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73
Celebrating



success
stories
Seventy-three
success stories.
         Seventy-three
     reasons to celebrate.
                                                                                       sonal or department accomplishments
                                                                                       of which you are very proud. Also, it
                                                                                       is important to keep in mind that this
                                                                                       list is in no way ranked—the numbers
                                                                                       are merely to showcase the volume of
                                                                                       achievements, not to suggest some are
                                                                                       more or less significant than others.

                                                                                       Today you should be proud. Of what
                                                                                       you have achieved personally and
                                                                                       what we have achieved together.
                                                                                       Every single one of you is part of this
                                                                                       TSH success story.

                                                                                       Yet our journey is far from over. Striving
                                                                                       for excellence is now a part of our cul-
                                                                                       ture, and we will continue to improve as
                                                                                       a hospital. Two years from now, I hope




T
                                                                                       we can celebrate another 73 accomplish-
         his booklet could just have      ing the excellent patient care that is our   ments that equal those presented here.
         easily been called 173 Success   core business.
         Stories. Or 1,073 Success                                                     I am proud to be the CEO of this
Stories. The point is that the last two   And by “we” I mean every single one          hospital and I would like to thank each
years have been a period of incredible    of us. The successes in this booklet         and every one of you for your commit-
achievement for all of us here at The     are what happens when everyone rows          ment and all your hard work. It’s been a
Scarborough Hospital.                     together—when everyone is determined         tough two years and the journey wasn’t
                                          to do better, to make improvements, to       always smooth, but just look at what
We have done the impossible. We           put patients first.                          we’ve accomplished.
have racked up accomplishments and
achievements that would have been         My only regret is that we couldn’t list      Thank you!
unthinkable 24 months ago. We’ve kept     all of our achievements here. Seven-
growing and building and moving the       ty-three is far from an exhaustive list,     Dr. John Wright
organization forward, all while provid-   and I know many of you have per-             President and CEO




2                                                         March 2011                          The Scarborough hoSpiTal
1     dramatic staff satisfaction gains: When it
                 comes to physician and staff satisfaction, a 2 per cent
           increase is considered good. Five per cent is considered re-
           markable. So what do you call an improvement of 13 per cent?
           Monumental. in fact, the organization that collected our survey
           data tells us they have never seen such dramatic gains—
           anywhere. at TSh, every single category showed significant
           improvement, clearly signaling a renewed commitment to our
           hospitals and our patients.



60
          Employee Commitment
                      % positive score

50
                                         50.9
40



30
              37.8

20



10


           Jan-Dec 2008              Current Period




     2      social media
            leaders: The
     Scarborough hospital was
     an early adopter of social
     media, and remains a leader
     with hundreds of engaged
     Friends and Followers across
     several channels including



                                                                             3
     Twitter, Facebook, linkedin
     and YouTube. We were one of
     the first hospitals in canada                                                  staying safe: We underwent a major
     to promote a dialogue with                                                     shift in the way we report a wide range
     our community using a wide                                              of events and incidents, thanks to SaFe (Safety
     range of social networking                                              & accountability For everyone). This electronic
     platforms.                                                              reporting system—which captures everything
                                                                             from minor safety concerns like potholes in the
                                                                             parking lot to unexpected events—has been
                                                                             an overwhelming success and well-received by
                                                                             clinicians at all levels.

The Scarborough hoSpiTal                                       March 2011                                                  3
Battling Superbugs


                                                                               4     c. diff: TSh could have used excuses when
                                                                                     it had poor c. diff rates two years ago—aging
                                                                               buildings, no storage space, few private rooms,
                                                                               many shared bathrooms—but it didn’t. instead,
                                                                               everyone got on board and made changes result-
                                                                               ing in an unprecedented 94 per cent drop in cases.
                                                                               impressive results for a hospital that posted one of
                                                                               the worst rates in the province just a few years ago.




                                                                               5     Vre: public reporting of patient safety
                                                                                     measures like Vre was welcomed by TSh
                                                                               and coincides with our commitment to be
                                                                               transparent and accountable. current rates are
                                                                               posted regularly on the hospital’s website, and
                                                                               an aggressive screening process for patients has
                                                                               contributed to consistently low Vre rates at TSh.




