87th Annual General Meeting

Tuesday, October 29, 2013

5:00 p.m.

AGENDA

1. Board Chair’s Welcome and Remarks Jeremy Akerstream

2. Guest Speaker: Bernice Cyr

3. Approval of the Agenda of October 29, 2013

4. Approval of the Minutes of October 23, 2012

5. Mount Carmel Clinic Highlights from 2012/13

Bobbette Shoffner, Executive Director

6. Financial Report

Michelle Kunzler, Senior Manager , BDO Canada

7. Appointment of the Auditors for 2013/14

8. Report of the Nominating Committee and Election

of the Board of Directors

9. Adjournment

I N S I D E T HI S

I S S UE :

report from board

chair and executive

director

2

primary health 3

volunteer services

3

early learning

services

4

community services 5

employee long

service and board

member recognition

7

funder recognition 7

how to contact us 8

minutes from 2012

AGM attached

F O R M O R E F O R M O R E F O R M O R E F O R M O R E

I N F O R M A T I O N A B O U T I N F O R M A T I O N A B O U T I N F O R M A T I O N A B O U T I N F O R M A T I O N A B O U T

O U R C L I N I C V I S I T O U RO U R C L I N I C V I S I T O U RO U R C L I N I C V I S I T O U RO U R C L I N I C V I S I T O U R

W E B S I T E A T W E B S I T E A T W E B S I T E A T W E B S I T E A T

W W W . M O U N T C A R M E L . C AW W W . M O U N T C A R M E L . C AW W W . M O U N T C A R M E L . C AW W W . M O U N T C A R M E L . C A

Annual Report 2013

P A G E 2

Doing good does not excuse us from doing better.— Howard Buffet

We are pleased to present the Annual General Meeting Report for 2013. As we look back upon this last year, we celebrate our accomplishments and eagerly look to a future full of opportunity.

This year brought many advances as the teams continued to work on several projects: the implementation of the Electronic Medial Record (EMR) across the organization, a records management project to build classification and retention systems, the Grand Re-opening of the Anne Ross Day Nursery and a renovation project in Primary Health to improve efficiencies and client flow throughout the clinic.

Completed projects also include an Operational Review of Primary Health and a review of our Finance and Human Resources departments. Work has begun to implement the recommendations from each of these reviews.

The Clinic embarked on a city wide public awareness campaign which saw an overhaul of our website and the use of media on buses and billboards. The campaign was very successful and generated increased traffic to our website. Moving forward, the goal is to build upon the awareness in our community and we will soon unveil our new brochures—stay tuned!

The Mount Carmel Clinic Board completed a governance review earlier this year and moved to a consensus based model. New members joining this month will add depth, knowledge, expertise and wisdom as each bring their unique skill sets to the team.

We have said goodbye to some long term staff during the past year specifically our Dental Manager, Lori Hiscock who retired after 25+ years of service. We also bid farewell to two long serving board members; Bernice Marmel and Dee Dee Rizzo. You will each be dearly missed and are thanked for your unwavering commitment and passion throughout the years.

In closing, we continue to be grateful to you, our community, our staff, our Board and our funders. We look forward to continuing to achieve and exceed our potential now, in the future and for many years to come.

Jeremy Akerstream Bobbette Shoffner Chair of the Board Executive Director

board chair and executive director’s report

P A G E 3 A N N U A L R E P O R T 2 0 1 3

“Never believe that a few caring people can’t change the world. For, indeed, that’s all who ever have” ~ Margaret Mead

The Primary Health Program provides comprehensive services to clients who call the clinic their “medical home” as well as episodic services to those who walk-in or call in. The walk-in services are an excellent way for the clinic to both respond to the community and to try to better understand the primary health needs in the community.

Services are provided by physicians, nurse practitioners, nurses, social workers, midwives, dietitians, chiropractors, pharmacist, dentists and dental hygienists, laboratory technologists and x-ray technicians. These services are supported by assistants and clerks who make it possible to achieve the quality and quantity of work each day. By providing service in an interprofessional team, the clients benefit from the expertise of each team member as well as from the collaboration of the team. For example with Pharmacy staff as part of that team, the client is able to access clinical pharmacy services such as medication management as well as help to navigate systems such as Pharmacare, or insurance coverage for certain medications.

By offering assistance such as blister packaging for no cost, the client is supported in getting the right medication at the right time. Pharmacy is currently offering the fifth “Commit to Quit” Smoking Cessation Program in partnership with the Winnipeg Regional Health Authority.

