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Introduced by the hospital board's Vice-Chairman Sam Cook. Mr. Backley said that the role of health services is changing. There are many steps between the office of the general practitioner and the institution. IMPORTANCE OF PREVENTION Deâ€"emphasising of the in- stitution, however, is not to underestimate the importance of the institution. In its study of health services the prov- ince has studied the import- ance of and the role of pre- vention. pre-care, rehabilita- tion and extended care. try- ing to determine top stand- ards of health care and at the same time achieve top stand- Statistically this will mean 74 pediatric bedsâ€"there are now 12â€"â€"and increase in staff from 330 to 1,000. Nursing staff will jump from 100 to 400 and staff payroll from $2,250,000 to $7,500,000. There was keen interest in reports of the affect of changes in services that may be anticipated when the new Langstafif Wing opens in the fall, increasing capacity from 126 to 403 beds. A highlight of the annual meeting of York Central Hospital Association was presentation of a cheque for $10,000 from the hospital auxiliary to the board of trustees to help equip the huge Langstaff wing which is scheduled to open in the fall. Auxiliary President Mrs. Joan Paton is pictured above making the presentation to the board’s Vice-Chairman Sam Cook. Mrs. Shirley Bruce also presented a cheque for 81,000 to the board from the Memorial Fund. 28 York Central Hospital Prepares For Future Growt People were packed into the serving area, kitchen and hall as a procedural rangle developed over election of trustees. Officers and adminis- trators presented reports on the hospital expan- sion program. By MARGARET LADE The changing role of health services in Ontario was described by Alan Backley, Assist- ant Deputy Minister of Health, at a jam-packed annual meeting of York Central Hospital in the hospital’s, cafeteria on Apnil 9. _ THE LIBERAL, Richmond Hill, Ontario, Wednesday April 24, 1974 if the best interests of the public are to be served said Backley. Some autonomy must be sacrificed as all work in a team in the home rehaBili- tation centre, the office of the general practitioner. so- cial services, public health services, community health centres. "The team is im- portant." The Ministry, he said, is not just interested in cost. but in the best interest of the patient, This encompasses many areasâ€"active treat- ment, the health unit. psy- chiatric service, social serv- ices, home care, in order to achieve a balanced integral service. SACRIFICE AUTONOMY These services can no longer operate in- isolation The level of care should be compatible with the need of the patient, said Mr. Backley â€"for example the needs of the neurosurgical patient as compared to the needs of the nursing home patient in order to ensure that the care offer- ed is compatible with the most rapid recovery of the patient. ards for the best dollar (Photos by Claus Plock) In conclusion he challenged the meeting, “If you do not react. how is the government to know how to react in planning for health services in the province?" Richmond Hill Mayor Wil- liam Lazenby, chairman of York Regional Health and Social Services Committee. thanked the speaker. observ- ing that his remarks were very apropos, adding that York Central Hospital and Richmond Hill place high priority on co-ordinating of services. HONORS LANGSTAFF Board Chairman Mrs. Grace Jackson observed that Mr, Backley‘s talk had given all members of the hospital association a great deal to think about, since York Cen- tral will be in a state of mobility for the next several months. There has to be much more decision making at the local level Mr, Backley continued. “We want you to respond to the reports (from service: within the community) and get back to the Ministry on how health care services are serving your community." In some communities this could mean one board for two or three hospitals. The new expansion is being called the Langstaff Wing, said Mrs. Jackson in her re- port, 'to honor Dr. James Langstaiff, the founder of the hospital and its first chief of staff; his mother, Dr. Lil- lian, who is honorary chair- man emeritus of the hospital auxiliary; his father, the late Dr, Ralph; and his grand- father. the late Dr. James Langstaff. “Together they have serv- ed the health needs of a large area of our community for more than a century. The first hospital in Richmond Hill was located in the same Langstaff home which they still occupy," said Mrs. Jack- son. ’ Replacing individual boards, integrating them into a dis- trict health council, would make it possible to co-ordi- hate all health-related ac-'( tivities in the area in a balanced economic service, sensitive to how the com- munity feels about the health service it is receiving, not just conforming to general rules set up by Queen's Park. “The most important change in the future is to make the hospital the com- munity resource ‘oEntref' This makes sense not only in economics, but for the good of the patient. NEW HEALTH COUNCILS The active treatment hos- pital can no longer be re- garded as the only alternative to the general practitioner's office. Much of this is already in operation in the York Re- gional community, said Mr. Backley, with community organizations working to- gether. Non-professionals are im- portant members of the team as volunteers working in the home of the patient, in nurs- ing homes. in hospitals and homes for the aged. The hospital's mini-com- puter