Mr. McDonald: Thank you for your support of the Elgin -St. Thomas Small Business Enterprise Centre, an important part of Ontario's Network of Small Business Enterprise Centres located in 57 communities in all parts of the province. Through one -on -one consultations, training seminars and other activities, Enterprise Centres play a vital role in communities and directly impact business start -up, growth and success. The Government of Ontario understands the value of nurturing the small business sector. That's why we are investing an additional $900,000 per year into the network of Small Business Enterprise Centres across the province. This is in addition to a $250,000 increase announced earlier this year, and a one -time investment of $500,000 distributed in January 2010. You will soon receive more details about the new core funding for the Elgin -St. Thomas Small Business Enterprise Centre and additional guidance on what you will need to do to access the new funds. Thank you again for your support of this important local resource for small businesses. Sincerely, Sandra Pupatello Minister Ministre du Developpement economique et du Commerce Edifice Hearst, Queen's Park 900, rue Bay Toronto ON M7A 2E1 Telephone: (416) 325 -6900 Telecopieur: (416) 325 -6918 www.ontario.ca/economie c: Gordon Hall, Elgin -St. Thomas Small Business Enterprise Centre Paul Homer, Regional Advisor ke Ontario Ministry of Agriculture, Food and Rural Affairs 667 Exeter Road London, ON N6E 1L3 Tel: (519) 873 -4070 Fax: (519) 873-4062 Economic Development Division May 2010 Valerie Clark Regional Information Coordinator valerie.clark@ontario.ca 519- 873 -4086 Ministere de ('Agriculture, de ('Alimentation et des Affaires rurales 667, rue Exeter London, ON N6E 1L3 Tel.: (519) 873 -4070 Telec.: (519) 873 -4062 MAY 3 1 2010 COUNTY OF ELM QD IN{ TRATIVE SERVIC I am pleased to provide you with a copy of the 2010 Guide to Your Farm and Rural Community for your county. Many find this directory of local agricultural and rural organizations to be an effective tool for communicating and building partnerships. To All Agricultural and Rural Organizations, Municipal and Community Leaders in Elgin and Middlesex Counties: Your assistance in providing up to date information for your respective organizations is greatly appreciated. Please contact me at any time with updates, errors or omissions. Thank you to the County of Elgin and the County of Middlesex for continuing to make these guides accessible electronically. Elgin County A Guide to Your Farm Rural Community, 2010 is posted on the County of Elgin website at http:/ /www.elgincounty.ca/ElginCounty /elgin links.php Middlesex County A Guide to Your Farm Rural Community, 2010 is posted on the County of Middlesex website at http: /www. county. middlesex.on.ca /CountyInformation/rural organ. asp Feel free to pass along your suggestions for the next edition. Sincerely, Good Things Grow in Ontario o A bonne terre, bons produits <q v No 0 South West Local Health Integration Network Improved transitions for ALC patients result from better information through technology Technology holds the key to ensuring the right patients in the right place, at the right time, with the right information. So says a team of health care professionals who last month wrapped up the first phase of the Alternative Level of Care (ALC) Resource Matching Referral (RM &R) project a four -LHIN collaborative between SouthWest, Erie St. Clair, Waterloo Wellington and Hamilton Niagara Haldimand Brant LHINS that was launched to reduce emergency room wait times and free up hospital beds. The project will improve the use of technology to manage patient transitions from one type of care setting to another, such as hospital to home, hospital to long -term care and others. Page 1 of 7 "Evidence shows us that it is transition points that are often the most difficult for our clients and their caregivers," says Donna Ladouceur, the South West LHIN's RM &R project lead and Senior Director of Client Services with the South West Community Care Access Centre. "Moving forward, we must look at the technology enablers which can help make this more efficient and seamless for our clients." Along with her counterparts in the other three LHINs (chosen because of their strong geographic alignment and the referral relationships that already exist between them) Ladouceur says those transitions are often when clients are at their most vulnerable. "As we continue to evolve as partners, it is critical that we look at our business processes and further understand our clients' experiences in these events," she says. "This is an exciting project to be a part of as we work collaboratively to refine our processes and enable seamless transitions for our clients." Her comments come as the project team gets ready to table its current state assessment of referral patterns across all four LHINs. Although the project focused on patients transferring from acute to home, long -term care, complex continuing care and rehabilitation, inter- and intra -LHIN referrals and intra hospital transfers were also included in the scope of the project. The project's second phase will build on the work done to date, providing a future state definition. The subsequent three phases include implementation planning, deployment and adoption and post deployment and transition. Ultimately, the project will lead to new, streamlined, client- centric business processes that can be expanded to include other pathways and inpatient units. The Wait Times reduction initiative is one of three clinical priorities identified in Ontario's eHealth Strategy. For more information on the South West LHIN's ALC RM &R project, click here. To learn more about Ontario's eHealth Strategy, click here. http:// www. southwestlhin .on.ca/newsletter.aspx ?id= 54 &nb= 4000 &cc 4002 &tu =2882 5/31/2010 South West