In the last year there have been significant changes in the program with the successful implementation of the electronic medical record (EMR). Since the “go live” date in March the physicians and staff have become proficient in the use of the new system and have begun to experience some of the efficiencies and increased opportunities it offers for integration and collaboration. We are now exploring the range of reports that we will be able to produce which will help us better understand the work we do and further inform decision making.

There are also changes implemented or planned to improve the workplace with a new reception/access desk, new triage nurse workstation, new floors and paint. To support efficiency there is a plan to increase the number of exam rooms, which will be completed this year. The Primary Health team continues to strengthen partnerships with clients, other community health agencies and services. These partnerships are an essential component of providing quality Primary Health services.

The Primary Health program benefits greatly from being part of the larger clinic with programs in Community Services and Early Learning. These internal partners bring needed expertise and support to the Primary Health Program.

In the spring and summer of this year there has been some changes in the leadership of the program with the departure of Janet Clark and Kim Froese.

We are pleased that Lonnie Ho, one of the team nurses accepted an acting position of team lead nursing, joining the Interim Director, Catheryn Martens and Gloria Spearman to ensure physicians and staff get the support they need in this time of transition. Lori Hiscock retired this fall leaving her position as Manager of the Dental Program. The program benefited from Lori’s leadership and we wish her well. Finally, we are pleased to announce Dr. R. Gupta has graciously accepted the role of Acting Medical Director.

It has been an interesting and exciting year in Volunteer Services. While we are holding steady with the number of volunteers within the organization, individual success stories of our volunteer community members continue to grow.

Volunteer Services’ quest to build capacity by providing community members with meaningful volunteer opportunities was met and exceeded this year. An average of 54 active monthly volunteers contributed over 4000 hours of their time, talents and energy.

In addition, Volunteer Services partnered with a variety of North End organizations for events such as Lighting Up the Avenue, S.N.O.W Night (Safe Night off Winnipeg Streets), National Aboriginal Day and Picnic in the Park. The Teen Clinic training partnership continues to generate exceptional volunteer candidates to educate teens about reproductive and sexual health. The Volunteer Appreciation Dinner was also a spectacular evening where we celebrated 350 dedicated North End community volunteers..

Primary Health

Volunteer services

P A G E 4 A N N U A L R E P O R T 2 0 1 3

Anne Ross Day Nursery (ARDN)

ARDN is a licensed, non-profit, early learning facility. Our team of Early Childhood Educators (ECEs) provide a safe and healthy, early learning environment for 48 children 2-5 years of age. We are inclusive and welcome children and families of all abilities, including those with additional support needs. We are very excited to be relocated to our newly renovated, fully accessible facility at 511 King Street. It has been an exceptionally busy year but we are thrilled to have returned “home” in December 2012. Our new space is highly functional and enhances our day to day operations in a child centered play space. Not to mention a beautiful lunch room for staff to relax in while enjoying their much deserved breaks. Other changes that occurred this year at Anne Ross Day Nursery include having a new Director of Early Learning and Parenting Programs. Elaine Morris joined us in February 2013. Also, we are pleased to have Milexa Morales accept the fulltime position of Assistant Director. We have been very fortunate to find new Early Childhood Educators (ECE’s) and Childcare Assistants (CCA’s) to complement our ever so dedicated team. We have a full compliment of ECE’s and CCA’s who enhance and operate a quality program each and every day. Mothering Project: The Mothering Project is a program for women affected by systemic marginalization and substance use and their children. The spirit and philosophy of this program is what has shaped the work and the initial program outcomes that we are seeing. The commitment of the team to a harm reduction oriented and culturally grounded, kind, gentle, and quiet approach to working with women is the foundation. The team works by leading with the spirit. Women are strongly connected to the team and this enables them to engage more effectively with other systems to their benefit as well as their children, and the whole community. As the majority of our participants are Aboriginal, our team is also reflective of this with 2/3rds of our team identifying as First Nations or Métis, a women’s advisory council made up of Aboriginal women, a cultural advisor that is First Nations, and a new partnership with evaluators who are also Indigenous women. Having a team that reflects the population that we are working with is a critical component of this program model, and one of the most significant strengths of our program. We hired the outreach team consisting of 2.6 EFT Outreach, 1.0 EFT Clinical Team Lead, 1.0 EFT Family Support Worker, and borrowed 0.4 EFT Social Work from Primary Care. Since opening our doors on April 15 we have had over 90 referrals. One out of every three referrals leads to an intake and start in the program. In general, we connect at least once with every referral. If the issue is that the woman is not a fit (children are over 1 year of age, no substance use), a referral to other programs within the clinic or to external partners is made and the woman is supported in accessing other services. As of October 1st, the program has 31 active participants. Of those, 25 started with us while pregnant and 6 began postpartum. This is significant as outcomes improve the earlier we can connect with women and connecting in pregnancy is the goal of the first phase of this program. We have had 11 healthy deliveries since April. Of those, 2 are with family members, 6 went home with their mothers, and 3 were apprehended at birth. The three babies who are in care are being seen regularly by their mothers with, at minimum, regular weekly visits. We supported the participation of 7 women and 5 children in attending Grandmother Moon Lodge, a 3 day women’s retreat focusing on traditional Aboriginal teachings and ceremony. This was possible thanks to a small grant from the Healthy Child Manitoba Office. Staff and Clients participated in a two day drum making workshop on October 3 and 4. The program will be starting a drum group this fall as a part of the work that our outreach team does with the women and their children Parenting Student Support (PSSP) PSSP continues to provide support to parents aged 13-23, contemplating going to school or are enrolled in an educational institution. With continued advocacy and direct counseling, the coordinator supported 8 participants graduating from grade 12; three (3) of which were accepted into University and scheduled to begin this fall. The Coordinator ran the Positive Discipline Parenting Program in the fall of 2012 at Win Gardner Place in partnership with the Ma Mawi Wi Chi Itata Centre Inc . 10 participants registered and 4 completed. This program also ran at Tec Voc High School by the Coordinator in the Spring. There were 13 registered participants of which 7 received their certificate of completion. We were also very pleased to sponsor five (5) participants to attend Grandmother Moon Lodge in St. Laurent, Manitoba in August in conjunction with the Mothering Project.

