Present

S. Ireland, Chair
J. Attwood
I. Bajnok
D. Barber
C. Beemer
M. Bestwick
D. Bishop
S. Burnell-Jones
K. Campbell
C. Charlton
K. Cook

F. Cole
D. Dietrich
R. Fife
R. Graham
E. Greenwood
L. Hall
G. Hayward
B. Hill
E. Howe
S. Keating
V. Kerr

R. Kitson
M. McGinn
M. A. Murray
B. Noble
S. Richardson
R. Rupert
A. Spacek
A. Taylor
M. Ternovan
D. Trouten
B. Weichel
S. Young

Regrets

D. Fox

Staff

A. Coghlan
H. Campbell

J. Hofbauer, Recorder
P. Reinhart

G. Siskind
C. Stanford

RULES OF ORDER

S. Richardson served as the rules of order monitor for the meeting.

AGENDA

The agenda had been circulated.

Motion 1

Moved by V. Kerr, seconded by C. Charlton,

That the agenda for the Council meeting of June 9, 2004 be accepted as circulated.

CARRIED

MINUTES

Minutes of the Council meeting of March 10 and 11, 2004, had been distributed. Motion 7 was amended to include the number "two" in front of "RPNs".

Motion 2

Moved by M. Ternovan, seconded by B. Weichel,

That the minutes of the Council meeting of March 10 and 11, 2004 be accepted as corrected.

CARRIED

EVALUATION OF MARCH COUNCIL MEETINGS

Council received summaries of the evaluations of the March Council meeting and the Strategic Planning workshop. The Executive Committee reviews the feedback in detail and input from the evaluations has been helpful in planning for meetings.

TEAM BUILDING FOLLOW UP

S. Ireland highlighted Council's commitment to effective functioning and recent focus on team development. Council received an update on the action plan that was developed as an outcome of the Council/staff teambuilding session. S. Ireland highlighted what has been achieved to date.

The Council/staff effectiveness survey will be sent to Council and the Leadership Team in June 2004, and annually thereafter. It will help to identify areas of focus in the coming year and build a process of ongoing improvement. Members were urged to participate.

Over the summer, the Executive will discuss plans for staff/Council events in the coming year.

REGISTRATION REGULATION

D. Dietrich presented recommendations from the Registration Committee for amendment of the registration regulation. The recommendations address transitional issues related to fairness and labour mobility.

D. Dietrich noted that the recommendations and proposed regulation are being approved in principle, for consultation. Council will review the proposals again in September, together with a report of the feedback.

The first recommendation of the Registration Committee relates to providing fairness to applicants who have met all the current requirements for registration except for passing the registration examination. This provision allows members additional opportunities in 2005 to pass the examination and be registered.

Motion 3

Moved by M. McGinn, seconded by D. Barber,

That Council approve in principle that the registration regulation be amended to provide the following transitional mechanisms regarding the examination:

To allow applicants who met the registration requirements as at December 31, 2004, and who have evidence of "safe nursing practice" to write the examination for registration until November 1, 2005, and if successful, to register with CNO if they meet all of the other requirements other than the educational requirements that come into effect on January 1, 2005.

CARRIED

The second recommendation of the Registration Committee ensures compliance with the Agreement on Internal Trade by facilitating labour mobility for out-of-province applicants who graduated in 2005 or later in another Canadian jurisdiction and will not meet the new education requirements for registration. Since the College is committed to fully implementing the new entry requirements, these amendments include sunset provisions.

Motion 4

Moved by R. Graham, seconded by S. Richardson,

That Council approve in principle that the registration regulation be amended to provide the following labour mobility mechanisms for applicants who will have graduated after January 1, 2005 and who are registered in another Canadian province or territory and will not meet the new Ontario education requirements for registration:

• To establish a Transitional Class of registration to allow for these applicants to be registered and work in Ontario while enrolled in a program that will enable them to meet the new educational requirements, and to provide RN members of the Transitional Class with four years and RPN members of the Transitional Class with two years within which to meet the post January 1, 2005 education requirement.

• To establish an end to the Transitional Class on December 31, 2010 for RNs and December 31, 2008 for RPNs.

CARRIED

Motion 5

Moved by D. Dietrich, seconded by B. Noble,

That Council approve in principle that the registration regulation be amended to provide for an equitable labour mobility mechanism for all Canadian registrants regardless of where they received their basic nursing education:

To allow for the registration of such applicants who were registered in another Canadian jurisdiction before January 1, 2005 and are members in good standing in that jurisdiction at the time of application.

CARRIED

Council received a draft revised regulation. The draft includes revisions to proposed revisions previously approved by Council, but not yet approved by government.

