Page 37 - CEO Orientation
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Once the integrated network has been formally approved, the new board will oversee implementing a
               new governance process for the organization. Reporting structures and governance processes at each of
               the three hospitals remain in place until formal amalgamation is approved. Each hospital boards’
               governance responsibilities remain until the time that formal amalgamation occurs.

               4.6     FOUNDATIONS
               The participation of representatives from all three organizations’ foundations on the Joint Board
               Steering Committee was helpful for them to better understand how the proposed integration will
               advance care through this important partnership.  Each of the organizations have well-established
               foundations that raise much-needed charitable donations for equipment, education, research and
               capital development to support each hospital’s strategic plan in order to improve patient care.

               It is intended that initially the [three] foundations will continue to operate independently. Foundations
               in other health centre integrations have maintained their separate entities status. Following the
               integration, the separate boards of the three Foundations, will work together and with the new board of
               the integrated entity to determine how best to continue to support the needs of each associated
               hospital so appropriate local community donor stewardship is maintained, and individual fundraising
               priorities are met for all constituencies served.

               4.7     RISK MANAGEMENT ASSESSMENT
               All three organizations through each of its working groups have begun to identify key issues and risks
               the newly created health network will need to address following its formal integration. Risks that may
               arise during the transition period as well as mitigation strategies are outlined in the table below:


               Risk             Description       Likelihood    Potential            Mitigation Approach
                                                    of Risk     Impact
           Quality and Patient Safety
           Quality of     Each site currently     Low         Medium       Each organization maintains high
           Care           provides care under its                          standards of quality patient care, follows
                          own set of policies and                          national guidelines and best practices, and
                          clinical protocols.                              are accredited by Accreditation Canada.

                                                                           A Patient Care Working Group is
                                                                           identifying opportunities that capitalize on
                                                                           our shared commitments to improve care
                                                                           by sharing leading practices across all
                                                                           three sites.
           Referral       Health service providers  Medium    Medium       Each site has accountability agreement
           Patterns       who are not members                              (HSAA, MSAA and/or LSAA) obligations to
                          of the new network                               receive referrals from other health service
                          refer patients who                               providers not in the new network.  These
                          require care and may be                          obligations will be maintained.
                          concerned access will be
                          limited.


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