has been approved by the Ministry of Health as a pilot project to assess its potential for use in other hospitals and has been ac- cepted by several other hos- pitals. A carpet research project has attracted attention from other hospitals as various cleaning materials and meth- ods of spot removal are tried, and it is anticipated the new transportation system will attract visitors from hospitals all over the continent. The hospital assists in other areas of training. Post- graduate physicians have been serving in the emerâ€" gency department and a medi- cal student has been observ- ing in family practice. Physio- therapy students gain experi- ence at York Central, and a program for pharmacy stu- dents and interns is being developed by the hospital‘s pharmacy Director Miss Jane Gillespie, who has also ini- tiated a successful pilot proj- ect with a unit dosage sys- tem ready for the opening of the new wing. Regional public health nurs- es are conducting pre-natal classes in the hospital as well as weekly sessions for new mothers, Another new development in the obstet- rical area is the presence of some fathers at the birth of their children. HOSPITAL TRAINING CENTRE ‘ Last fall Seneca College ‘assumed responsbility for the two year nursing diploma program. formerly carried out by the York Regional School of Nursing. Students from both the first and sec- ond year participate in all of York Central’s in-patient areas for their clinical ex- perience, Mrs.’ Jackson re- ported. Mrs. Gloria Crotin. assistant executive director of nursing and a member of the hospital‘s senior adminis- trative team, and Dr. John Heard from the board are members of the advisory com- mittee for nursing education at Seneca. Mrs. Jackson expressed reâ€" gret that a joint alcohol ed- ucation program had to be continued when a special grant terminated. “This is regrettable since there is also urgent need for a detoxâ€" ification unit in our area for which provision has not yet been made." "Growth" is the most de- scriptive word for York Cen- tral. which opened its doors in December. 1963. There has been growth in response to change. effecting change in the internal growth of the hospital building, and afiectâ€" ed by the fast and unpre- cedented external changes taking place in the worldâ€" health. social. economic, tech- nological and legislative, Mrs. Jackson. Currently among young people, alcohol and sex problems seem to be more of a hazard than drugs, she reported, although this prob- lem (drugs) has not gone away. N EED ALCOHOL CENTRE HOSPITAL COMPUTER “During the past few years we have been increasingly concerned about the out- placement of patients after an all-too-short stay in our hospital because of our lack of beds," said Mrs. Jackson. The region’s home care pro- gram has expanded consider- ably. but suitable home- makers are very scarce. 'l'he out-patient services of the mental health clinic now in temporary quarters on Yonge Street will be moved into the new building, and there will be facilities for resident psychiatric and other longer term patients. The hospital’s catering staff prepares food for the Meals on Wheels volunteer service. “We do want to thank all volunteers in coâ€"operating agencies and in our own hos- pital. We simply can't navi- gate successfully without your support.” She urged the volunteers to make every effort to double their num- bers to meet the new ad- mission flow that will come with the opening of the Lane,â€" staff Wing. It was a hard fight to get the necessary funds for conâ€" struction of the new wing. Mrs. Jackson said. and an additional $1 million is need- ed to help equip it. NEED MORE VOLUNTEERS “This legislation and its implementation is a very. very contentious issue be- tween the federal and pro- vincial governments, but no helpful solution has emerged to date," said Mrs. Jackson. Responsibility for thera- peutic abortion was delegated to health care services; she said, it was not asked for. “A million dollars takes a lot of getting, but with your help that goal can be reached ready to receive patients this fall. . . . A truly dedicated effort from the whole comâ€" munity is necessary to fulfil our objective.” ‘Presentations were made to the hospital’s first three chiefs of staff: Dr. Langstaff, Dr. Jim McPhee and Dr. Vic- tor Zuck. Present chief of staff is Dr. Peter Granger. BUILDING RENOVATIONS Treasurer Neville Evely presented the financial and campaign report for 1973 and building committee Chairman John Griffin gave a progress report on construction of the In co-operation with the York Regional Public Health Service, birth control and VD clinics have been estab- lished at York Central and at the York Regional Health Unit in Newmarket. “There is a very real need for education regarding sex and sexuality, venereal dis- ease and birth control and the reduction of people's ex- pectations that abortion can be just another method of contraception." said Mrs. Jackson. These are the problems of today's society and the hospital has to cope with the casualties society creates. ABORTION COMMITTEE When the law with respect to abortion was changed in response to public demand, an abortion committee was established at York Central. Richmond Hill Hydro Board Member Harry Hill was appointed co-chairman OLf the committee. said Mr, Grif- fin, accepting responsibility for looking after Phase 3, or renovations of the original building as his main duty. The problems and activities in relation to Phase 3 are considerable and will carry on well after