                                                                               6     mrsa: Strengthening TSh’s infection control
                                                                                     department and putting a strong focus on
                                                                               infection control practices in all departments of
                                                                               the hospital have had a positive impact on quality
                                                                               of care. MrSa rates, for example, are typically well
                                                                               below the provincial average.




    7      Balanced Budget: it’s a lot more
           complex than our budgets at home,
    but the principles are the same—the
    money coming in has to cover the costs



                                                    8
    going out. Through a consistent program
    of fiscal responsibility and hard work at the
    unit level, TSh has maintained a balanced             new di system a world first: We may not be a big downtown
    budget for the past three years, putting us           hospital, but that doesn’t stop us from being on the leading edge. an
    in a strong position when seeking addi-         investment in new digital technology made TSh the first in the world to run
    tional investments to improve patient care.     two key diagnostic imaging systems on an integrated platform—a major
                                                    benefit for cardiac patients who can now get faster, more accurate diagno-
                                                    ses and treatment.

4                                                        March 2011                              The Scarborough hoSpiTal
9     Breastfeeding rates increase: Breast
                                                                                  milk is best for baby and we’re making sure
                                                                            newborns get the best start possible at TSH.
                                                                            New moms get all the facts here about breast-
                                                                            feeding—including the risks of formula feeding.
                                                                            The results? A 127 per cent increase in babies
                                                                            who are exclusively breastfed at discharge. Re-
                                                                            markable results for a hospital that was criticized
                                                                            less than a year ago for having one of the worst
                                                                            breastfeeding rates in the GTA.




                                        I CA
                                            RE
                                                                  I CA
                                         INTE
                                              G
                                        COM RITY
                                                                      RE
                                                       10
                                             PASS
                                       ACC       IO
                                            OUN N                 INTE
                                                TABI




                                                                                           I
                                      RESP          LITY              GRI
                                     EXCE T
                                           EC                       care TY
                                                                  i COMPAaBout
                                           LLEN                           SS O
                                                CE                Values: IThe
                                                                   ACC
                                                                       OUN N
                                                                  RES      TA
                                                                      EC so BILIT
                                                      buttons wornPbyT many Y




                                                                                          CAR
                                                                 EX
                                                      of our staff, CELLEN
                                                                    physicians
                                                                           CE
                                                      and volunteers say it all.




                                                                                             E
                                                      integrity, compassion,
                                                      accountability, respect
                                                      and excellence resonate

                                         I CA         as important values,              Integr
                                                                                              ity • C

                                             RE
                                                      and as more than words                         ompa
                                                      in a document. i care                      Respe ssion • Ac
                                                                                                       ct • E        c
                                          INTE
                                               GRIT has become more than a                                   xcelle ountability
                                         COM       Y                                                               nce
                                              PASS
                                        ACC       IO slogan. it is now a way of
                                             OUN N providing outstanding care to
                                       RESP      TABI
                                            EC       LITYpatients, and for welcoming
                                                      our
                                      EXCE T
                                            LLEN      visitors to our hospital.
                                                 CE



                                                       12          yee Hong dialysis satellite: providing life-saving dialysis
                                                                   for hundreds of patients at TSh each day is something we do
                                                       well—and our regional
                                                       Nephrology program
                                                       is the largest in North



  11
                                                       america. The opening of
                                                       a satellite dialysis unit
            from i care to eye care: a                 in partnership with Yee
            great example of our ongoing               hong is just one more
  pursuit of healthcare excellence, The eye            way we are providing
  centre, located at the birchmount campus,            excellent patient-
  performs close to 6,000 cataract surgeries a         centred care, closer to
  year, and is the largest provider of cataract        home.
  surgery of its kind in canada.



The Scarborough hoSpiTal                                   March 2011                                                             5
15         community adVisory
                                                                                                       council: The structure is
                                                                                            unique in the province—a community
                                                                                            advisory council (cac) that is indepen-
                                                                                            dent, and reports directly to the board
                                                                                            of Directors. bridging the gap between
                                                                                            the community and the hospital, the
                                                                                            cac has already racked up some impres-
                                                                                            sive accomplishments in its short his-
                                                                                            tory, including assisting with the budget
                                                                                            process and helping obtain the go-
                                                                                            ahead for the new Mri at birchmount.