Early Learning

P A G E 5

Community Services

“Community health affects all of us”

This past year the Community Services Department continued its efforts to ensure that all aspects of life are acknowledged as being important determinants in individual and the community’s level of health and wellness. Mount Carmel Clinic understands the importance of linking people to resources and to one another. The importance of relationship building and establishing a respectful and collaborative care model cannot be understated. There are many challenges people in our community face. However, there is a great amount of personal skill and resilience in the people we work with. The element of hope and the belief that the lives of our community can be improved by the services we offer in partnership is what maintains our own belief that we can improve community health. Sage House Sage House is the only front line drop in program for adult women in the sex trade in Winnipeg. Services are offered in 3

primary categories.

• Basic Needs; through access to food, showers and laundry

• Communication; through access to computers, phone and availability to utilize Sage House as a primary mailing

address.

• Individual health and social support; through access to Nurse Practitioners and Outreach workers who support

participants with crisis support, counseling and advocacy. Over the past year Sage House saw 5,179 visits to the

program. In addition, 106 participants attended SWAT (Sex Workers Addressing Treatment) workshops throughout

the year.

In the spring of 2013, the Sage House team began exploring the need for some necessary repairs and renovations to it’s building. In August 2013, MCC received a report indicating there were significant code and safety concerns with the building at 422 Dufferin. As a result, MCC needing to ensure clients and staff safety, made the decision to close the building. The program has continued to operate in a reduced capacity from 886 Main Street. We are continuing to provide care through one on one case management of health care and outreach services and have opened drop-in services two afternoons a week. We are currently looking for an alternate space to meet the needs of the program. We look forward to the opportunity of exploring a long term plan for a new facility and program.

Wiisocotatiwin (ACT)

The 2012-2013 year was one of transition. The At Home-Chez Soi research project came to an end in April 2013. We began working with the WRHA and the Provincial government to establish ongoing funding for our program. From a service delivery perspective, the participants we serve continue to make great progress on their healing journeys. Our unique program model braids together clinical mental health interventions with culturally-appropriate, trauma-informed and holistic traditional practices. The multidisciplinary team brings diverse and highly-developed clinical skills, lived experience and cultural practices to each participant. Our participants face complex challenges and require a complex and individualized approach. We continue to successively house at least 75% of participants, with the remaining being either incarcerated or actively engaged in re-housing following an eviction. We also support 21 parents in having regular visits with their children in the care of Child and Family Services. We deliver medications to more than 35 participants who have struggled with medication adherence in the past. One of our greatest successes this year is our increased collaboration with MCC Primary Health. After our psychiatrist resigned, the entire Primary Health team stepped up to assist us in ensuring there was no loss of care to our clients. This collaboration has also meant that more participants are now receiving holistic primary health care. Also, the introduction of the EMR has greatly enhanced our ability to collaborate across programs at MCC.

P A G E 6 A N N U A L R E P O R T 2 0 1 3

Multicultural Wellness Program

This year the team saw a changeover from a provincial funder to federal funding. The staff were successful in the transition and fully trained in the reporting software input system. The team is beginning work on a proposal submission to Citizenship and Immigration Canada (CIC) for another 2 years of funding. A second major initiative was the implementation of the EMR across clinicians.

