The Ministry of Health and Long-Term Care (the Ministry) requested a focused review of the capital redevelopment project at Guelph General Hospital (GGH). The objectives of this review were to :

• Describe and evaluate the planning and decision-making processes of the board and senior executive levels as they pertain to the capital redevelopment project, program enhancements and hospital finances, including references to policy setting and information flow and to the roles, structures and relationships among board, CEO, executive and planning teams.
• Assess the financing of the capital redevelopment project and its sustainability, including references to previous and committed expenditures, projected costs and their assumptions, (both one-time and ongoing), MOHLTC approvals and sources of funding.
• Assess the decisions that considered the impact of the capital redevelopment project and capital purchases on hospital operations and finances, both operating and working funds, short term and longer term.
• Evaluate the decisions on which program enhancements were based, specifically related to the capital redevelopment project and their potential impact on hospital operations and finances, both operating and working funds, short term and longer term.
• Assess the financial management processes of the hospital, including cash management, financial reporting and those related to the capital redevelopment project.
• Make any appropriate recommendations for action.
• Identify the lessons learned from the GGH experience that can be applied to other similar projects currently under way in Ontario.

The review process took place over a three week period. The review included :

• An extensive review of documentation, including :
• The functional program.
• Designs drawings.
• Selected purchase orders.
• Correspondence between architects, contractors and the hospital.
• Correspondence between the hospital and the Ministry.
• Board minutes from 1997 to 2002.
• Executive Committee minutes.
• Board Construction Committee minutes.
• Senior management team meeting minutes.
• Interviews with board members, the executive team, the construction project manager, architects, contractors and Ministry representatives.

We appreciate the time and effort given by all parties to assist us in our investigation. This draft report summarizes the findings and conclusions of the focused review.

The full report may be downloaded from the link below.

REPORT Focused Organizational Analysis of Guelph General Hospital 46 pages | 760 K | PowerPoint format

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August 2002