13          telecommunications improVements: TSh is answering the phone
            faster, providing better customer service. a leaner workflow and new technol-
ogy have improved efficiency in the Telecommunications Department. response times for
callers to the hospital have decreased by 66 per cent.




                              14        Hand Hygiene cHampions: When the
                                        province first announced in 2009 that it
                              would be publicly posting hand hygiene rates, TSh’s
                                                                                              16          etHics: ethics is every-
                                                                                                          body’s business at TSh.
                                                                                              a new program was created in
                                        were far from impressive. after a focused             2010 that aims to integrate ethics
                                         campaign and plenty of hard work, staff              through TSh in clinical and non-
                                        moved that rate up—way up, as it turns                clinical areas. hospital staff and
                                      out—posting the best rates in the province.             physicians now have more resources
                                Since then, TSh continues to be a leader in hand              including a clinical ethics decision-
                               hygiene in the province.                                       making tool.




    17         emergency wait
               times: There’s no ‘magic
    bullet’ when it comes to improving
    wait times in ontario’s emergency
    Departments, as a recent auditor
    general’s report states. Still, several
    of our frontline initiatives, such as the
    performance improvement project
    and rapid assessment unit, have
    improved most Ministry of health and
    long-Term care targets for wait times
    in our emergency Departments.




6                                                              March 2011                           The Scarborough hoSpiTal
“Despite the many challenges and
   criticisms facing healthcare in Ontar-
   io in recent years, The Scarborough
   Hospital has evolved into a leaner,
   more transparent and more account-
   able organization that is recognized
                           for a number
                           of governance
                           best practices.
                           Our Board
                           bylaws, which
                           hardwire
                           community
                           engagement,
                           are a model for
   other hospitals. Our Board members
   are skills-based, bringing invalu-
   able governance experience to their
   role. And our commitment to the
   hospital’s Mission, Vision and Values
   is transforming the way we care for



                                             18
   our patients. I am proud to have been
   a part of this evolution, and I look
   forward to even greater achieve-                    worsHip centre: both of our campuses were founded as strong faith-
   ments in the years to come.”                        based organizations, and our new Worship centre in the general campus’s
                                             West Wing reflects that proud history. The Worship centre, which welcomes patients
   —Michael Mueller                          and visitors from all faiths, features a beautiful stained glass window made from the
   Chair, Board of Directors                 previous chapel’s window inserts, and furniture made from the original chapel’s pews.




                                                                                             19
   “The nurses in
   the Palliative                                                                                       interprofessional
   Care Unit did a                                                                                      practice: our clinical pro-
   really good job                                                                           fessionals bring a great deal of experi-
   caring for my                                                                             ence and knowledge to their roles each
   wife. They have                                                                           day, and we are fortunate to have an
   a very tough                                                                              environment where each profession is
   job, but they                                                                             encouraged to work to full scope, to use
   do it very well.                                                                          current evidence-based practices and to
   And when we needed them, they                                                             be supported in being the best we can
   were there for us.”                                                                       be. The interplay of professions, where
                                                                                             each discipline is valued, where no dis-
   —Harvey Walker                                                                            cipline is more important than another
   The exceptional care his wife received                                                    and the sharing of expertise towards
   inspired Harvey to make a $100,000                                                        meeting patient goals ultimately results
   donation to TSH in her memory.                                                            in safer care, better outcomes and in-
                                                                                             creased satisfaction.




20         foundation
           restructured: renewal
and restructuring hasn’t been limited to
                                             21         ortHopedic wait times:
                                                        TSh has a high volume of hip
                                             and knee replacement surgeries but
                                                                                             22         mental HealtH
                                                                                                        consolidation: a bright,
                                                                                             newly renovated space greeted patients
the hospital—TSh’s Foundation has un-        our skilled orthopedic team ensures             and staff when Mental health Services
dergone a similar process of rebuilding.     our patients don’t wait any longer than         consolidated from three separate loca-
The result is a stronger Foundation and      necessary. in fact, at 124 days for hips, and   tions into one 50-bed unit at the birch-
a committed Foundation board ready to        130 days for knees, TSh is well below the       mount campus last year.
take on the big campaigns the hospital       provincial wait time target of 182 days.
will need to move forward.

