ATTESTATION. Prepared in accordance with section 15 of the Broader Public Sector Accountability Act, 2010 (BPSAA)
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1 ATTESTATION Prepared in accordance with section 15 of the Broader Public Sector Accountability Act, 2010 (BPSAA) TO: The Board GROVES MEMORIAL COMMUNITY HOSPITAL, (the Board ) FROM: Stephen Street, President and CEO Groves Memorial Community Hospital Date: May 18, 2017 RE: April 1, 2016 to March 31, 2017 ( the Applicable Period ) On behalf of the GROVES MEMORIAL COMMUNITY HOSPITAL (the Hospital) I attest to: the completion and accuracy of reports required of the Hospital pursuant to section 6 of the BPSAA on the use of consultants; the Hospital s compliance with the prohibition in section 4 of the BPSAA on engaging lobbyist services using public funds; the Hospital s compliance with any applicable expense claims directives issued under section 10 of the BPSAA by the Management Board of Cabinet; [to be added once ss. 15(1)(c.1) of the Act is proclaimed into force] the Hospital s compliance with any applicable perquisite directives issued under section 11.1 of the BPSAA by the Management Board of Cabinet; and the Hospital s compliance with any applicable procurement directives issued under section 12 of the BPSAA by the Management Board of Cabinet, during the Applicable Period. In making this attestation, I have exercised care and diligence that would reasonably be expected of a President and CEO in these circumstances, including making due inquiries of Hospital staff that have knowledge of these matters. I further certify that any material exceptions to this attestation are documented in the attached Schedule A. Dated at Fergus, Ontario this May 31, 2017, Stephen Street President and CEO Groves Memorial Community Hospital I certify that this attestation has been approved by the board of the GROVES MEMORIAL COMMUNITY HOSPITAL on May 31, 2017 Howard Dobson Chair of the Board Groves Memorial Community Hospital
2 SCHEDULE A to Attestation Groves Memorial Community Hospital If, on behalf of your Hospital, you have no material exceptions to declare, please include a no known exceptions statement in each section to this schedule. If, on behalf of your Hospital, you have material exceptions to declare with respect to any of the matters set out below, please: a) list them accordingly b) provide a rationale for each exception in respect of why the Hospital did not comply with the requirement, and c) describe what actions have been, or will be taken, to address each exception. 1. Exceptions to the completion and accuracy of reports required in section 6 of the BPSAA on the use of consultants; No known exceptions. 2. Exceptions to the Hospital s compliance with the prohibition in section 4 of the BPSAA on engaging lobbyist services using public funds; No known exceptions. 3. Exceptions to the Hospital s compliance with the expense claims directive issued under section 10 of the BPSAA by the Management Board of Cabinet; No known exceptions. 4. [to be added once ss. 15(1)(c.1) of the Act is proclaimed into force] Exceptions to the Hospital s compliance with the perquisites directive issued under section 11.1 of the BPSAA by the Management Board of Cabinet; and No known exceptions. 5. Exceptions to the Hospital s compliance with the procurement directive issued under section 12 of the BPSAA by the Management Board of Cabinet. The Hospital is a member of Mohawk Share Services and their letter on exceptions is attached.
3 Appendix A - HOSPITAL REPORT ON CONSULTANT USE Name of Hospital: Groves Memorial Community Hospital LHIN: Waterloo Wellington Reporting Period: April 1, 2016 to March 31, 2017 # Consultant Name and Title of Contract Term Procurement Value Consultant Selection Process Modifications to Agreement Firm Name Consulting Contract If the contract term has been (A) Original value plus (Open Competitive, Invitational ( YES / NO ) extended please include the (B) Value of amendments and Competitive, Non-Competitive) If YES, did the procurement original contract term and ( C) Total procurement value If non-competitive, please provide documents permit modifications the amended contract term ($) / Total Paid an explanation to the term of value of the agreement? 1 Stantec Planning, design, and June 15, 2015 to June 15, 2021 A) Original procurement value Open competitive No Architecture Ltd. compliance consulting $3,989,956 plus HST services for the Groves Memorial Community B) Amended procurement $0. Hospital greenfield replacement hospital C) Total procurement value $3,989,956 plus HST Total paid for reporting period $891, Stantec Alternative financing and April 1, 2015 to April 2017 A) Original procurement value Open competitive No Architecture Ltd. procurement planning, $293,988 plus HST scheduling and advisory services B) Amended procurement $0. C) Total procurement value $293,988 plus HST Total paid for reporting period $71, Hanscomb Cost Cost consulting services Sept 14, 2012 until projects A) Original procurement value Open competitive No Consultant related to Groves completion $172,965 plus HST Memorial Community Hospital greenfield B) Amended procurement $0. replacement hospital C) Total procurement value $172,965 plus HST Total paid for reporting period $68,170 Preservation of Solicitor - client privilege This legislation maintains the integrity of solicitor client privilege, litigation privilege and settlement privilege, and does not require the disclosure of information subject to any of these privileges. While hospitals are expected to report on their retention of lawyers and law firms for the provision of consulting services, they are not required to report on instances where they have retained lawyers and law firms to provide legal advice, draft legal documents, conduct litigation on behalf of a hospital, or otherwise for the purposes of providing legal services to a hospital.
