B10 - Sunday, September 2, 1984 - North Shore News Peter White President, At Lions Gate Hospital we are justifiably proud of our record of maintaining a very high standard of health care while coping with the restrictions of severe budget restraints. Many difficult situations have been faced. The hospital operated for nearly two years without a contract with the Hospital Employees Union and with no way of knowing what the wage settlement might be. Early in 1982 money was put aside in anticipation of high wage settlements with both the HEU and the Nurses Union. When the HEU settlements came in lower than expected some of the accumulated surplus funds were used to relieve pressure on the hospital by immediately reopening 24 of the beds we had been forced to close in order to meet the Government's restraint program. Later when our budget allocation for this fiscal year was received and was insufficient to maintain last year’s level of services, we made the decision to spend the remainder of the accumulated surplus during this fiscal year. This will enable us to avoid cutting back services and LGH will be able to continue to provide the same level of health care as last year. Next year’s budget allocation remains a mystery of course, but nevertheless we have come through a very difficult time and emerged in a better position than many hospitals in the province. It is the duty of the Board of Directors to support the hospital staff in every way possible in their work to provide the very best health care services. Inadequate facilities place an added burden on the staff and the Board recognizes its responsibility to continually improve the buildings and equip- ment. This year saw the opening of our long-awaited, much needed 125-bed addition to the Evergreen House Extended Care Unit. Everyone concerned — residents, staff and the community — ts very pleased with the comfortable, home- like environment and the compassionate, flexible care. LGH has pioneered a number of advances in the care of the elderly and these new facilities are a major step in our continuing ef.- forts in this direction. Another area of the hospital where the Board has directed its attention this year is the Psychiatric Unit. This unit is in the old original part of the hospital and has not been upgrad- ed since the 1960's. The structure is sound but major interior renovations are necessary to relieve the grey institutional at- mosphere. This Unit houses 38 patients and is always full. The nursing load is very intensive with a great deal of one-on- one care. Renovations now underway are essential for the morale and well-being of both patients and staff. The Board is responsible for the quality-of health care delivered by the hospital. It is difficult for non-medical laymen to make this assessment. For this reason, LGH has a Quality Assurance Program that assures peer review. The progam is hospital-wide, encompassing both medical staff and all hospital departments, and is tn conformity with standards laid down by the Canadian Council on Hospital Accredita tion. The program, which ts coordinated by Dr. WJ. Cor bett, the hospital’s Medical Coordinator, consists of audits (evaluations, appraisals and recommendations) throughout the hospital. The LGH Quality Assurance Program is based on the premise that to reach our goal of optimal patient care re quires evaluation of the work of the medical staff and all the hospital departments. The essential components of the Quality Assurance Program are problem identification, pro blem assessment, implementation of measures to reduce or eliminate problems, and evaluation and monitoring of the ef fectiveness of implemented changes. The audit reports are presented to the Board of Directors via the Hospital Ad ministrator The Canadian Council on Hospital Accredia tion’s report on LGH tn 1982 made the following comment “The hospital ts commended for its excellent hospttal wide quality assurance program and tts regular reports to keep the Board fully informed of procedures to assure the quality of the various hospital programs ” We are very aware that more than anything else it ts the dedication and hard work of the entire hospital staff which enables the