HomeMy WebLinkAboutThe Goderich Signal-Star, 1978-06-22, Page 2Doctors dispute reports, study
BY DAVE SYKES
The medical staff of Alexandra Marine and
General hospital pushed for more reliable
reporting procedures of monthly board and
committee meetings at the hospital.
Members of the medical staff indicated that
minutes of meetings as prepared by the
hospital administrator did not reflect the
proceedings of such meetings and asked that
the board adept a better method of reporting.
Dr. Bruce Thomson said the problem was
perhaps a mechanical one but that it was still a
problem.
Board chairman Mrs. Jo Berry said she was
surprised at the motion. since three medical
staff personnel sat on the board.
"There has been no suggestion from the
medical staff that the minutes were not
properly presented." she said.
Dr. David Walker said there were problems
with the recording of the minutes of meetings
and suggested that. the recording secretary
could perhaps be another member of the board.
Dr. Thomson pointed out that the doctors
employ the services of a secretary for their
committee meetings -and there has never been
a problem of conflicting reports.
The medical staff also delved into another
point of contention, the employment of the
Executive Solutions firm, and told the meeting
the staff 'lid divorced itself from any in-
volvement in the study and questioned its
value.
The board hired the firm Executive Solution,
owned by administrator Jim Banks' brother
Marty, to study problems at the hospital. The
cost of the study was $16,000.
Dr. K. C. Lambert, chief of the medical staff.
said in his report that the executive solutions
program pushed the hospital into a state of
frenetic activity and soul searching that
culminated in an avalanche of paper and a
degree of frustration that he never hoped to
experience again.
Dr. David Walker said that while the medical
staff divorced itself from the study Dr. Lam-
bert and himself took part in the exercise.
"Prior to the implementation of the program
it seemed like a lot of money and that's still my
view," he said. "There is no way I would put
forth that kind of money for that exercise."
Dr. J. L. Hollingworth then asked the board
why an organization headed by Jim Banks'
brother was hired for the job when several
other agencies were available to do the work.
Jim Banks declined the opportunity to an-
swer the question and board member Clark
Teal said that Executive Solutions seemed like
the best group.
"It is my considered opinion that the process
was valuable," he said, "A lot of problems were
identified and solutions were proposed and
acted upon."
Dr. Watt interrupted and asked the board to
name one problem that was solved by executive
solutions. He said he was -not aware of any.
Teal again spoke for the board and claimed
the problem was communication in the
hospital. He said the study had a large number
of advantages in terms of communication
between the board and the hospital. Mrs. Berry
added that board members were not at the
hospital on a day to day basis and the study
helped them to realize some of the problems in
day to day operations.
The executive solutions study is history but
Turn to page 8
Nurses don't want deficit rap
BY DAVE SYKES
Members of the nursing staff of Alexandra
Marine and General Hospital feel they are
taking the rap for the current $236,578 deficit at
the hospital. '
At the annual meeting Monday it was pointed
out that hospital budget was faced with 6,300
more nursing hours than it had budgeted for
and that money set aside for retroactive pay
accrued in the nursing contract settlement
from 1976 was used to offset the over budgeted
hours.,
Nancy Riehl told the meeting that 6,300 hours
The arrival of HMCS Saguenay Sunday af-
ternoon Was a surprise for many of the almost
200 spectators on the pier at Goderich harbor.
Despite the fact that 411 the people knew the.
vessel was coming it still managed to catch
them off guard when it slipped into the harbor
channel. A veil of fog kept the vessel from
yiew and no bells, sirens, engines or shouting
of commands revealed its position. Most of the
spectators simply glanced in the direction of
the harbor mouth and saw the silhouette of the
destroyer against the fog. (photo by Jeff
Seddon)
Council would
meet Crabb
BY
SHIRLEY J. KELLER
'Town councillors. agreed Monday, evening to
invite their representative on the board of
Alexandra Marine and General Hospital,
Gordon Crabb to an upcoming meeting. Council
will want Crabb to give members a report on
the audited financial statement.
Mayor Deb Shewfelt had expressed his
personal feelings that the town may be of some
help to the hospital board in clearing away
from the problem of the financial shortage at
the hospital. But Reeve Bill Clifford didn't
agree.
"I think it would be well to let the province
look after this," said Clifford. "The operating
budget is a provincial responsibility."