4 Travel, Meal and Hospitality Expenses Name: Title: Stephen K. Street President and CEO *Reporting Period: October 1, March 31, 2017 Date Amount Expense Category Description Oct/16 - Mar/17 $5, Travel - Car Allowance Car Allowance Sept 7-9/16 $ Travel - Accommodation Off Site Conference Sept 7/16 $35.05 Travel - Meal Off Site Conference Sept 12/16 $ Travel - Meal (3) Off Site Meeting Nov 6-8/16 $ Travel - Accommodation Off Site Conference Nov 6-8/16 $ Travel - Parking Off Site Conference Nov 6/16 $30.51 Travel - Meal Off Site Conference Nov 7/16 $44.60 Travel - Meal Off Site Conference Feb 2/17 $ Travel - Accommodation Off Site Meeting Feb 2/17 $21.70 Travel - Go Train Off Site Meeting *Per Broader Public Sector Accountability Act Expenses are Based on Approval Date within Reporting Period This individual is part of the Wellington Health Care Alliance and the expenses were incurred for the mutual benefit of Groves Memorial Community Hospital and North Wellington Health Care Corporation. The above expenses are reported for both hospital corporations.
5 Travel, Meal and Hospitality Expenses Name: Title: Marsha Martin Chief Financial Officer *Reporting Period: October 1, March 31, 2017 Date Expense Category Description Aug/16 - Nov/16 $ Travel - Mileage **WHCA Hospitals Sept 8/16 $9.66 Travel - Mileage Off Site Meeting Sept 8/16 $12.00 Travel - Parking Off Site Meeting Oct 17/16 $9.66 Travel - Mileage Off Site Meeting Oct 17/16 $7.50 Travel - Parking Off Site Meeting Nov 6-9/16 $96.60 Travel - Mileage Off Site Conference Nov 6-9/16 $ Travel - Accommodation Off Site Conference Nov 6-9/16 $90.00 Travel - Parking Off Site Conference *Per Broader Public Sector Accountability Act Expenses are Based on Approval Date within Reporting Period **WHCA - Wellington Health Care Alliance This individual is part of the Wellington Health Care Alliance and the expenses were incurred for the mutual benefit of Groves Memorial Community Hospital and North Wellington Health Care Corporation. The above expenses are reported for both hospital corporations.
6 Travel, Meal and Hospitality Expenses Name: Title: Sherri Ferguson Chief Human Resource Officer *Reporting Period: October 1, March 31, 2017 Date Amount Expense Category Description Jan/17 - Mar/17 $1, Travel - Car Allowance Car Allowance Apr/16 - Feb/17 $2, Travel - Mileage **WHCA Hospitals Nov 16/16 $81.22 Travel - Meal (3) Off Site Meeting Nov 16/16 $66.93 Travel - Meal (3) Off Site Meeting *Per Broader Public Sector Accountability Act Expenses are Based on Approval Date within Reporting Period **WHCA - Wellington Health Care Alliance This individual is part of the Wellington Health Care Alliance and the expenses were incurred for the mutual benefit of Groves Memorial Community Hospital and North Wellington Health Care Corporation. The above expenses are reported for both hospital corporations.
