Council

Wednesday June 4, 2003

Minutes

Present

L. Haugh, Chair
J. Attwood
M. Bestwick
D. Barber
D. Bishop
S. Burnell-Jones
K. Campbell
C. Charlton
F. Cole
A. Cunningham
D. Dietrich
D. Fox

R. Graham
E. Greenwood
L. Hall
B. Hill
E. Howe
P. Howe
S. Ireland
S. Keating
V. Kerr
R. Kitson
K. Lawrence
L. Lillie

M. McGinn
M. A. Murray
D. Norling
R. Rupert
S. Richardson
J. Sanger
A. Taylor
M. Taylor
M. Ternovan
D. Trouten
B. Weichel
S. Young

Unable to Attend:

I. Bajnok

K. Cook

B. Noble

Staff

A. Coghlan
C. Campbell

H. Crawford
J. Hofbauer, Recorder

P. Reinhart
G. Siskind

WELCOME

L. Haugh introduced and welcomed new Council members: C. Beemer, D. Bishop, R. Fife, and K. Kay. C. Beemer, R. Fife and K. Kelly are attending for orientation and will become members of Council on June 5th.

AGENDA

The agenda had been circulated. A discussion about the investigation process was added to the agenda.

A public member of Council noted her pride at being associated with the nurses of the province who have shown incredible responsibility and commitment during the SARS crisis. L. Haugh noted that CNO placed an advertisement in the Nurses Week supplement of the Globe and Mail commending nurses for their commitment and caring through the SARS crisis. Council members had received a copy of the advertisement, for information.

Motion 1

Moved by M. Taylor, seconded by R. Kitson

That the agenda be accepted as amended.

CARRIED

MINUTES

Minutes of the Council meeting of March 18 and 19, 2003 had been circulated.

Motion 1 on page 280 was amended to include reference to the Confidential Appendix.

Motion 2

Moved by M. Ternovan, seconded by V. Kerr,

That the minutes of the Council meeting of March 18 and 19, 2003 be accepted as amended.

CARRIED

MARCH COUNCIL EVALUATION

Council members had received copies of the summary of evaluation of the March Council meeting. L. Haugh noted that if Council accepts the Code of Conduct, there will be changes to tool.

 

CODE OF CONDUCT

D. Trouten, Chair of the Code of Conduct Sub-Committee highlighted the report of the Sub-Committee, including the research undertaken and the feedback from Council and committee members. She reviewed the framework for the Code, noting that it includes four principles, with behavioural indicators related to each. In her presentation, she highlighted examples of situations where the Code might have had an impact.

The Sub-Committee has presented a series of recommendations to support the Code as a document to guide Council and committee discussions on an ongoing basis.

 

Motion 3

Moved by D. Trouten, seconded by P. Howe,

That the Code of Conduct for Council and committee members (Attachment 1) be approved and come into effect immediately.
That the following implementation strategies be approved:

  • That Council and committees hold education sessions on the Code of Conduct (committees over the summer, Council in October);
  • That the Code of Conduct be integrated into Council and committee orientation;
  • That the Communiqué inform members of Council's adoption of a Code of Conduct, and of its link to the framework of the College's Standards of Practice;
  • That the Code of Conduct be printed as a separate document and distributed to all Council and committee members and integrated into the Council and committee member handbooks; and
  • That Council and committee evaluation tools be revised to reflect the behavioural indicators in the Code of Conduct.

That the impact of the Code of Conduct on Council and committee conduct and behaviour be evaluated in December 2004.

A number of Council members spoke in favour of the motion, noting that the Code provides clear and concise expectations for behaviour and a constructive mechanism to address concerns. Members identified that the Code demonstrates CNO's ability to build an organization of leadership, collegiality and transparency. It was identified that, as a profession, nursing articulates standards of behaviour. Council's adoption of the Code is reflective of that approach.

There was a minority view expressed that since all Council members are professional, another set of rules is not required for constructive functioning.

There was a suggestion that the name of the Code be revised to reflect the Code's focus on ethical conduct.

Amendment to Motion 3

Moved by D. Trouten, seconded by P. Howe,

That motion 3 be amended to change the title "Code of Conduct" to "Code of Ethical Conduct".