Local Health Integration Network Page 2 of 7 Expansion of acquired brain injury services Access to Acquired Brain Injury (ABI) outreach services in the South West LHIN is being enhanced. In March, the South West LHIN Board of Directors approved $315,000 in new base funding to improve service coordination and access to outreach services to better meet community needs. "We are pleased the government's commitment to expanding ABI community services will benefit people in the South West," says Ferne Woolcott, acting LHIN Board Chair. "This new funding fits well with our focus on ensuring population -based integrated services, with a particular focus on enhancing specialized services for seniors and adults with complex needs." Dale Brain Injury Services (DBIS) is partnering with several community organizations in order to best utilize the new allocation across the LHIN. An additional $157,500 was provided in one -time funding in 2009/10 to recruit and train new staff and equip them with the necessary resources to provide care. "These funds will enable DBIS to expand outreach and clinical consultation services to areas within the South West LHIN where people living with the effects of an Acquired Brain Injury have had little or no access to services," says Sue Hillis, Executive Director, DBIS. The expansion will result in 4.4 full -time equivalent front -line providers who will be cross trained in ABI and addictions with training in mental health issues as well. These outreach staff members will provide personal support independence training to individuals, in one -on -one and /or in group settings. "These services will enable people to maintain their independence, stay within their home community and assist families and other caregivers to better support people with brain injuries. Also, the collaboration with service providers in the mental health and addictions field will ensure that clients receive a comprehensive service that can meet all of their needs," says Hillis. Individuals with ABI can be better served and improvements made to the overall health system with the enhanced access. This new investment will help maintain individuals in their current location to avoid unnecessary admission to institutional settings and will help with caregiver burnout and crisis. This provides an opportunity to implement cross trained workers in the field of ABI service provision. DBIS client Doug Everett describes the importance of services: "Dale has been a life line to me. It's great to feel that someone is there to support me with life skills, giving me ideas and suggestions on how to cope. They provided great encouragement and also listened to me; which is very important. Dale has given me the skills to deal with situations that I never thought I could, this would be of great support for all that deal with an ABI." Woodstock and Area CHC opens its doors Community Health Day (April 30) was celebrated in grand style in the South West LHIN as the opening of the Woodstock and Area Community Health Centre (WACHC) was held. Now in operation, the WACHC brings the total number of community health centres (CHCs) in the LHIN to three as it joins the ranks of the London InterCommunity Health Centre and the West Elgin CHC. Two other organizations the Central CHC in St. Thomas and South East Grey CHC in Markdale are still in development. "The community health centre model is all about providing people with access to services that not only help them when they are not well, but that support, guide and educate them about making better choices to live healthier," Ferne Woolcott, acting LHIN Board Chair said at the Woodstock event. CHCs challenge us to examine the root causes of health concerns in our communities and benefit from many people working together to find innovative solutions, she added. CHCs provide a model of care that is grounded in a community development approach and focuses on social determinants of health, says Cate Melito, executive director of WACHC. The WACHC offers residents of Oxford http:// www. southwestlhin .on.ca/newsletter.aspx ?id= 54 &nb= 4000 &cc 4002 &tu =2882 5/31/2010 South West Local Health Integration Network Page 3 of 7 County a range of comprehensive primary health care and health promotion programs in Woodstock, Ingersoll and Tillsonburg. These are the five service areas: 1. Primary care 2. Illness prevention 3. Health promotion 4. Community capacity building 5. Service integration The services are structured and designed to eliminate system -wide barriers to accessing health -care such as poverty, geographic isolation, ethno- and cultural- centrism, racism, sexism, heterosexism, transphobia, language discrimination, ageism, ableism and other harmful forms of social exclusion. These may include issues such as complex mental illness that can lead to an increased burden or risk of ill health. The CHC model fits well into the South West's 12 -year plan to build an integrated system of care, where population based integrated health services are provided at the local and multi- community level and are focused on areas such as chronic disease prevention and management as well as mental health and addictions. The Integrated Health Service Plan for 2010 -2013 has two main priorities and our goal, as a LHIN working with its health service providers, is to enhance capacity and integration of primary, specialized and community based care focusing on: Seniors and adults with complex needs People with mental health and addictions challenges; and o People with or at risk of chronic disease. Find out more about the WACHC by visiting www.wachc.ca http: /www.southwestlhin. on.ca /newsletter.aspx ?id= 54 &nb= 4000 &cc 4002 &tu =2882 5/31/2010 South West Local Health Integration Network Page 4 of 7 Critical care system across South West LHIN putting patients first Ontario's Critical Care Secretariat (OCS) is closely watching the work being done in hospitals across the South West, and they like what they see. That's the message South West LHIN Critical Care Lead Dr. Mike Sharpe had for the LHIN's Board of Directors April 28, and was reiterated to critical care leaders from across the LHIN at a full -day workshop with OCS representatives April 29. "The biggest success we have is that we have knocked down silos and are working together as a group," he stated. "Together, we have a plan that is our plan. These are our critically ill patients. We now have a system that potentially could be number one in the world." The first major accomplishment of the critical care network is the creation of plan for the eight hospitals in the South West LHIN that provide critical care to identify the human resources, equipment needs and space to surge to 115 per cent of their current capacity. This is referred to as a "minor surge." Work is also beginning on "moderate surge" planning where the hospitals /alliances will identify resources required to operate at up to 150 per cent capacity, if and when the need arises, such as during a pandemic. Not only are hospitals in the South West planning to deal with future needs, but they are also working to improve the way they work together today, to best make use of the LHIN's 224 critical care beds 99 of which are level 3 beds (which support the absolute sickest patients) and 125 level 2 beds. "We know the pressures that are involved in getting patients to where they need to be," Dr. Sharpe said. In this region, it currently takes 12 minutes for the province's CritiCall network (an organization that finds an appropriate hospital bed and physician for patients who cannot be cared for locally) to find a receiving physician for a consultation. It takes 55 minutes for a patient to be accepted and on average two physicians are called. While those numbers at first glance, are promising, Dr. Sharpe points to the few patients where many calls are made before an acceptable match is found. "The patient population I'm concerned about are the extremely critically ill patients who are dying. They are the impetus behind our draft Life and Limb No Refusal policy." That policy that ensures every patient in dire need of critical care is looked after as close to where they are is in its early stages. It will result in some difficult decisions and will require not only providers, but patients and their families, to reframe their expectations of the system. Another pilot project being undertaken by the critical care group is to have a critical care intensivist on -call 24 hours a day to support health care providers across the LHIN, to measure if access to critical care resources can be improved that much more. "Our Board was very pleased with the work that is going on, particularly when they hear about organizations working http:// www. southwestlhin .on.ca/newsletter.aspx ?id= 54 &nb= 4000 &cc 4002 &tu =2882 5/31/2010 South West Local Health Integration Network Page 5 of 7 together across the system," Mike Barrett, Chief Executive Officer of the LHIN said. The work of the critical care group flows nicely with that of the South West's patient access and flo group which is now pilot testing its "one number" project (see related story). It all aligns nicely with the South West's 12 -year blueprint to create an integrated health system of care, added Carrie Jeffreys, ED and Critical Care Project Coordinator for the LHIN. "The work being done by the critical care group is moving the system in the direction it needs to go. You are moving the system in a way that helps to build capacity across our vast geography while using the capacity we have and maximizing our resources." Where are critical care beds located? Grey Bruce Health Services, Owen Sound site 20 Huron Perth Health Alliance, Stratford General Hospital 5 London Health Sciences Centre, University Hospital 67 London Health Sciences Centre, Victoria Hospital 54 Middlesex Hospital Alliance, Strathroy Middlesex General Hospital 4 St. Thomas -Elgin General Hospital 6 Tillsonburg District Memorial Hospital 5 Woodstock General Hospital 6 Hospitals roll out "one number" pilot project for patient access An exciting new project got underway May 4 across the 19 hospital corporations in the South West LHIN in an effort to ensure patients are able to access the right level of acute care services, when they need it. The purpose of the project, which took eight months of planning, is to ensure that patients who are seriously ill and need to be transferred to another hospital to the care they require, are transferred as quickly and effectively as possible. A common protocol has been developed and agreed to by all of the hospitals and the South West Community Care Access Centre (CCAC). This protocol simplifies the referral process for physicians by creating a single point of contact at each hospital. This single point of contact, called the hospital's "one number" for patient access, will facilitate access to physicians and physician -to- physician communications. When patients are critically ill, the process will begin with a call to CritiCall, a long established province -wide service that connects physicians with specialists under these circumstances. The one number protocol sets out rules of interaction and communication between hospitals and physicians. To make these patient transfers work effectively, it is important to know what hospital services the incoming patient will need as well as their medical needs. That's why both physicians and hospital staff will work together, to create the best possible outcome for the patients. At the same time, as attention has been focused on getting patients to the nearest, most appropriate care setting, the project has also focused attention on the need to return patients to their home community. This could