7 Travel, Meal and Hospitality Expenses Name: Title: Stephanie Pearsall Vice President Patient Services/Chief Nursing Executive *Reporting Period: October 1, March 31, 2017 Date Amount Expense Category Description Oct/16 - Mar/17 $3, Travel - Car Allowance Car Allowance Aug/16 - Feb/17 $2, Travel - Mileage **WHCA Hospitals Sept 12/16 $32.02 Travel - Mileage Off Site Meeting Sept 16/16 $18.40 Travel - Mileage Off Site Meeting Oct 18/16 $26.68 Travel - Mileage Off Site Meeting Oct 21/16 $18.40 Travel - Mileage Off Site Meeting Nov 18/16 $18.40 Travel - Mileage Off Site Meeting Nov 25/16 $11.50 Travel - Mileage Off Site Meeting Dec 13/16 $13.80 Travel - Mileage Off Site Meeting Dec 16/16 $18.40 Travel - Mileage Off Site Meeting Jan 20/17 $18.40 Travel - Mileage Off Site Meeting Feb 1-3/17 $ Travel - Accommodation Off Site Conference Feb 1-3/17 $56.00 Travel - Parking Off Site Conference *Per Broader Public Sector Accountability Act Expenses are Based on Approval Date within Reporting Period **WHCA - Wellington Health Care Alliance This individual is part of the Wellington Health Care Alliance and the expenses were incurred for the mutual benefit of Groves Memorial Community Hospital and North Wellington Health Care Corporation. The above expenses are reported for both hospital corporations.
8 Travel, Meal and Hospitality Expenses Name: Title: Dan Coghlan Vice President, Corporate Services and Planning CIO/CPO *Reporting Period: October 1, March 31, 2017 Date Amount Expense Category Description Oct/16 - Mar/17 $3, Travel - Car Allowance Car Allowance June/16 - Jan/17 $2, Travel - Mileage **WHCA Hospitals June 3/16 $30.36 Travel - Mileage Off Site Meeting June 6/16 $15.18 Travel - Mileage Off Site Meeting June 6/16 $19.00 Travel - Parking Off Site Meeting June 13/16 $3.22 Travel - Mileage Off Site Meeting June 16/16 $2.76 Travel - Mileage Off Site Meeting July 7/16 $ Travel - Mileage Relocation Expense July 7/16 $15.95 Travel - Meal Relocation Expense July 14/16 $9.66 Travel - Mileage Off Site Meeting July 14/16 $12.00 Travel - Parking Off Site Meeting July 20/16 $49.68 Travel - Mileage Off Site Meeting July 21/16 $80.04 Travel - Mileage Off Site Meeting July 27/16 $49.68 Travel - Mileage Off Site Meeting Aug 3/16 $59.80 Travel - Mileage Off Site Meeting Aug 9/16 $6.44 Travel - Mileage Off Site Meeting Aug 9/16 $16.00 Travel - Parking Off Site Meeting Sept 12/16 $33.12 Travel - Mileage Off Site Meeting Sept 13/16 $42.32 Travel - Mileage Off Site Meeting Sept 15/16 $79.12 Travel - Mileage Off Site Meeting Sept 28/16 $59.80 Travel - Mileage Off Site Meeting Oct 16/16 $41.86 Travel - Mileage Off Site Meeting Oct 17/16 $33.12 Travel - Mileage Off Site Meeting Oct 18/16 $46.00 Travel - Mileage Off Site Meeting Oct 19/16 $61.64 Travel - Mileage Off Site Meeting Oct 24/16 $59.80 Travel - Mileage Off Site Meeting Oct 24/16 $10.00 Travel - Parking Off Site Meeting Oct 27/16 $1.84 Travel - Mileage Off Site Meeting Nov 2/16 $59.80 Travel - Mileage Off Site Meeting Nov 3/16 $81.88 Travel - Mileage Off Site Meeting Nov 7/16 $3.22 Travel - Mileage Off Site Conference Nov 7/16 $ Travel - Accommodation Off Site Conference Nov 7/16 $75.00 Travel - Parking Off Site Conference Nov 8/16 $3.22 Travel - Mileage Off Site Meeting Nov 8/16 $ Travel - Accommodation Off Site Conference Nov 8/16 $69.00 Travel - Parking Off Site Conference Nov 9/16 $9.66 Travel - Mileage Off Site Meeting Nov 9/16 $ Travel - Accommodation Off Site Conference Nov 9/16 $66.00 Travel - Parking Off Site Conference Nov 15/16 $81.88 Travel - Mileage Off Site Meeting Nov 15/16 $12.00 Travel - Parking Off Site Meeting Nov 21/16 $39.56 Travel - Mileage Off Site Meeting Nov 25/16 $ Travel - Mileage Off Site Meeting Nov 25/16 $22.00 Travel - Parking Off Site Meeting Nov 30/16 $59.80 Travel - Mileage Off Site Meeting Dec 13/16 $24.38 Travel - Mileage Off Site Meeting Jan 16/17 $80.50 Travel - Mileage Off Site Meeting Jan 17/17 $19.32 Travel - Mileage Off Site Meeting Jan 26/17 $39.56 Travel - Mileage Off Site Meeting *Per Broader Public Sector Accountability Act Expenses are Based on Approval Date within Reporting Period **WHCA - Wellington Health Care Alliance This individual is part of the Wellington Health Care Alliance and the expenses were incurred for the mutual benefit of Groves Memorial Community Hospital and North Wellington Health Care Corporation. The above expenses are reported for both hospital corporations.
