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HomeMy WebLinkAboutThe Huron Expositor, 1983-07-06, Page 10A10 - THE HURON EXPOSITOR, JULY 0, 1988 The new heart monitoring' system at Seaforth ComnmWt- ity Hospital is thy,' first in Ontario, maybe in -Canada, to offer reports in 30 seconds on patients' conditioh, board chairman Gordon Rimmer told the hospital's annual meeting June 28. The reports come over the phone now that the local hospital is on-line to University Hospital's compu- ter in London. The equipment was purch- ased thanks to a bequest. Other highlights of the year, Mr. Rimmer said, include the adoption of the use of epidur- al anaesthesia at the hospital, the acquisition of ultra sound equipment and the develop- ment of an activity program for long-term patients. He praised the adoption of a Buckle Up program, renting car seats for babies who leave SCH, as an excellent program started this year by the Hospital Auxiliary. SCH em- ployees have taken leader- ship positions in region 2 organizations (21 hospitals belong), and SCH has hosted two educational meetings for board members in the region. The hospital even looks brighter and more interest- ing, Mr. Rimmer concluded, with new paintings, a redec- orated labor room and a large oil painting of The Muppets, that hangs outside the Emer- gency waiting room. , Other reports by the heads of various board committees were adopted at the meeting. The highlights included: -"We increased our fixed assets by S125,412.00 during the past year. On the Reven- ue and Expense Sheet i would like noted that the Hospital had an excess of revenue over expenses by $64,816.00 after the deduction of deprecia- tion,' said K. James Etue, Chairman of the finance committee. "The Hospital received in bequests, grants and dona- tions a sum of $S4,707.00. The receipt of these dona- tions are extremely important because they provide the necessary funds with which to purchase new equipment.' -"The property committee investigated the feasibility of entering into an Energy Man- agement Contract and. be- lieve it has merit. We are now soliciting quotations from various companies,' said Thomas Phillips, Chairman. "During the year we made a review Of the parking space and have decided to increase the space at the rear of the hospital.' -"The Public Relations Committee recommended to the Board, the purchase of service pins to be presented to Staff, Board Members and Volunteers following five con- secutive years of service. We also sponsored a win- dow painting contest at Christmas as well as a poster competition in May using the Canada Health Day theme "I take care of my health - do you?' reported Charlotte Mc- Kercher, Chairperson. -"The Planning Committee circulated questionnaires covering different aspects of the Hospital. There were over 400 completed. The majority of people replying. felt the Emergency and Out -Patient area is too small. The cramp- ed Emergency Department makes it difficult to provide the desired level of care," rep.,„ w Allan . earle, Chair man. "As a result, the Board has contracted the tirm of Agnew Peckham and Associates Lim- ited, Hospital Health Care Planners and Consultants, to do a Role Review, Master Program and Master Plan. This -work will be done in the coming year with some posi- ti r rreomme'nilatinnc in place by this time next year -"The Policy & By -Law Review Committee revised Public Hospital's Act and considered changing the ten- ure of office of the elected members. We had our legal council review both the Act and our By -Laws. He felt that they were not in conflict' and his recommendation not to change the By -Laws was accepted." We approved a Policy for Pastoral Care in the Hospital with David McKnight head- ing a group of Ministers of the Seaforth-Clinton Ministerial area said John H. McEwing, Chairman. "We recommended to the Board that Mothers of new babies be given the privilege of having their baby' stay in the room if so desired.' • -"The Human Resources Committee did considerably study on Standards of Perfor- manre fnr Board Members and evaluation. ' said Jud Walker, Chairman. MEDICAL ADVISORY REPORT -"The Medical Advisory Report , from the medical staff's annual meeting was given by Dr. Ed Maikus. Programs initiated this year include Speech Therapy etwith Vicki Henderson, Dietary Counselling and