Agenda
   

 

8:00   Registration and Continental Breakfast
     
8:30   Welcome and Introduction from the Chair
     
8:35  

Provincial Standards and Compliance Issues:

Life Under the New Regime


Joshua Liswood, Miller Thomson LLP
Karen Slater, Senior Manager, Compliance & Enforcement

Ministry of Health & Long-Term Care
Karin Fairchild, Business Lead, Compliance Transformation Project Ministry of Health & Long-Term Care


  • Overview of the Long-Term Care Homes Act – the key features
  • The latest information on the redesign of the inspection process for long-term care homes in Ontario
  • How does the inspection process align with the new Long-Term Care Homes Act and the accompanying regulations?
  • What does this new regime mean for homes and residents in Ontario
  • Duties of directors and officers of long-term care homes – board and officer liability
     
10:00  

Consent, Capacity and Substitute Decision Making


Kathryn M. Frelick, Miller Thomson LLP


  • Transferring from hospital to a long-term care facility: problems and pitfalls
  • Consent to treatment: when can consent be withdrawn?
  • Mental capacity: who determines if a patient in a long-term care facility is mentally incapable of making a decision regarding their property or their personal care?
  • Can a person who is about to be admitted to a long-term care facility be required by the facility to execute a Power of Attorney as a condition for admission?
  • Powers of Attorney for personal care
  • Prior expressed wishes of the patient: what weight do they carry?
  • Substitute decision makers, what’s the ranking order?
  • What factors are taken into account to determine a patient’s best interests?
     
10:45   Refreshment Break
     
11:00  

Living in a Long-Term Care Facility and Residents’ Rights


Jane E. Meadus, Staff Lawyer, Institutional Advocate

Advocacy Centre for the Elderly
Pat Morden, Chief Executive Coach, Shalom Village (Hamilton)


In this session, Jane E. Meadus and Pat Morden will bring their considerable experience and expertise to bear and will explore the issue of residents’ rights in a long-term care setting.

     
12:00  

Minimizing of Restraining: Use of Restraints,

Detention and Locked Units


Paula Schipper, Director, Legal Affairs

Baycrest Centre for Geriatric Care

  • Relevant legislation governing the use of restraints in long-term care facilities
  • Restraints and informed consent
  • Liability of the facility for false imprisonment, assault and battery and/or negligence
  • Challenging the use of restraints using the Charter of Rights and Freedoms
     
12:30   Luncheon
     
1:15  

Preventing Abuse in Long Term Care Settings


Mary Jane Dykeman, Dykeman Dewhirst O’Brien LLP


  • The scope of the problem of abuse
  • Civil actions/liability issues
  • Impact on residents and employees of long-term care homes
  • Management and employee responsibilities
  • Effective risk management – implementing effective awareness, education and training programs
     
2:00  

Addressing Quality and Risk in the Long-Term Care Facility


Bill Dillane, President, Responsive Health Management Inc.


In his capacity as President of Responsive Health Management Inc., Mr. Dillane oversees the operations of three long-term care homes in Toronto. He has focused entirely on health care management for over 30 years and he is the past President, Board of Directors of the Ontario Long Term Care Association (OLTCA). In this session, Mr. Dillane focuses on the key issues in addressing risk and quality in long-term care facilities.

     
2:45  

Preparing Effectively for Ontario’s New Workplace

Violence Legislation: Bill 168 and Its Likely Impact

for Long-Term Care Homes


Shane Smith, Miller Thomson LLP


  • The key elements of Bill 168
  • What are the legal duties of employers, officers, supervisors and directors to manage workplace violence?
  • Defining “workplace harassment” and “workplace violence”
  • Preparing a workplace violence assessment
  • Dealing with refusals to work relating to violence and harassment
  • Tips and tools for developing comprehensive policies for dealing with workplace violence and harassment
     
3:30   Refreshment Break
     
3:45  

Panel Discussion


The New Statutory Regime and Its Likely Impact on

Long-Term Care Homes: Food for Thought for Owners, Operators, Employees and Residents


Moderator
Joshua Liswood, Miller Thomson LLP


Panellists
Joanne Dykeman, Vice President Clinical Services
and Program Development, Revera Inc.
Pat Morden, Chief Executive Coach, Shalom Village (Hamilton)
Jane E. Meadus, Staff Lawyer, Institutional Advocate

Advocacy Centre for the Elderly
Jane Sager, Team Leader (Acting), Long-Term Care Homes Act Regulation Project, Ministry of Health & Long-Term Care

     
4:30   Closing Address; Program Concludes
     
     


Coroners Investigations and Inquests:

Understanding Your Legal Rights and Obligations

Tuesday, April 13, 2010

9:00 a.m. - 12:00 p.m.