9 April 13, 2017 Ms. Janet Stubbs Manager, Purchasing and Materials Management Wellington Healthcare Alliance 235 Union Street East Fergus, ON N1M 1W3 Re: Attestation to the BPSAA Supply Chain Secretariat Directive Compliance Dear Ms. Stubbs: Mohawk Shared Services Sourcing Centre (MSS) hereby acknowledges that the BPSAA Procurement and Reporting Directives apply to Mohawk Supply Chain business operations. MSS fully understands and abides by the legal requirements meant to ensure that publicly funded goods and services are acquired by BPS organizations, and in this case by their agent (MSS), either through a competitive process that is open, fair and transparent, or an approved non-competitive process. This letter along with the attestation log, provide the details of those contracts that do not meet the exemption criteria and fall under the non-approved non-competitive process. This information will assist you to comply with your organization s policies. During the past fiscal year, those MSS contracts outside of the competitive process that involved your hospital, if any, are listed in the attachment. For clarity, two values are identified: one that was estimated based on historical data at the time of the logging-in of any non-competitive agreement and the actual value within the fiscal year. Please feel free to incorporate this letter as part of your submission to the Ministry or public posting. If you require further information please contact Nicole Ruttan-Sims, our Director of Strategic Sourcing, at nruttan-sims@mohawkssi.com or at Yours truly, Colin Lyons Interim General Manager Supply Chain Services Cc: Dan Coghlan, Vice President, Corporate Services To excel as a shared services organization by delivering services that support health care and our communities Mohawk Shared Services 5295 John Lucas Drive Burlington, ON L7L 6A
10 Summary of Exceptions to the BPSAA Process Directive -- Mohawk Shared Services Log - April 1, March 31, 2017 BPS Attestation Exceptions - Mohawk Shared Services Log April 1, March 31, 2017 # Date Contract Participating Corporate Customers at Completion of Non-Competitive Process Actual Participating Corporate Customers at Close of Fiscal Year Description Supplier / MFG Distributor Contract Start Date (MM/DD/YY) Contract Ending Date (MM/DD/YY) Annual Value At Time of Loging 1 11-Apr-16 MSS-1778 EXP. HHS/SJHH/SMH HHS/SJHH/SMH PRODUCT LAB REAGENT QIAGEN INC QIAGEN INC $ 182, $ 310, Non-Competitive Quote 2 27-May-16 MSS-1822 MSS 3 21-Jul-16 MSS Jul-16 MSS Nov-16 MSS-1869 BCHS/CMH/GGH/GMH/ BCHS/CMH/GGH/GMH/ GRH/HHS/JBH/NHS/NW GRH/HHS/JBH/NHS/NWHC/SJ HC/SJHG/SJHH/SMH/W HG/SJHH/SMH/WHGH HGH GMH/GRH/HHS/NHS/SJHH/S MH/SMGH GGH/GMH/GRH/HHS/JBH/N HS/SJHH/SMH/SMGH SERVICE CARTAGE TO HSN MANITOULIN TRANSPORT MANITOULIN TRANSPORT $ 243, Non-Competitive Quote PRODUCT, TEST, URINALYSIS SIEMENS SIEMENS $ 149, $ 236, Non-Competitive Quote GMH/GRH/HHS/NHS/SJ HH/SMH/SMGH PRODUCT, ABL RADIOMETER RADIOMETER Apr-17 $ 210, $ 234, Non-Competitive Quote GGH/GMH/GRH/HHS/JB H/NHS/SJHH/SMH/SMG H 6 10-Jan-17 MSS-1871A BCHS/HHS/HSN/SJHH BCHS/HHS/HSN/SJHH 7 10-Jan-17 MSS-1871B HHS/SJHH/SMH HHS/SJHH/SMH 8 10-Jan-17 MSS-1871C HHS/HSN/JBH/NHS/NWHC/S MH HHS/HSN/JBH/NHS/NW HC/SMH PRODUCT - CATHETER, EPIDURAL TELEFLEX CANADA TELEFLEX CANADA Nov-21 $ 144, $ 133, Non-Competitive Quote Actual Annual Value At Close of Fiscal Year Reason Code Particulars Future Resolution MRP Sole Sourced according to participating hospitals, however no hospital