The Scarborough hoSpiTal                                      March 2011                                                            7
23         Hospital goes smoke-free: We’re walking the walk and talking the talk.
           as healthcare workers we know we need to set a good example for our patients
and visitors, so we decided to butt out, making the hospital a smoke-free facility. Many
                                                                                           “Creating a unified organization
                                                                                           following the amalgamation of two
employees have even quit for good.                                                         different hospitals has been no easy



                                               24
                                                                                           task for The Scarborough Hospital, but
                                                                                           our physicians
                                                          critical care                    have been mak-
                                                          consolidates: our old icu,       ing great strides
                                               ccu and aMu at the general campus           in achieving
                                               were dreary and cramped spaces where        just that. Over
                                               the only thing separating patients was      the past couple
                                               a drape. The new critical care centre       of years, The
                                               is a 22-bed unit with state-of-the-art      Scarborough
                                               technology and private rooms with           Hospital has
                                               natural light, where the nurses’ stations   begun to appoint corporate medi-
                                               are strategically located to allow for      cal chiefs for our programs, helping
                                               optimum visual monitoring of patients.      standardize processes and care across
                                                                                           both campuses. Many of our programs
                                                                                           are already led by a single chief, and



    25
                                                                                           our Diagnostic Imaging program is
                                                                                           currently recruiting for that role. I am
               sHared Hospital laB: in                                                     proud of our physician leadership for
               october 2009, the introduction                                              taking an active part in achieving
    of the Shared lab between TSh, Toronto                                                 a “one hospital” vision for TSH, and
    east general and North York general cut the                                            I know our community—and our
    turnaround time for c. difficile test results                                          hospital—will be better served as a
    from two days to less than 24 hours, help-                                             result of their commitment.”
    ing to move patients out of the emergency
    Department faster. having such critical test                                           — Dr. Steven Jackson
    results faster helps us identify and mitigate                                          Chief of Medical Staff
    the spread of c. diff.


8                                                             March 2011                         The Scarborough hoSpiTal
26         rapid assessment unit: No
                                                                                                 man is an island, and no medical
                                                                                      unit in our hospital can work successfully in
                                                                                      a bubble. When there’s collaboration—such
                                                                                      as the eight-bed rapid assessment unit de-
                                                                                      veloped and implemented between Medi-
                                                                                      cine and the eD—great things happen. The
                                                                                      rau has helped reduce the average length
                                                                                      of stay (aloS) for patients in the eD who
                                                                                      are waiting for an inpatient bed to 11 hours
                                                                                      from 17 hours.




                                                                                      27        pain management: Managing
                                                                                                pain in a way that focuses on
                                                                                      the whole patient and takes into account
                                                                                      culture and language is important at The
                                                                                      Scarborough hospital. recently, more than
                                                                                      two dozen nurses became pain champions
                                                                                      to help assess and minimize patient pain.




28         Hospitalists: everyone involved
          in the hospitalist program benefits
when there’s daily access on the floor to a physi-
cian and an interdisciplinary healthcare team.
From improved communication between physi-
cians and the team, to enhanced coordination
and continuity of care, the hospitalist program is
having a positive impact on patient satisfaction.




29         fundraising successes: Sev-
           eral events held by the Foundation
have proved to be excellent ways to raise funds
for the hospital and to engage both new and
existing community and corporate donors. golf
and hockey tournaments, as well as a successful
Scarborough garden party, have set the stage
for future events that will help raise money and
build the profile of The Scarborough hospital in
our community.




                                                     30         complaint resolution: resolving patient complaints quickly
                                                                and effectively is a key goal of patient relations, and is so impor-
                                                     tant for a positive patient experience. That’s why we’re proud of the steady
                                                     improvement from an average of 27 days in 2009 to our current average
                                                     of 11 days for resolution. a more timely resolution of complaints leads to
                                                     increased patient and family satisfaction.

The Scarborough hoSpiTal                                  March 2011                                                              9
31         new logo: as part of the
           organization’s renewal process,
a revised TSh logo was unveiled. The
new logo is sleeker, brighter and more
modern—just like the new TSh.