Motion 6

Moved by M. McGinn, seconded by S. Richardson,

That Council approve, for publication and consultation, the proposed amendments to Ontario Regulation 275/94, amended to Ontario Regulation 472/01 as detailed in attachment 2 to the briefing note, recognizing that changes may be necessary to the final language of the regulation due to passage of some or all of the outstanding amendments, and/or legal editing as required by government; and that Council confirm that subsequent changes to the regulation do not require Council approval unless they result in a change in intent from that approved by Council in accepting motions 3 through 5 and as expressed in attachment 2 to the briefing note.

CARRIED

In September, Council will review the proposed regulation again, together with the feedback from the consultation.

PRACTICAL NURSING PROGRAM APPROVAL COMMITTEE

S. Ireland highlighted the background to this issue. Four structural options for the Practical Nursing Program Approval Committee were presented for Council discussion.

It was identified that whether Council will be the approval body or delegate approval to the Committee was a key issue. Since the Program Approval Committee will be a committee of Council, legal counsel identified that Council will have the ultimate accountability for the decision. If decision-making is delegated, Council will have the accountability without the control.

Motion 7

Moved by M. Ternovan, seconded by C. Beemer,

That a By-Law be prepared for Council review in September to establish the Practical Nursing Program Approval Committee in accordance with Option 2, as identified in the briefing note.

CARRIED

The option was selected based on the recognition that Council is accountable for decisions on program approval.

Since Council preferred an arms length relationship, the option selected does not include any members of Council on the Committee.

Motion 8

Moved by C. Charlton, seconded by C. Beemer,

That the member of the public on the Practical Nursing Program Approval Committee be a member of the public with experience in structuring and organizing curriculum, from an organization external to CNO.

CARRIED

Staff were asked to explore options for a true arms-length approval body, including discussion with the Canadian Association of Schools of Nursing (CASN) about taking on approval of practical nursing programs in the future.

PRACTICAL NURSING PROGRAM APPROVAL COMMITTEE

Members of the Practical Nursing Program Approval Committee need to be appointed in order to begin Phase I of the approval process.

S. Ireland presented the Executive Committee's recommendations for members of the committee. Given Council's decision regarding the committee's structure, the Executive will recommend a member of the public to Council in September.

The Practical Nursing Program Approval Committee needs to be established as an Ad Hoc Committee until the By-Law establishing it as a Standing Committee can be reviewed by Council in September.

Motion 9

Moved by K. Cook, seconded by B. Hill,

That the Practical Nursing Program Approval Committee be established as an Ad Hoc Committee of Council to begin the process for Phase I implementation of Practical Nursing Program Review and Approval, and that the Ad Hoc Committee exist until the By-Law is approved establishing the Practical Nursing Program Approval Committee as a Standing Committee of Council in September 2004

CARRIED

The Executive Committee recommended the members of the Program Approval Committee, other than the member of the public.

Motion 10

Moved by B. Hill, seconded by F. Cole,

That the following be appointed as members of the Practical Nursing Program Approval Committee from June 2004 through June 2005:

Educators:

Sandy Brewer, Edmonde Briere, Carol Butler, Joan Gale

RPNs:

Debora Crowie, Jo-Ann Fekkes, Cheryl McMaster

Clinical Administrators/Educators:

Lynne Compton, Lynne Gray, Joseph Rudyk

Since Phase I of the program approval process needs to be completed by December 2004, Council had concerns about delaying appointment of the member of the public to September.

Amendment to
Motion 10

Moved by M. Ternovan, seconded by B. Weichel,

That Motion 10 be amended by including "and that a member of the public with experience in structuring and organizing curriculum be appointed by the Executive Committee."

CARRIED

Amended Motion 10

The following motion had been duly moved and seconded:

That the following be appointed as members of the Practical Nursing Program Approval Committee from June 2004 through June 2005:

Educators:

Sandy Brewer, Edmonde Briere, Carol Butler, Joan Gale

RPNs:

Debora Crowie, Jo-Ann Fekkes, Cheryl McMaster

Clinical Administrators/Educators:

Lynne Compton, Lynne Gray, Joseph Rudyk

And that a member of the public with experience in structuring and organizing curriculum be appointed by the Executive Committee.

CARRIED

SEXUAL ABUSE

The Ministry of Health and Long-Term Care has declined to approve the College's proposed amendments to the regulations related to funding for counseling for victims of sexual abuse. V. Kerr, Chair of the Client Relations Committee reviewed the objectives of the proposed regulation, including facilitating funding based on CNO's Standard for the Therapeutic Nurse-Client Relationship. She presented the Client Relations Committee's recommendation and rationale.