signed off on our NCP form. Still trying to obtain. No resolution. VW Not enough time to competively source. Discussed and quoted by both Atripco and Manitoulin, will RFP after one year. Will go to public RFP within a year and allighn Manitoulin has established lanes to Sudbury with Atripco dates ML Sole sourced according to hospitals as products are proprietary and used with Siemens equipment. However, no response on request for signature on NCP form from HHS (largest user) Sole sourced due to users as products are proprietary consumables used in equipment from Radiometer. No response from users when asked fro NCP Form Single sourced - physician preference item and clinicans are unwilling to change at this time. PRODUCT - GLOVE, EXAM, NITRILE HALYARD HEALTH CARDINAL HEALTH $ 16, $ 24, Non-Competitive Quote Single sourced - off-contract spend PRODUCT - GLOVE, EXAM, NITRILE VWR SCIENTIFIC VWR SCIENTIFIC $ 8, $ 7, Non-Competitive Quote Single sourced - off-contract spend PRODUCT - GLOVE, EXAM, NITRILE THE STEVENS COMPANY THE STEVENS COMPANY $ 17, $ 19, Non-Competitive Quote Single sourced - off-contract spend Item will continue to be on attestation until items are no longer required due to equipment change No resolution. Will request NCP form again in next version of contract in 2017 Plan to re-engage prior to term end date to determine if there is a willingness to change and develop go-to-market strategy based on response Expiry dates are aligned with current glove agreements in place under Medbuy and Mohawk. This spend will be included in the next initiative that goes to market. Expiry dates are aligned with current glove agreements in place under Medbuy and Mohawk. This spend will be included in the next initiative that goes to market. Expiry dates are aligned with current glove agreements in place under Medbuy and Mohawk. This spend will be included in the next initiative that goes to market. VW VW SG SG SG SG GRH/HHS/JBH/SJHH/NHS/SM GRH/HHS/JBH/NHS/SJH PRODUCT - GUIDEWIRE, 9 27-Jan-17 MSS-1385A GH H/SMGH ARTLINE KARL STORTZ KARL STORTZ $ 302, $ 567, Non Competitive Extension 9 month extension Total $ 1,533, Purpose to align this contract (consumables) with MSS-1734 Scope Repair and Replace JP
11 North Wellington Health Care Allianace - Summary of Exceptions to the BPSAA Process Directive -- Mohawk Shared Services Log - April 1, March 31, 2017 BPS Attestation Exceptions - Mohawk Shared Services Log April 1, March 31, 2017 # Date Contract Participating Member Description Supplier / MFG Distributor Contract Start Date (MM/DD/YY) Contract Ending Date (MM/DD/YY) Annual Value At Time of Loging Actual Annual Value At Close of Fiscal Year Reason Code Particulars Future Resolution MRP 1 21-Jul-16 MSS-1729 NWHC PRODUCT, TEST, URINALYSIS SIEMENS SIEMENS $ 3, $ 5, Non-Competitive Quote Sole sourced according to hospitals as products are proprietary and used with Siemens equipment. However, no response on request for signature on NCP form from HHS (largest user) PRODUCT - GLOVE, THE STEVENS THE STEVENS 2 10-Jan-17 MSS-1871C NWHC EXAM, NITRILE COMPANY COMPANY $ Non-Competitive Quote Single sourced - off-contract spend Total $ 5, Item will continue to be on attestation until items are no longer required due to equipment change VW Expiry dates are aligned with current glove agreements in place under Medbuy and Mohawk. This spend will be included in the next initiative that goes to market. SG
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