CARRIED

Amended Motion 3

The following motion had been duly moved and seconded,

That the Code of Ethical Conduct for Council and committee members (Attachment 1) be approved and come into effect immediately.

That the following implementation strategies be approved:

  • That Council and committees hold education sessions on the Code of Ethical Conduct (committees over the summer, Council in October);
  • That the Code of Ethical Conduct be integrated into Council and committee orientation;
  • That the Communiqué inform members of Council's adoption of a Code of Ethical Conduct, and of its link to the framework of the College's Standards of Practice;
  • That the Code of Ethical Conduct be printed as a separate document and distributed to all Council and committee members and integrated into the Council and committee member handbooks; and
  • That Council and committee evaluation tools be revised to reflect the behavioural indicators in the Code of Ethical Conduct.

That the impact of the Code of Ethical Conduct on Council and committee conduct and behaviour be evaluated in December 2004.

CARRIED

 

 

L. Haugh expressed appreciation to the Sub-Committee.

 

ELECTIONS COMMITTEE REPORT

Council had received the report of the Elections Committee, including the results of the 2003 election. V. Kerr noted that participation had increased slightly from the last election in the same regions.

 

LIAISONS

CNO held liaisons with RNAO, RPNAO, and ONA in May. Notes from the meetings with RNAO and RPNAO had been distributed. L. Haugh highlighted the issues discussed at liaisons.

In discussing the notes of the RPNAO liaison, concern was expressed about the delay in passage of the regulations related to RPN entry to practice. The activities that have been undertaken between CNO and the Ministry regarding the regulation were highlighted. CNO's concern about the regulation was discussed when L. Haugh and A. Coghlan met with the Minister.

 

JPNC

L. Haugh reported on a meeting of the Joint Provincial Nursing Committee. Human resource issues, particularly related to casual employment, were discussed.

 

INFORMATION FOR FINANCIAL DECISION-MAKING

The Finance Committee presented recommendations regarding a new committee Charter and information for financial decision-making.

D. Barber, Finance Co-Chair introduced the issue and B. MacKenzie from Hilborn, Ellis, Grant LLP reviewed the draft Charter and the three options related to information for financial decision-making.

It was noted that the purpose of the review was to determine how the Finance Committee can fulfill its role with the trust of the Council. The Finance Committee believes that the draft Charter, replacing the Terms of Reference, will provide a better understanding of the role, expertise and accountability of the Finance Committee. The Charter will provide for a more educated, transparent and accountable Finance Committee.

It was recognized that ongoing education of the Finance Committee will be important because the committee's membership changes each year and the members need to understand and be able to meet their responsibilities.

The models of information for financial decision-making are based on governance models. The Finance Committee feels that a focused governance approach would be the best for CNO, providing more information than was reviewed by Council in December, but less than is reviewed by the Finance Committee. The focus for Council review of the information would relate to the financial resources needed to meet the strategic objectives.

There was considerable discussion about the structure of the Finance Committee. Concern was expressed that one of the eight members of the Finance Committee is a public member, which is not reflective of the structure of Council and of other committees. A number of members also identified that there is considerable financial expertise among the public members that would benefit the Finance Committee. One suggestion was that the two non-Council expert members of the Finance Committee be replaced by public members.

The Finance Committee had presented a recommendation addressing both the approval of focused governance as the model for financial decision-making and approval of the Charter. Council discussed splitting the recommendation and dealing with each component of the recommendation separately.

Council identified a concern with approving the Charter, which includes membership. There was some discussion about approving the Charter with the exception of the membership structure and revisiting that issue in October. It was suggested that the membership be addressed immediately to allow the Nominating Committee to make the necessary changes before it makes its report on June 5th.

 

Motion 4

Moved by A. Taylor, seconded by A. Cunningham,

That the composition of the Finance Committee be immediately revised to consist of 3 professional Council members, 3 public members of Council and 2 additional members of Council with particularly complementary relevant qualifications, with the Executive to so designate forthwith after June 5, 2003.

 

Amendment to motion 4

Moved by A. Cunningham, seconded by A. Taylor,

That motion be amended to articulate that the composition of the Finance Committee will consist of 8 members.

 

 

Since the structure of the Finance Committee is articulated in By-Law and notice is required for By-Law changes, the President ruled the motions out of order.