Clifford said while the town of Goderich and
the County of Huron, as well as surrounding
municipalities, had participated financially in
the capital works programs at AM&G, he felt
the day to day operations need not become a
financial concern locally. ,
Deputy -reeve Eileen Palmer said no
,tpeinbers of council should speak on the matter
until they have seen the audited statements.
Mayor Shewfelt suggested that if` there has
been "gross mismanagement" at the hospital,
the community and council should be in-
terested. He said if a similar problem existed
because of council's blundering, members
would be "crucified".
"If council has no responsibility to the
hospital, why do we have a representative on
the board?" asked the mayor.
computed into 2.3 nurses per day for a whole
year. She said it was inconceivable the hospital
could get into that situation since they were not
overstaffed.
Riehl later explained that the nurses have not
received any part of their retroactive pay and
that the nurses were in no way overpaid for
their services.
The nurses were without a contract for over
19 months and their current contract will end in
September. One nurse suggested that
retroactive pay owing to her amounted to
approximately $1,700.
Dr. J. L. Hollingworth said that the layoff
notices and reversal of that decision have had
serious consequences not only on the morale of
the staff but also with their health. He said
some staff members have required treatment
and the whole uncertainty of the situation made
it difficult for staff to perform their duties in a
professional manner.
Dr.. Hollingworth said he was not satisfied
with the results of the meeting adding that the
figures presented were confusiu.g, ..varied and
wide in range.
131 YEAR -26 THURSDAY, JUNE 22, 1978
30 CENTS PER COPY
f disappointed by explanations
BY DAVE SYKES
The Alexandra Marine and General Hospital
annual meeting failed in its purpose too shed
light on the bleak financial picture of the
hospital according to several hospital staff
members.
More than 100 people, mostly hospital board
members and hospital staff, crowded the
cafeteria and adjoining hallway Monday
evening, to receive some clear and concise
explanations of the $236,000 deficit incurred by
the hospital, and also the rationale behind bed
closures, staff layoffs and the subsequent
reversal of those decisions.
They left the meeting disappointed.
Dr. J.M. Watts said after the lengthy meeting
that no explanations were offered.
"I expected a clear and c`'oncise explanation
that everyone could unde -stand," Watts said.
"There should have been an explanation of the
financial affairs, cutbacks, bed closures and
staff layoffs. But there was no answer given at
all,"
Dr. M.M. Ca.uchi reiterated Dr. Watts'
sentiments in the post mortem, adding that
morale was the big problem at the hospital
now. He suggested there were no solutions
'proposed at the meeting to heal the wounds.
The meeting began with the, recitation of staff
reports but the board was soon peppered with
direct and piercing questions about finances,
bed closures and layoffs. '
Dr. Watts said during the meeting that as an
ordinary taxpayer he wanted to know why the
community was thrown into chaos when beds
were cut, jobs were lost and a general feeling of
uncertainty prevailed over the hospital.
"These reports are smooth and glib,"'Watts
said. "But I would' like in ordinary terms an
explanation of this dichoto'my."
Hospital board chairman, Mrs. Jo Berry
replied that the annual meeting dealt with the
period ending March 31, 1978 and events after
that time would be dealt with next year
although questions could he asked during the
question period. Watts later remarked that the
Square lights delayed again
BY SHIRLEY J. KELLER
The lighting project for The Square has ef-
fectively been delayed again as town council
agreed Monday evening to table a vote on a
motion until the Commissioner of Works, Ken
Hunter, is able to get some more information.
The motion was that the. Goderich Public
Utilities Commission proceed with the
schematic drawings for The Square lighting
project, and do the installation of the lighting
fixtures under a new initiated work order
system which is basically time and material.
But Deputy -reeve Eileen Palmer argued
once more against approval of the motion. She
said the motion.shbuld request an estimate for
the lighting system, along with the schematics
for the project. She said no commitment should
be made to have the work done by PUC until it
is known what it will cost.
"None of you around this table would buy a
new house before seeing, the plans and getting
an estimate of what it would cost you," Palmer.
insisted.
It had been pointed out that ,if the PUC did the
schematic' drawings, and then did not get the
job to install the lighting, there would be a
charge for the preparation of the drawings.
"Then pay them," said Palmer. She said the
same condition Would apply to any company
preparing the schematic drawings.