32           Patient satisfaction
             on its way uP: Throughout
TSH, staff and physicians are launching



                                               35
initiatives designed specifically to
improve patient satisfaction, and their
work is paying off. The most recent                        paedlink: an innovative approach to ‘fast track’ children and their
survey results show four units have                        families from the emergency Department to a pediatric clinic— called
patient satisfaction rates above the GTA       paedlink— has reduced wait times. More importantly, paedlink has alleviated
average: CP3 (Orthopedics) and 4Central        much of the fear and anxiety experienced by children and, of course, their par-
Surgery at the General campus and              ents, in visiting the hospital.
Cardiac Stepdown and 4A (Surgery) at the
Birchmount campus.



                                                                                                 36
33
                                                                                                             ems offload
                                                                                                             rn: TSh is help-
           decision support: You                                                                 ing paramedics get out of
           can’t run a modern hospital                                                           the emergency Depart-
without detailed data and information                                                            ment quickly and back on
analysis, and when it comes to under-                                                            the road responding to 911
standing key performance indicators,                                                             calls. Through a partnership
wait time data and other clinical and                                                            with eMS, a dedicated nurse
non-clinical business information,                                                               handles patients brought in
staff and management are able to                                                                 by paramedics so that they
turn to our performance and Decision                                                             don’t have to stay with pa-
Support Department. armed with                                                                   tients for several hours in the
their expertise, staff and management                                                            emergency Department.
are better able to understand emerg-
ing trends and make confident deci-



                                                 37                                      38
sions that help us improve efficiency
and patient care.
                                                             compliments are up:                    Better waiting



34
                                                             patients are happier with              rooms: The new West
                                                 their experiences at the hospital,      Wing afforded us the opportunity to
             accreditation: Staff,               saying staff and physicians are more    enhance patient comfort by design-
             physicians and volunteers all       compassionate and caring. in fact,      ing larger and brighter waiting rooms
contributed to the success of TSh achiev-        compliments received by patient         in the emergency Department—
ing a full three-year accreditation from         relations are up close to 50 per cent   including a children-friendly area—
accreditation canada in october 2009,            year over year, a true testament to     and for patient registration. The
while our laboratory services met all of the     staff and physicians living the Mis-    birchmount recently revamped its eD
requirements of the ontario laboratory           sion, Vision and Values.                waiting area with new seating and a
accreditation, awarding a full four-year                                                 more efficient registration process.
certificate for both campuses.

10                                                      March 2011                              The Scarborough hoSpiTal
39         code stemi: every 75
           minutes, a patient comes
to the hospital with chest pain.
To provide the best care possible
for cardiac patients, TSh imple-
mented code STeMi in partnership
with rouge Valley. This successful
partnership helps ensure cardiac
patients are immediately routed
to the right test or procedure and
is resulting in better outcomes for
patients.



40         rotman: Developing
           our leaders is a priority
for the hospital, and our second
round of staff and physicians are
currently enrolled in the prestigious
rotman leadership Develop-



                                         41
ment program. The projects being
completed by this group are geared
toward improving patient care and                  planning for surgical expansion: TSh keeps getting better. While
internal business processes, helping               celebrating the completion of the West Wing at the general campus, local Mpp
TSh better fulfill its Mission, Vision   brad Duguid delivered more good news: a $3 million planning grant for the redevelopment
and Values.                              of the general’s outdated surgical suites and expanded pre-surgical services.




                                                                                       42         reVitalizing
                                                                                                  Volunteer
                                                                                       serVices: We couldn’t function
                                                                                       without the dedication of our hun-
                                                                                       dreds of volunteers, so we embarked
                                                                                       on a total revitalization of Volunteer
                                                                                       Services by providing enhanced
                                                                                       training and more support staff. This
                                                                                       has led to added responsibility for art
                                                                                       shows displayed in the art gallery,
                                                                                       increased outreach to the commu-
                                                                                       nity and a renovated gift shop at
                                                                                       the general campus. our volunteers
                                                                                       continue to raise funds for hospital
                                                                                       equipment through new and exciting
                                                                                       events, not to mention the tradition-
                                                                                       ally popular bazaars and gift shops.