Recognizing that public members are under-represented on the Finance Committee, an alternative was proposed to enhance the public member input into the Finance Committee.

 

Motion 5

Moved by M. Ternovan, seconded by P. Howe,

That one public member be immediately added to the Finance Committee as a non-voting member.

An amendment was proposed to further enhance the public membership on the Finance Committee.

 

Amendment to Motion 5

Moved by D. Dietrich, seconded by S. Richardson,

That Motion 5 be amended to increase the additional, non-voting Finance Committee members to two.

DEFEATED

 

 

The amendment was defeated due to concern about the size of the Committee.

Motion 5

The following motion was duly moved and seconded,

That one public member be immediately added to the Finance Committee as a non-voting member.

CARRIED

 

 

Council asked that the Nominating Committee give consideration to the additional public member on the Finance Committee. Council identified concern about further discussion about the Charter pending resolution of the membership.

 

Motion 6

Moved by M. A. Murray, seconded by B. Weichel,

That Council defer consideration of the proposed Finance Committee Charter to allow further exploration of content and impact in light of discussion at Council by the Finance Committee and that the Finance Committee report to Council in October with recommendations.

CARRIED

 

 

In October, the Council will receive recommendations from the Finance Committee on membership and will also review the recommendations regarding information for financial decision-making.

 

MONITORING STRATEGIC OBJECTIVES

B. Campbell presented an overview of the strategic objectives. He noted that staff are exploring a new framework, such as the "Balanced Scorecard", for development of indicators in the future.

 

Public Relations Plan

C. Campbell and C. MacKay from Global Public Affairs reviewed a presentation on the first steps in the College's Public Relations Plan.

The focus for the summer will be an audit of all communications vehicles, and in October implementation will begin to roll-out. Input of Council was sought into the preliminary plan at the meeting and through the survey.

There was some concern expressed about the proposal for strengthening the image of the President in media given that the President changes at minimum every two years. It was identified that all Council members are ambassadors for CNO.

There was discussion of the concept of "thought leadership" as the "value proposition" for the College and whether the concept might be linked to research partnerships.

 

PRACTISING STATUS OF REGISTRATION

L. Haugh reviewed the historical background of this issue, noting that the Quality Assurance and Registration committees are presenting a joint recommendation. It was reported that the committees reviewed the issue in relation to current CNO policies and practices regarding non-practising members. CNO's individual accountability model was highlighted.

 

Motion 7

Moved by R. Rupert, seconded by K. Lawrence,

That CNO take measures to promote compliance with CNO's individual accountability expectations for non-practising members and for members returning to practice after periods of non-practice, as an alternative to establishing a non-practising status of registration.

CARRIED

 

FINANCE COMMITTEE

D. Barber highlighted the report of the Finance Committee meeting of April 23rd. She noted that the Finance Committee had an in-camera meeting with the auditors, who were highly complementary of the financial controls at CNO.

The Finance Committee had reviewed the financial statements as at March 31, 2003. The surplus is approximately $360,000 more than budgeted and the Finance Committee believes that the College is in a strong financial position.

 

INVESTIGATIONS PROCESS

Council received an information note that had been reviewed by both the Complaints and Executive committees, highlighting the current situation regarding cases awaiting allocation and the strategies being put into place to address the situation.

The concerns of the Complaints Committee were highlighted. It was noted that staff are looking at all options to address the concerns. G. Siskind reported that the case management data base has helped in understanding the situation.

CNO's intake procedures provide for assessment of every case. Council was assured that cases where there are serious matters that need to be addressed are immediately expedited.

It was identified that CNO has reputation for robust procedures for investigations. This was documented in the RHPA review. One of the areas where there is potential for impacting timelines is enhancing assessment of cases to critically consider the investigation required for each case.

G. Siskind noted that the Complaints and Executive committees will receive monthly reports on the intake process.

 

EXECUTIVE MINUTES

Minutes of the Executive Committee meetings of March 26, April 22 and May 28 had been circulated.

 

NEXT MEETING

Council will meet next on Wednesday, October 1, 2003 and Thursday, October 2, 2003.

 

CONCLUSION

The meeting concluded at 5:30 p.m.