Staff continue to provide capacity building activities and offer clinical and psychosocial support to clients to facilitate settlement, independence and successful integration of permanent residents into the Canadian society. The team collaborates with outside agencies to avoid service duplication and to ensure service provision is provided in a culturally safe manner. Work is done within a Just Therapy framework providing support to permanent residents who experience challenges with integration and adaptation as a consequence of torture, violence, trauma and displacement.

During the past year the program has aligned it’s services with the enhanced model of care for high risk, war affected refugees many affected by the triple trauma paradigm which is trauma from origin, during flight and in settlement country.

During 2013 the program has offered workshops in a variety of areas and saw a great turnout of clients:

• Entry program on Cultural Adaptation saw 370 newcomers

• English as an Additional Language (EAL) conducted at John Pritchard School with 3 sessions conducted and 10-13 groups per session

• A session on Gang Awareness and Prevention was offered to 65 newcomers from several communities

• Cultural diversity and health was offered to the University of Manitoba second year nursing students

• Collaborating with Winnipeg Police Services for a community education session on Domestic Violence Prevention was held for 90 newcomer adults with 10 countries represented. 55 women and 35 men attended.

As an integral and important component of care for the mental health of immigrants and refugees, care is offered in a variety of languages. Our connection to BridgeCare Clinic has allowed the social work team to provide consultation assessment and case coordination.

The Multicultural Wellness team continued work with the General Child and Family Services Authority and the program’s African Community Facilitator co-facilitated a session for the Francophone African community together with their Quality Assurance Specialist on the New Canadian Education and Awareness Initiative including representatives from the Newcomer Unit and Foster Parents Association.

Finally, the Status of Women appointed this program as the agency representative for immigrant serving organizations on the provincial Safety Today Stronger Tomorrow domestic violence strategy review committed. The team’s research on the Honor Based Violence was presented to inform the strategy.

Strengthening the Families The Strengthening the Families program supports building capacity within the Newcomer to Canada population. In the past year, the team, in collaboration with partners and funders, successfully trained 18 Community Based Educators (CBEs). In addition, staff provided mentorship to the CBEs in the areas of; settlement issues, building healthy relationships, preventing domestic violence, addressing intergenerational issues and maintaining sexual and reproductive health. Finally, mentoring the CBEs on administrative and accounting responsibilities has greatly increased their employability by learning from the mentor’s experience and valuable insights. This has helped to increase CBE confidence and skill levels.

Community Services

P A G E 7

CONGRATULATIONS TO THE FOLLOWING

Employee Long Service Recognition

Thank you to our past Board Members

30 Years: 15 Years: 5 Years:

Demi Kuzyk-Bernier Dr. Alec Macaulay Bobbette Shoffner

Dr. Barbara Cenkowski Larisa Dinga

Fidelia Gayleard Dr. Vinita Bjajac

20 Years: Susan Tottle Marion Boulanger

Cindy Melnyk Kelly Merkeley

Dr. Cara Chandler 10 Years: Arlene Elliott

Margaret Donley Entesar Ansari

Winnipeg Regional Health Authority Mount Carmel Clinic Foundation

Government of Canada United Way of Winnipeg

Health Canada Winnipeg Foundation

Mental Health Commission of Canada SEED Winnipeg

Community Connections University of Manitoba

Province of Manitoba Merck Canada

Manitoba Family Services and Labour Hoffman-La Roche Ltd.

Manitoba Family Services and Consumer Affairs

Healthy Child Manitoba A Special Thank You to All Our Private Donors

Manitoba Labour and Immigration

Thank you for your time and commitment to Mount Carmel Clinic

Marc Battle Bernice Marmel Bonni Book

Dee Dee Rizzo Jenna Diubaldo

Thank you to our Generous Funders

For more information about Mount

Carmel Clinic, please contact us at:

Mount Carmel Clinic 886 Main Street

Winnipeg, Manitoba R2W 5L4

Phone (204) 582-2311

www.mountcarmel.ca

For more information about Mount Carmel

Clinic Foundation, or to make a donation,

please contact us at:

Mount Carmel Clinic Foundation

886 Main Street

Winnipeg, Manitoba R2W 5L4

Phone (204) 589-9424

www.mountcarmel.ca

Mount Carmel Clinic, 886 Main Street

Mount Carmel Clinic

Sage House Program,

422 Dufferin Avenue

Anne Ross Day Nursery,

511 King Avenue

Mount Carmel Clinic

888 Main Street

A N N U A L R E P O R T 2 0 1 3 P A G E 8

Assertive Community Treatment

Program

765 Main Street