NEW SUPPORT
On Monday evening., Reeve Bill Clifford and
Councillor Stan Profit agreed with the deputy -
reeve.
"Let's not tie ourselves into anything at this
particular time," said the reeve.
Councillor Bob Allen wondered if the PUC
prepared the plans according to their standards
and specifications whether any other firm
could work from those drawings. Palmer said
she would like to see that point cleared up and
moved that the motion be tabled until some
clarification is received from the town engineer
or the PUC.
Councillor Elsa Haydon admitted she is
confused. She said some council members had
expressly requested that the PUC be involved
in this project, and now seemed to be hedging„
She said it was her understanding that the work
was to be done ... and that the PUC was to do it.
At a recent committee meeting of council,
much argument was heard on the subject of
decorative lighting for The Square.
"By the time we finish arguing, the Business
Improvement Area will have it pretty well
installed, won't they?" asked Reeve Clifford.
"I hope so," Councillor Haydon had retorted.
FILE SET UP
The town is anticipating a deluge of letters
from ratepayers regarding the downtown
Square lighting controversy, and haVe set up a
special file to receive them.
Three letters are already in the file. One was
submitted by Stewart Thomson and was
published in a recent edition of The Goderich
Signal -Star.
Another is from Charles Reid who writes, "If
the downtown business people think the present
lights to be aesthetically unpleasant (I do not)
let them pay the full cost of replacement as well
as the full cost of the increased operating ex-
penses."
A third has seven signatures attached and in
part, reads "We have seen many reasons for
not going ahead with this lighting change, but
very few valid reasons for its furtherance. One
reason against it which should he foremost in
this day and age is the additional energy which
will be required. For Pete's sake, when will we
learn? With all the energy advisory groups
being funded from tax money, we won't even
listen to them!"
Too costly
Dan Murphy, vice-president of the ,HuiOn
County Law Association is concerned that the
provincial government may close the registry
office in Goderich, using the same reasoning as
was used in plans to close the registry office in
'Durham.
Mt. Murphy said the proposed closings are
just another example of the government's
thinking that bigger means more efficient.
- The Goderich registry office is one of 28 that
the Grey County Law Association has said may
be closed because of volume of business.
Other offices on the list are in Walkerton, St.
Thomas, Glencoe, and Woodstock.
The provincial government hopes to save
$35,000 by closing the Durham office in Grey
County and moving the facilities and records
Turn to page 8
20 minute question period lasted about three
seconds,
REGRETS
In her statement before the meeting Mrs
Berry said the board regrets the current
financial situation of the board but that
keep would kep on top of things so they
wouldn't find themselves in that position again:
An official audit for a 15 month period ending
March 31, 1978 indicated the hospital had in-
curred a deficit of $236,578.
That deficit, which was first reported to be
$253,000 resulted in the resignation of hospital
administrator Jim Banks Jiiine 9.
The main reasons for the deficit was that the
hospital. used 6,300 nursing hours more than it
had budgeted for and money set aside for
retroactive pay in the nurses contract set-
tlement was used to offset the overbudgeted
nursing hours.
Board lawyer Dan Murphy explained that
the nurses' settlement took months because
Anti -Inflation Board approval was needed and
that many thousand dollars was owing to the
staff. He said the money should have been set.
aside but instead was put against the over -
budgeted hours.
When the boardrealized the hospital was in
financial difficulty members first announced
bed closures and layoffs but Murphy explained
that such a measure would have lowered the
hospital's budget base and its grants from the
Ministry of Health.
INACCURATE INFO
When aed why these decisions to close beds
and layoff staff were later reversed Mrs.
Berry said the board could only act on the
information supplied and that the information
was inaccurate.
"We were led to believe'that we could take
the deficit out of the bu1dget," Berry said. "But
we found that we can't.
She said, "The board didn't act flippantly hut
we were misled. We asked for monthly
statements but for one reason or another we
didn't receive them,"
The board hadn't received statements for
• Turn to page 8
G.D.C.I. student council president, Karen
Donnelly, presented math teacher Harold
Bettgerrwith a gift on behalf of the students to
show their appreciation, at an awards asSembly
held at 'the high school on Wednesday, June 7.
Mr. Bettger has retired this year after 20 years
of teaching at G.D.C.I. (Photo by Joanne
Walters)