involve discharging a patient from hospital to home care services. I could also mean a transfer to another hospital for additional care. The current reality of hospital -based health care is that many hospitals, especially those that offer more specialized services, are often full or close to full at all times. Patients who no longer need specialized care need to be able to be discharged or transferred to another hospital that supports the level of care they need. This, in turn, makes it possible for these specialized hospitals to be available to accept other patients who are very ill. http /www.southwestlhin .on.ca /newsletter.aspx ?id= 54 &nb= 4000 &cc 4002 &tu =2882 5/31/2010 South West Local Health Integration Network Page 6 of 7 The project's first implementation phase began May 4 and will be refined over the next two months. Sponsored by the chief executive officers of the LHIN, hospitals and CCAC, the project also has a steering committee involving the hospital vice presidents of patient as well as CCAC and LHIN representatives. A regional physician leaders group has been involved from the outset and they have given critical medical direction to the project. Chiefs of Staff across the region have also been involved and consulted. A group of hospital staff, primarily from London Health Sciences Centre have been providing project staff leadership and support to the project. "This project is making progress on how the system is working together and demonstrating who we are inter related with our partners across the system," says Mike Barrett, Chief Executive Officer of the South West LHIN. "It is projects like this, projects that treat health care as a system of interconnected providers, services and organizations, which are moving us toward our blueprint vision for an integrated health system of care." South West LHIN releases tools to support system planning April 1st marked the official launch of the South West's2010 -2013 Integrated Health Service Plan, (IHSP) that was approved by the South West Local Health Integration Network (LHIN) Board of Directors in November. The focus of this three -year plan for the overall health system is to build a foundation for a sustainable, quality system that is able to meet growing demands. In creating the IHSP and the area's Health System Design Blueprint Vision 2022, health providers and the LHIN acknowledged that while we have one of the best health care systems in the world, we are facing growing pressures from an aging population, shortages of skilled health care providers and increasing costs. Today, health sector spending accounts for 46 cents of every program dollar. The IHSP is designed to address these pressures to ensure the system remains robust and is accessible now and for future generations. The South West LHIN and health system partners are: Focusing on prevention, screening and early treatment of manageable diseases such as diabetes to improve overall health for people Helping more people avoid hospitalization Working together to remove bottlenecks and overlap in the health care system. There are two strategic objectives of the IHSP (2010- 2013). The first is to enhance capacity and integration of primary, specialized and community -based care with a focus on seniors and adults with complex needs; people living with mental health and addiction challenges and people living with or at risk of chronic disease (such as diabetes). The second goal is to enhance access and sustainability of hospital -based treatment and care related to emergency services as well as medicine, surgical and critical care services. "Health service providers are building a health care system where programs and services work together, where individuals and their families are able to access and receive the care they need, when they need it," says Ferne Woolcott, acting LHIN Board Chair. "We are putting patients and clients at the centre of the system, closing gaps between services and removing duplication." "System change is required to allow our health service providers to do what they do best deliver quality health care within a dynamic, ever evolving environment. We can only make it happen together," says Michael Barrett, Chief Executive Officer of the South West LHIN. A significant amount of information about the IHSP and the health system blueprint is available for health service providers and the general public. During the first two weeks of April, the South West LHIN Community Bulletin, a tabloid style four -page aimed to providing the public with more information on the LHIN's role and how it is working with health service providers to ensure accountability in the system was delivered in several newspapers across the LHIN. An electronic version of this report can be downloaded from the LHIN website. http: /www.southwestlhin.on.ca /newsletter. aspx ?id= 54 &nb= 4000 &cc 4002 &tu =2882 5/31/2010 South West Local Health Integration Network A number of other resources are available online, such as four short video vignettes featuring residents from across our LHIN talking about their health care experiences. An animated flash presentation and four -page brochure are designed to provide the public with more information in a clear, understandable way. An archived webcast on the blueprint aimed at health providers will also provide more detail for those interested. All of these resources are available at www.southwestlhin.on.ca. Page 7 of 7 http:// www. southwestlhin .on.ca/newsletter.aspx ?id= 54 &nb= 4000 &cc 4002 &tu =2882 5/31/2010 444k "I /44.4 %fa' "Ail m1A Oip ZA4 itu4 fifie ,e51Z /dAaA- Staff Reports: (ATTACHED) CLOSED MEETING AGENDA June 8,2010 1) Director of Financial Services Municipal Act, Section 240.2 (a) the security of the property of the municipality or local board 99 Edward Street. (Restricted Circulation: Members of Board of Health Excluded).