high standard of health service at LGH to be maintained. The extra degree of cooperation and effort that is evident is achteved becaus. of the willingness and desire on the part of those who give it We are proud of the health care L.GH provides for our community and the hospital staft at every level demonstrates this pride and concern in a very concrete way | have served on the Board for nine years, the last two as President, and the hospital and tts work have become an im portant part of my life. LGH Directors are volunteers from many different walks of life and areas of the community They come together because of a common goal — they want to translate their feeling of responsibility to thetr community into direct action. They work with hospital staff and medical personnel, attend countless committee meetings. read reports, plan, discuss, revise ... Sometimes it ts exciting but much of the time it involves doggedly plowing through the endless details that make a large organization function Always it ts time-consuming and demanding. | have great respect for these dedicated volunteers and staff I have served with during the past nine years. They have inspired me and motivated me and | am grateful and proud to have shared the experience with them North and Wes: Vancouver Hospital Society President’s Report 1984 - 84 *Financ:al summanes are extracted from statements reported on by our auditors MacGuhvray and Co Full audited statements are available for inspection dung normal business hours SUMMARY OF OPERATIONS FOR THE FISCAL YEAR ENDED MARCH 31, 1984 1984 1983 REVENUE (Restated) Provincial plan and other ; in patients earnings $ 42,764,194 $ 42,218,576 Provincial plan and other outpatient earnings 4,472,030 3,677 632 Other operating revenue Laundry referred services 936,083 891,446 Pay cafeteria 431,750 428,363 Interest income 285,182 _— Sundry 211,797 200 068 TOTAL REVENUE 49,101,036 47,416,085 ee a EXPENDITURE Direct patient care 30,780,305 28,536,649 Dietary department 3,213,230 3,193,904 Laundry 1,414,410 1,443,320 Bedding and linen 148,279 148,704 Housekeeping 1,769,966 1,873,247 Physical plant operation 2,082,014 1,971,724 Administration, general and unallocated 9,178,012 7,917,585 Room differential transfer 293,826 308,999 TOTAL EXPENDITURE 48 880,042 45 394,132 EXCESS OF REVENUE OVER EXPENDITURE $ 220,994 $ 2,021,953 SUMMARY OF FINANCIAL POSITION AS AT MARCH 31. 1984 ASSETS 1984 1983 (Restated) Cash and investments . Revenue funds $ 2,218,639 $ 2,790,585 Plant funds 2,438,014 1,476,128 Endowment funds 344 383 303,398 B.C. Hospital Programs accounts receivable 150,716 Other patients accounts receivable 1,125,627 986,005 Capital grants receivable — equipment 57,961 408,018 Construction grants pending 1,071,464 731,729 Sundry accounts receivable 377,447 233,922 Supplies — inventories 673,933 698,078 Prepaid expenses 70,632 112,320 Deposit on purchase of equipment —_ 22,509 Equipment under capital leases 545,360 — Property held for development 869,263 951,028 Construction in progress 6,649,288 1,958,441 Land, buildings and equipment 33,860,706 33,838,137 $ 50,453,433 $ 44175,747 LIABILITIES AND EQUITY Accounts payable and accrued 4,137,020 $ 4,870,181 Capital grants received tn advance 326,087 15,006 Obligation under capital leases 545 360 Equity Revenue funds 1,571,450 1,350,456 Plant funds 43,561,039 38,522,467 Appropriated equipment funds ; 114,239 Endowment funds 312,477 303,398 $ 50,453,433 $ 45,175,747 soot STATEMENT Cob CHANGES IN FINANCIAL Poss tiiQoaNn for Tb VEAK ENDED) MARCHE 3b 1984 1984 1983 (restated) FUNDS PROVIDED BY Operations revenue fund } 220 994 $ 2.021 953 Operations plant fund 6 349013 4 605.063 Operations endowment fund 9 079 22 698 Appropriated equipment fund 114,239 bette 6,579 086 6,763,953 FUNDS APPLIRID TO Acquisition of land butldings and equipment (net) 1 365,534 1,640,507 Clonstruc tion Costs ____ 4,690,846 2,383 O80 oo 6 056 380 4 023,587 ep nnennnees miata Genie INCREASE IN FUNDS DURING, Thr YEAR 552 706 2.740 366 EUNDS BEGINNING OF YEAK 3.518% 109 777,743 an nal FUNDS ND OF YEAR 4 040,815 $ 3,518 109 ene EE SRE NOTE Funds is defined as those assets readily Convertible to cash less accounts payable and acenued