Diabetic Ed- ucation Programs with Lor- raine Devereaux (Dietician) and Pam Gordon, Registered Nurse. Epidural Anaesthesia initiated by Dr. Wong, Coron- ary Care Course provided by Dr. Hans Strauss, Director Coronary Unit, Western Hos- pital, Toronto and Mary Lou Macjdison, Registered Nurse, Professor at Humber College. Interdisciplinary Team Con- ference as well as portable ultrasound have been very much appreciated by those concerned. A new medicine cart along with renovations to, the nursing station has great- ly improved patient care along with patient monitoring equipment housed in the nursing station. Chronic care bed utilization has been brought to the attention of the Medical Staff. Paediatric Clinics with Paediatricians from London will be started in May and continuing through out the summer. Accredita- tion has been again granted to the hnsnital for another three year term." -"The Hospital Auxiliary held 10 meetings through out the year with an average attendance of 24 members. We purchased 20 hymn books for the Ministerial Group that has organized Worship Services for the patients. The Labor Room was re- decorated and we purchased a hanging Tamp and a reclin- ing chair along with a radio that was donated. A second reclining chair was also pur- chased to be used in various rooms in the hospital. The Buckle -Up Baby Pro- . gram is an on-going success and we have approximately 20 seats loaned out," report- ed Shirley Dinsmore, Presi- dent. system at SCH may be a Canadian -"The Hospital consistent- ly operated at an occupancy level in excess of 90% and at a number of times during the year the occupancy exceeded the 100% mark," reported Bordon McKenzie, adminis- trator. "In 1982.83 the hospital purchased approximately S75,000. of patient monitor- ing equipment. This equip- ment cogsists of two patient monitor, two portable moni- tor defibrillators, plus two patient monitors for in-house telemetry as well as a new electrocardiograph machine with the capability of trans- mitting electrocardiograms over the telephone line from Seaforth Community Hospi- taI to the Coronary Care Unit at University Hospital, Lon- don. The system has been in place and operational since he early part of this year and e have found that the turn round time for sending elec- trocardiograms via the tele phone line to the Coronal Care Unit in London i - approximately 30 seconds be fore we receive a hard co report back from London. e nursing , the Medical St ff SEAFORTH COMMUNITY HOSPITAL -At a board meeting following the hospital's annual meeting last week Emma Friend of Dublin, centre, was elected to chair the board. Jim Etue of Seaforth, not In the photo, Is new vice-chairman. At the annual meeting, from left, are new board members Alex Stephen of Seaforth,Joan Whyte of Hullett; Jud Walker, Seaforth, who was re-elected to the board; Mrs. Friend; Gord Rlmmer,Setiforth past -chairman, also re-elected to the board, and retiring board members, Audrey McLlwaln,Seaforth who has served for 12 years, and David McKnight, Egmondvllle who served for one year. (Photo by White) find this a very exceptional diagnostic tool and provides the medical practitioner with up to date diagnostic equip- ment and allows him to make necessary decisions concern- ing the care and treatment of his patient almost instantan- eously. One of the advantag- es of this system Is that it will allow some patients to remain here at Seaforth Community Hospital and have clinical and diagnostic procedures com- pleted without having to be transferred to a larger centre. Members of the Board of Governors of the hospital are:- Gordon Rimmer, Presi- dent; Emma Friend, Vice - President; G,G, McKenzie, Administrator -Secretary; Dr. F. Wong, President of the Medical Staff; Dr, .K. Rod- ney, Chief of the Medical Staff; Mary Longstaff, Ralph Smith, Charlotte McKercher, Glen Chesney, Audrey Mc- Llwain, Jim Etue, Bill Leem- ing, Roy Williamson, Fred Tilley, Cleave Coombs. John Kinsman, Allan Searle, John McEwing, Shirley Dinsmore, President Women's Auxil- iary; Jud Walker, Tom Phil- lips, John Turnbull, David McKnight, Joan Parkinson. Honorary members are: - John Modeland, A.Y. Mc- Lean, James M.,Scott. Burnout hurts volunteers too, but there are solutions Burnout, fatigue and frustration with lite and with work - can affect hospital volunteers