completion of the new building. new wing There were reports from by-laws committee Chairman Stuart Parker, public rela- tions committee Chairman Dorothy Spears, medical ad- visory committee Chairman Dr. Granger. Executive Direc- tor James Hepburn, hospital auxiliary Past President Mrs. Peggy Temple and nomina- tions committee Chairman Mrs. Edith Howden-. Auxiliary President Mrs. Joan Paton presented the board's Vice-chairman Sam Cook with a cheque for $10,000 toward the building fund and Mrs. Shirley Bruce presented a cheque for $1,000 from the Memorial Fund. Mr, Cook thanked them for their strenuous efforts and for their donations in a com- mon cause. PROCEDURAL HASSLE When Administrator Hep- burn asked for endorsement of proposed election proceed- ures he was challenged by Richmond Hill Lawyer John Prior to the annual meeting of York Cen- tral Hospital Association April 9, the board of trustees held an awards dinner to honor 51 staff members for faithful service. Seventeen received five-year pin awards, 27 received ten- year pin awards. There were four retirement presentations to members of the nursing staff, and three past Chiefs of Staff, Dr. James Langstaff, Dr. Jim McPhee and Dr. Victor For further information on our Rental Plan, including Free Maintenance Service, phone LeClaire, a former vice- chairman of York County Roman Catholic School Board. The hospital's board of trustees is made up of the mayors of Richmond Hill, Vaughan and Markham, six additional ex-officio members, and 15 members elected for three year terms in rotation. with five elected each year. The board proposed that all members elegible to vote must mark five names on their ballots. that any ballot bearing less than five names would be declared invalid. The suggestion had been put forward in order to have a reasonably speedy election, to fill the board, explained board member Stuart Parker, also a Richmond Hill lawyer. Mr. LeClaire asked why this change in election procedure had been proposed. Why, he wanted to know, could a member of the association not vote for just one or two of the nominees? If the meeting wished to approve ballots Ibearing only one or two names. the recom- mendation could be with- drawn, he said. “You are trying to tell the majority how to conduct him- self, it is not democratic," Mr. LeClaire charged. NO JOSTLING FOR POSITION The practice of filling LIVE BETTER ELECTRICALLY FOR ONLY FREE SERVICE INCLUDED Fast recovery takes the “wait” out of water heating Flameless-so safe and clean. Needs no flue-can be installed anywhere. Available in sizes to suit your needs. Purchase plan available. and all with the economy of Electricity. Call now ELECTRIC WATER HEATE RENT A NEW SUPER-FAST 40 GALLON UNIT ‘1-51 vacancies by voting one by one or two by two has not resulted in hundreds volun- teering their services. Mr. Parker replied. “Never at any time has there been a super- fluity of volunteers for the board. It is not that we have not had a good board. The achievements of the hospital speaks for itself. “If people are willing to volunteer we are happy to have people who are capable, qualified and willing to ac- cept the responsibility, but we have never had a super- fluity of volunteer, there has never been any jostling for position,” said Mr. Parker, “1 don’t think there have ever been nominations from the floor. Only once or twice has there been an election." Mr. Griffin called for a vote on an amendment that would declare ballots bearing less than five names valid. The amendment was defeated in an open vote of the mem- bers of the hospital associa- tion. Names proposed by the nominating committee were John Griffin, Harry Hill, Mrs. Dorothy Spears, Dr. Heard and Lorne Wells. All but the last named had served v.--â€" Vfltq, -V‘_.WVV. V, to on this board.” Before the nominatio were declared closed, Parker pointed out that cording to the constitution‘ person must be a member the association for 30 d before he is eligible to v0 Mr. Stong had been a me) her for 16 days. It w agreed, however, that 1 though Mr. Stong could n vote, he could stand for elt fion. Names proposed by the nominating committee were John Griffin, Harry Hill, Mrs. Dorothy Spears, Dr. Heard and Lorne Wells. All but the last named had served previous terms on the board. Mr. Wells, a chartered ac- countant, was appointed last year when another trustee resigned. Zuck, were honored. . In the group were representatives of ad ministration, dietary services, engineerin housekeeping, laboratory, medical record pharmacy, X-ray, linen, physiotherapy, purch asing and nursing. Pictured above, hospita board Chairman Mrs. Grace Jackson present a ten-year pin to Nurse Catherine Carter. plus sales tax A MONTH your hydro} 884-4466 60 GALLON UNIT As the meeting dispers to vote, LeClaire warned. dangerous, undemocra thing has been done this y for the first time. It mak it impossible for a minorl to have any voice. You w find next year there will a majority here who will 11 elect am] one of the five y‘ have chosen." Alfred Stong was nomina Richmond Hill Law from the floor. Mrs. Howden pointed that no one is permitted be on the board for m than 12 years. so vacanc' do occur. “It is a very manding job, and it is ve difficult to get able people give the vast amounts of ti and energy required to se on this board." Before the nominati It was well after midnig when the ballots were com ed and the slate presented ‘ the nominating committ elected for a three-year ten (Photo by Susan Saml "DANGEROUS UNDEMOCRATIC” plus sales ta A MONTH