{"id":46868,"date":"2018-04-05T04:59:06","date_gmt":"2018-04-05T08:59:06","guid":{"rendered":"https:\/\/huntsville.dopperonline.ca\/?p=46868"},"modified":"2018-04-05T08:43:35","modified_gmt":"2018-04-05T12:43:35","slug":"mahc-is-a-self-appointing-board-sven-miglin","status":"publish","type":"post","link":"https:\/\/doppleronline.ca\/huntsville\/mahc-is-a-self-appointing-board-sven-miglin\/","title":{"rendered":"The fact that MAHC is a self-appointing board needs to change ~ Sven Miglin"},"content":{"rendered":"

Ever wonder who makes most of the big decisions at our Hospital? It\u2019s the Board of Directors.<\/a><\/strong> There are 12 voting Directors and five non-voting ex-officio Directors. These ex-officio Directors are the CEO, the Chief of Staff, the Chief Nurse and the Chair and Vice-Chair of the Professional Staff Association.<\/p>\n

<\/broadstreet-zone><\/strong><\/div>\n

So how do the 12 voting directors get appointed? Who elects or chooses them? Many of you may be surprised to learn that they elect themselves. They choose who remains on the Board and they choose who replaces those who are leaving. I know it sounds absurd but it\u2019s true. The only people who can vote at the Annual General Meeting (AGM) are the current Board members and a small number of former Board members.<\/p>\n

Only Term Members can vote at the AGM. All 12 current voting Directors are Term Members.The By-Laws of Muskoka Algonquin Healthcare clearly identify who is a Term Member. All former voting Directors are Term Members. However six years after they became Directors, their Term Member status expires. Today there are maybe four to six former Directors who can vote. For this article let\u2019s say it\u2019s five.<\/p>\n

Under that assumption, at the next Annual General Meeting in June, there will be 17 Term Members who can vote, and 12 of them are the current-voting Directors of the Board. The Board effectively controls every decision at the AGM, including who gets elected to the Board of Directors. It\u2019s that simple.<\/p>\n

But wait, it gets better. Let\u2019s suppose that there are three current Directors retiring. The Nominating Committee (consisting of three Board members) evaluates all applicants, interviews a short list and recommends to the Board the three applicants who should be nominated. The Board concurs and at the AGM in June there are three nominations (all voted on by the Board) for the three vacancies. That\u2019s not an election. That\u2019s an acclamation.<\/p>\n

I say again, I know it sounds absurd but it\u2019s true. Is this how a publicly funded and publicly owned Hospital should be governed?<\/p>\n

Before someone tries to discredit the above by bringing up my past life, let me save him or her the trouble. Years ago I was ‘acclaimed’ to the Board, twice under this exact model. I served for six years as a Director, two of those years as Chair, and I did nothing to change this. I should have. I didn\u2019t. However what I did or didn\u2019t do years ago is not relevant today and not important to anyone but me. Someone who brings this up today is simply trying to divert the discussion from the real question. How do we get this poor governance model changed now?<\/p><\/blockquote>\n

And here\u2019s the rub. The By-Laws need to be changed and these amended By-Laws voted upon at an Annual General Meeting. Now remember who gets to vote at this meeting. That\u2019s right, the 17 people identified earlier, 12 of whom are on the current Board of Directors. Why would any Board give up the power and control it currently enjoys?<\/p>\n

<\/broadstreet-zone><\/strong><\/div>\n

The answer could be because it\u2019s the right thing to do. The answer could be that the people of Muskoka deserve a better governance model. Or maybe the answer is that good governance leads to better health care for all. I actually believe it\u2019s all of the above and probably more.<\/p>\n

I also believe that someone should ask the current Directors what they think. Someone should ask them what they think needs to be done. Maybe, just maybe, we\u2019ll be pleasantly surprised by their answer.<\/p>\n

If the current Board chooses not to deal with this and leaves it as is, there\u2019s very little the people of Muskoka can do. I believe the Province has the authority to in some manner change this or force the Board to change this deeply flawed policy. This leads to the question of whether the Province\u2019s inaction and silence on this matter is because they are unaware of the situation or worse because they condone it. That is a question that should be asked of the Province.<\/p>\n

Sven Miglin was on the Board of Directors of MAHC for six years (2007 \u2013 2013), two of which he was the Chair. In 2015 he was appointed to the Huntsville Hospital Retention Committee. In 2016 the NSM LHIN appointed him to the Executive Committee of MAHST (Muskoka and Area Health System Transformation) project.<\/em><\/p>\n

Don\u2019t miss out on Doppler! Sign up for our free newsletter <\/strong>here<\/strong>.<\/strong><\/a><\/p>\n

<\/broadstreet-zone><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Ever wonder who makes most of the big decisions at our Hospital? It\u2019s the Board of Directors. There are 12 voting Directors and five non-voting ex-officio Directors. These ex-officio Directors […]<\/p>\n","protected":false},"author":13,"featured_media":12223,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5],"tags":[26,1721,497],"class_list":["post-46868","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-commentary","tag-breaking","tag-mahc-board","tag-sven-miglin"],"acf":[],"yoast_head":"\nThe fact that MAHC is a self-appointing board needs to change ~ Sven Miglin<\/title>\n<meta name=\"description\" content=\"Many maybe surprised to learn that the 12 voting directors of MAHC elect themselves. 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