too, says Peggy Menzies, &west speaker at Seaforth Community Hospital's 54th annual meeting June 28. Mrs. Menzies, of Clinton, is the president of the Hospital Auxiliaries Association of Ontario. Characteristics of the burned out indivi- dual include: stagnation, bickering, lack of vision and total feeling of resignation. Organizational symptoms include: "Lack of direction: We tend to marvel at past m lishments rather than plan tor me tit The meeting time is spent solving ante al problems and reacting to crisis. rather than setting goals and seizing new opportunities," Mrs. Menzies says. "Learn the power of Positive Planning: Plan towards something, not away from something Anticipate problems and solve them with expediency. Rate the success of your meeting - not by how much business. was covered but the effectiveness of the business covered." • Lack of communication is another symp- tom. Most people have been trained or conditioned to work independently. Often no thought is given to decision making or organizational criticism at the lower level. It is human nature to work harder towards a goal that one has established himself, rather than follow the goal someone else has established, and placed before us as an order. Correction? - Allow your people • to help you plan the battle, and they won't battle the plan. Long boring meetings contribute to burnout. Plan your meeting in advance, have a beginning and an end and most importantly, an agenda for everyone to follow. Trustees are busy business and professional people. They have volunteered their valuable time and will stay in place only as long as their time is being wisely utilized. Expect discipline in attendance and prepara- tion when presenting reports. Stagnation - the feeling that if everything seems to be going well, why change it? Do we emphasize doing things right rather than doing the right things? Do not allow the "Sacred Cows" to overshadow enthusiasm and initiation, i.e. "for 37 years, we've done it that way. Take the initiative - waiting for others puts them in control of you. And remember, people who do take the initiative stay in front where the air is cleaner, the choices are better, the risks are greater, but the rewards make it wdrthwhile. Ineffectiveness is caused by bickering between individuals on a board, and conflict between committees, even though everyone is working towards the same good, the betterment of health services within a hospital. A competent chairman or leader will turn this conflict into a positive experience by utilizing the diversity of opinions, and bringing the problem into proper perspective. We as individuals need learn the difference between negative and construc- tive criticism. The first is a put down - the second, supportive. We are products of our culture, our environment, our parental upbringing and our peer influence. We don't even think alike within our own families. So do away with bickerin$ expect controversy, but turn it into l;'_positive experience. Lack of vision: Ilff we are going to meet the health care challenges of the 80s we need to evalulate our pretent program, improve our management petence and concentrate on long-range II Hung. Short range plan- ning (trequentl .called "strategic planning) usually addre s the year ahead. Long range planning frequently called, corporate planning) usually addresses the next five to 10 years. " She was introduced by Emma Friend and thanked by Charlotte McKercher. SEAFORTH COMMUNITY HOSPITAL AUDITOR'S REPORT To the Chairman and Board of Governors of Seaforth Community Hospital Auditor's Report as at Marchi 31, 1983 STATEMENT OF REVENUE AND EXPENSE Year Ended March 31, 1983 We have examined the balance sheet of Seaforth Commnnity' Hospital as at March 31, 1983 and the statements of revenue and expense, equity and changes in financial position for the year then ended. Our examination was made in accordance with generally accepted auditing standards, and accordingly included such tests and other prn,rdun•v as ue considered necessary in the circumstances. In our opinion, these financial statements present fairly the financial position of the hospital as at March 31, 1981 .,nd the results of Its operations and the changes in its financial position for the year then ended In accordance with accounting principles generally ,Accepted for