Motion 11

Moved by B. Noble, seconded by J. Attwood,

That Part 3 of the General By-Law be revised to address the alternative eligibility requirements for funding for therapy for victims of sexual abuse by nurses, as initially approved by Council in June 2001 in the form of a proposed regulation amendment.

CARRIED

STRATEGIC PLANNING

S. Ireland presented a preliminary update from the Ad Hoc Committee on Strategic Planning. She highlighted the process used by the committee to identify key strategic directions in relation to the four key priority areas identified at the Council/staff strategic planning workshop.

She noted that development of the plan is an iterative process, and that it is expected that the plan will grow and change throughout its development. Consultation with committees, staff and stakeholders is planned for fall, when there is more substance to the plan. At this time, the Ad Hoc Committee is presenting an interim report to Council and seeking feedback.

Council generally supported the direction set by the key strategic directions. It was identified that the proposed key strategic directions broaden and strengthen the strategic objectives. The importance of focusing all directions on the public interest was confirmed and there were some suggestions for clarification and focus.

The Ad Hoc Committee on Strategic Planning has asked that the strategic objectives be revised to be more dynamic and reflect the breadth of the draft plan. The committee will review a proposal at its next meeting and present its proposal to Council in September with the next iteration of the plan.

LIAISONS

Liaisons had been held with RNAO and RPNAO. S. Ireland noted that there were very constructive discussions with colleagues in both organizations.

RNAO and RPNAO offered support encouraging the passage of CNO's outstanding regulations and supporting participation in the College's elections through mailings and ads in their magazines.

There was discussion about patient safety and the potential for collaboration on issues related to patient safety.

EXECUTIVE DIRECTOR UPDATE

A. Coghlan presented the Executive Director update on CNO's registration data and changes that are planned for this year. She highlighted the strategies that will be put into place to enhance the accuracy and timeliness of CNO's data.

RESULTS REPORT

D. Franchi highlighted the Results Report for the quarter. She reported on the indicators related to the election, the average number of weeks for an investigation to commence and budget variances.

The Finance Committee will be reviewing resource indicators. A Council member has developed some draft indicators which will be forwarded as input to the Finance Committee.

EXECUTIVE COMMITTEE

Minutes of the Executive Committee meetings of March 15 and 16, 2004; March 30 and 31, 2004; April 5, 2004; April 21 and 22, 2004; April 29, 2004; and May 26 and 27, 2004 had been distributed.

ELECTIONS COMMITTEE

M. A. Murray presented the report of the election which took place in April, 2004. She reported that the Elections Committee was pleased to see the commitment of all candidates to reflecting the public interest role of Council in their candidate information.

She noted that there had been a number of acclamations, which the Elections Committee believes may have impacted on the number of members voting.
The Elections Committee will be exploring creative strategies to encourage participation in the election.

FINANCE COMMITTEE

S. Burnell-Jones highlighted the report of the Finance Committee meeting of April 21, 2004. She reported that the Finance Committee believes that the current surplus is within reasonable parameters.

CAPITAL BUDGET

S. Burnell-Jones introduced a recommendation from the Finance Committee for addition to the 2004 capital budget to provide funding for implementation of a new information system. She noted that the Finance Committee supports the initiative in meeting the College's strategic objective related to excelling in CNO knowledge. The operating expenditure impact of the project was reviewed, noting that there will be increased costs for maintenance fees and depreciation.

Council confirmed the link between the project and the College's strategic objective regarding knowledge as a rationale for funding the project.

Motion 12

Moved by D. Trouten, seconded by J. Attwood,

That Council approve the addition of $726,000 to the 2004 capital budget to create an information system project budget of $1,426,000 and that the unspent portion of the project capital budget for 2004 be carried over to 2005.

CARRIED

COUNCIL MEMBER VACANCY

The Elections Committee made a recommendation for filling the RPN Council member vacancy in the Central/Toronto district.

Motion 13

Moved by K. Campbell, seconded by D. Barber,

That Suzanne Seguin be appointed to serve as the RPN Council member from the Central/Toronto district until June 2006.

CARRIED

INFORMATIONAL MATERIALS

Council was provided with an opportunity for discussion of the informational material included in the Council mailing.

Staff are exploring options to clarify the difference between patient abandonment and refusing assignments. An update will be shared with Council in September.

The issue of nurses in research was also raised and there was support for how it is being addressed by the College.

WHAT WENT WELL, WHAT CAN IMPROVE

Council discussed what went well during the meeting and what could be improved. Council members identified that the preparatory materials were clear and helped facilitate decision making.

Members identified the meeting was characterized by respectful and collegial discussion reflecting Council's focus on building relationships among Council members and between Council and staff.

CONCLUSION

At 2:30, the Council meeting concluded.