     

Dr. William J. Lucas, Regional Supervising Coroner

for Central Region, Brampton Office
Tom Schneider, Counsel, Ministry of Labour (Ontario)


When does a coroner investigate a death? What is the role of the coroner during an investigation? What should you do when questioned during an investigation? Is it necessary to respond to requests for information? How is an inquest conducted?
What are your rights and responsibilities as a witness? Who has standing at the inquest? What impact will the coroner’s findings have on any subsequent criminal or civil proceedings? What is the effect of a jury’s verdict and recommendations?

All these questions are important for long-term care facilities whose staff and representatives may find themselves involved in a corner’s investigation and inquest following the death of a resident.


By attending this optional half-day workshop, you will learn about the key legal issues as they apply to your facility. Tom Schneider, an experienced lawyer will help guide you through the legal maze. Plus don’t miss the coroner’s perspective of the process, given by Dr. William J. Lucas.


  • Purpose of inquests
  • The Coroners Act
  • Who notifies the coroner about a death?
  • When does the coroner investigate a death?
  • What does the investigation entail: the five questions
  • Responding to the coroner’s requests for information
  • What are the coroner’s powers in investigating a death?
  • When is an inquest called? Who may request an inquest?
  • Mandatory inquests
  • Discretionary inquests
  • Who can participate in an inquest?
  • Effectively advising staff who are called as witnesses to a coroner’s inquest
  • How is an inquest conducted – the inquest process explained
  • Witness summons
  • The role of the jury
  • The jury’s verdict and recommendations
  • Dealing with the media

Dr. Lucas is currently the Regional Supervising Coroner for Central Region where he oversees approximately 2100 death investigations annually, carried out by 28 investigating coroners. Dr. Lucas was appointed as an investigating coroner
in 1991, and became a full-time Regional Supervisor in 1996.

His postings have included Niagara Region, City of Toronto, Metro West (including Peel Region) and now Central Region. Dr. Lucas has at various times acted as Associate Deputy Chief Coroner for the Province, and has presided over 46
inquests that have reviewed a wide variety of circumstances including work-related and construction fatalities, deaths while in police custody, and medical care/treatment issues. He regularly consults with police and convenes case
conferences on complex and suspicious death investigations, including homicides.


Tom Schneider, of the Ministry of the Attorney General of Ontario, currently practises in the areas of criminal law and administrative law at both the trial and appellate levels. Upon entry to McGill Law School in 1985, Mr. Schneider was
awarded the James McGill Award for academic excellence. He graduated with honours in 1989, with both LLB and BCL degrees. While in Montreal, he served as a law clerk for a judge of the Superior Court of Quebec, was called to the Quebec Bar and worked for a time at McCarthy Tétrault. After arriving in Toronto in 1991, Mr. Schneider acted as Duty Counsel at Old City Hall in Toronto and, in 1993, became an Assistant Crown Attorney with the Ministry of the Attorney General of Ontario. Between 2000 and 2003, Mr. Schneider served as Counsel to the Chief Coroner of Ontario. Mr. Schneider graduated from Osgoode Hall Law School in 2008 with an LLM in Criminal Law.

     
     


Ministry of Labour Workplace Inspections:
Compliance, Inspection and Enforcement


Tuesday, April 13, 2010

1:00 p.m. - 400 p.m.

     

Joe Ferraro, Counsel, Ministry of Labour (Ontario)


Ontario recently created a new permanently funded team of specialists to help improve workplace safety of health care workers in the province. Health care workplaces face many hazards that are unique to this sector. This session will highlight what you need to know to help enforce compliance with health and safety legislation, and to effectively respond to the challenges out there.


  • Overview of occupational health and safety system in Ontario
  • The OHSA and its regulations: an overview
  • How are long-term care homes selected for a Ministry of Labour (MOL) inspection?
  • MOL’s Health Care Unit
  • Inspection powers
  • What are the common hazards that MOL inspectors look for?
  • What are the most common infractions?
  • Compliance options: what actions can the MOL take if a long-term care home is in breach of health and safety regulations?
  • Developing the right workplace culture – the importance of an across the board commitment to health and safety
  • Tips and tools to prepare properly and effectively for an inspection

Joe Ferraro graduated from Osgoode Hall Law School in 2001 and was called to the bar in 2002. He articled with the Ministry of Labour Legal Services Branch and has been counsel with the branch since his call. His practice includes prosecutions and appellate work for offences under the Occupational Health and Safety Act and representing the Ministry of Labour on appeals of administrative orders at the Ontario Labour Relations Board. He provides advice to the Ministry on policy and legislative projects. His practice includes a special focus on occupational health and safety in the health care sector often working closely with the Ministry of Health and Long-Term Care.