Ontario hospitals applied on a basis consistent with that of the preceding year. 1983 1982 [revenue Patient services Ministry of Health Other Recoveries and sales $2,215,807 $1,890,665 178,981 144,693 2,394,788 2,035,358 41,797 37,145 2,436,585 2,072,503 SEAFORTH COMMNUITY HOSPITAL NOTES TO THE FINANCIAL STATEMENTS Year Ended M6rch 31, 1983 Expense Salaries Employee benefits Building operation, repairs and maintenance Drugs, medical and surgical supplies Laboratory Radiology Speech therapy Depreciation equipment Building Land improvements Other , Interest on loan London, ('.,nada May 30, 1983 Chartered Ar, gum EXCESS OF REVENUE OVER EXPENSE 1,529,758 1,319,802 159,682 135,900 113,576 138,868 94,260 84,220 136,794 95,602 54,717 42,440 9,972 36,197 26,679 21,721 21,721 290 157 213,223 178,743 1,579 2,100 2,371769 2,046,232 $ 64,816 $ 26,271 1. ACCOUNTING POLICIES The financial statements have been prepared in accordance with accounting principles generally accepted for Ontario hospltdls as outlined in the Canadian Hospital Accounting Manual and as specified by the Province of Ontario, Ministry of Health. Inventories Inventories are recorded at cost. (b) Fixed assets Fixed assets are stated at cost. Depreciation is provided on a straight-line basis using the following annual rates: Land improvements Buildings Furniture and equipment 102 22 At rates varying from 52 to 202 2. ACCOUNTS RECEIVABLE 1983 1982 SEAFORTH COMMUNITY HOSPITAL (Incorporated without share capital under the lave of Ontario) ASSETS 1983 1982 STATEMENT OF EQUITY Year Ended March 31, 1983 BALANCE AT BEGINNING OF YEAR Excess of revenue over expense Grants and donations Interest Services to patlente Self -pay Workmen's Compensation Board Blue Cross Other CIIRRENT ASSETS Cash and term deposit Accounts receivable (note 2) Inventories Prepaid expenses $ 172,441 147,898 62,076 3,868 386.283 $ 107,158 127,890 55,949 2,937 293,934 BALANCE AT END OF YEAR 1983 1982 $825,691 $758,763 64,816 26,271 54,702 22,121 14,663 18,536 $959,872 $825,691 Allowance for doubtful accounts Province of Ontario, Ministry of Health final settlement Other $ 21,255 $ 16,169 1,273 2,746 5,053 5,529 1,809 1,951 29,390 26,395 (3,000) (3,000) --26, 90 27,195 121,508 103,577 $1474898 $1277,890 3. FIXED ASSETS FIXED ASSETS (note 3) Land, buildings, furniture and equipment Lees accumulated depreciation STATEMENT OF CHANGES IN FINANCIAL POSJT ON Year Ended March 31, 1983 1983 Accumulated Cost depreclatlon Land $ 34,005 $ $ 34,005 $ 34,005 Land improvementa 17,002 14,800 2,202 1,158 Buildings 862,103 353,951 508,152 507,725 Furniture And equipment 690,602 431252 259,094 192,814 $1,189,736 $1,029,636 LIABILITIES AND EQUITY CIIRRENT LIABILITIES Accounts payable and Accrued liabllttiea Principal due within one year on loan payable WORKING CAPITAL DERIVED FROM Operat lona Excess of revenue over expense Depreciation which does not Involve working capital Grants and donations interest Proceeds from nale of equipment $8032453 $735,702 $ 64,816 58,208 123,024 54,702 14,663 750 193,139 $ 26,271 48557 74,828 22,121 18,536 1,624 117.109 LOAN PAYABLE 12 Provincial assistance loan, minimum repayments 54,318 semi-annually, including interest, maturing September 30, 1995 L.Ass principal Included In current liabilities EQUITY 4. UNRECORDED SICK LEAVE AND VACATION PAY LIABILITS The honpital payn employees for time loot due to sickness to the extent of their earned entitlement, and upon termination of employment pays a portion of the unused entitlement. The policy of the hospital is to expense these payments an well as payments� of vacation pay in the year In' which the payments are made. The maahmum liabilities under each of these polities et March 31, which are not reflected In the accounts, were approximately: 17,660 56,393 _ 7,563 _,� 7_e.0,�5�7_ 30097 47776 959_872 825,691 $1,189,736 $1,029,636 WORKING CAPITAL APPLIED TO Addttivnn to fixed Assets Reduction of Ivan payable INCREASE IN WORKING CAPITAL WORKING CAPITAL AT BEGINNING OF YEAR WORKING CAPITAL AT END OF YEAR 126,709 11,239 143,948 49,191 137,325 $186,516 48,499 17,739 66,238 50,871 86,454 $137,325 Unrecorded sick leave liability Unrecorded vacation pay liability 5. COMPARATIVE FIGURES The comparative ftgurea for 1982 have been recbaeatfied co conform with the financial statement presentation adopted for 1981.