The Scarborough hoSpiTal                                 March 2011                                                              11
43          surgical cHecklist:
            Since province-wide imple-
mentation of surgical checklists, our
                                            44          clinical pastoral
                                                        education: our unique
                                            Spiritual and religious care department’s
compliance rates have consistently          clinical pastoral education program
remained around the 100 per cent mark.      attracts theological students and ordained
This speaks volumes to our emphasis         clergy from diverse backgrounds,
on patient safety. The surgical checklist   denominationally as well as ethnically
is the final check prior to surgery used    and culturally. These students bring
to ensure everyone in the or has all the    broad education and experience in the
medical information they need about         care they provide for our patients and
the patient.                                families.




                                                                                         45          clinical action
                                                                                                     planning: our clini-
                                                                                         cal action plan (cap)—the most
                                                                                         intensive project undertaken by us,
                                                                                         engaging staff and physicians from
                                                                                         every corner of the hospital—is
                                                                                         nearing its ultimate goal as business
                                                                                         cases for nine out of the original
                                                                                         32 recommendations will soon be
                                                                                         presented to the Steering commit-
                                                                                         tee. From there, a final report will be
                                                                                         submitted to the board of Directors
                                                                                         later this year.



46           senior team
             more VisiBle:
Safety rounds, bed meetings,
                                                                                             “The Scarborough Hospital gave
                                                                                             me the gift of life—twice. I am
walkabouts, job shadow-                                                                      really grateful for all of the doc-
ing, leaN exercises, morning                                                                 tors and nurses who saved me.
huddles—you name it, and                                                                     If they hadn’t, I wouldn’t be here
members of the senior man-                                                                   today. I wouldn’t be able to hang
agement team can be found                                                                    out with my friends. I would
actively participating at the                                                                have died at a young age. I’m
front line. “in moving to a leaN                                                             extremely grateful.”
culture, we want to get away
from long meetings in meet-                                                                  — MICHELLE LY
ing rooms, and really focus on                                                               Michelle is a former patient
front-line, real-time problem                                                                who had a massive heart attack
solving,” explains lindsey                                                                   last year and was brought by
crawford, TSh’s Vp of patient                                                                ambulance to the Birchmount
Services. “being a support at                                                                campus—the same hospital
the front line is where man-                                                                 where she was born just 14 years
agement can really make a                                                                    earlier.
difference.”

12                                                         March 2011                         The Scarborough hoSpiTal
49           GOING GREEN:
                                                                                                          Green projects
                                                                                             help the environment and, at



                                               48
                                                                                             TSH, are saving money. The
                                                                                             IS Department implemented
                                                           new mri for                       a green project by updating
                                                           BircHmount: Mpp gerry             technology, eliminating physi-
                                               phillips said it best when he announced       cal servers and adding more
                                               a second Mri for The Scarborough              virtual servers. This greening
                                               hospital: “This isn’t a gift. You’ve earned   initiative reduces the hospital’s
                                               it.” The new Mri—to be located at the         carbon footprint and saves
                                               birchmount campus—will help us better         about $50,000 a year in energy
                                               serve the Scarborough community.              costs.




47          gain clinic: caring for our
            diverse community is a priority,
and that includes our large and growing
seniors population. To help seniors live
independently, safely and with dignity,
we have opened a geriatric assessment
and intervention Network (gaiN) clinic,
where referred patients are seen by an
interprofessional geriatric team outside
of the emergency Department. The result
is specialized geriatric care, which may
include home support—allowing elderly
patients to avoid unnecessary hospital
visits and admissions.

The Scarborough hoSpiTal                                       March 2011                                                        13
50         improVed relations witH
           moHltc, lHin: Senior staff at TSh
have made a concerted effort to improve relations
with the ce lhiN and the Ministry of health and
long-Term care through better communications
and more face-to-face meetings. This is resulting
in real benefits to the organization, such as the
recently approved Mri for birchmount.



51        master plans: Where is TSh going?
          Staff in Facilities can tell you, at least
for the next 25 years. as part of the application
process for the new operating rooms at the
general site, a master building plan (with the
required expansions) has been created for the
general, and this will be done at the birchmount
in 2011. These plans allow staff to plan ahead,
starting the planning (and fundraising) for much
needed improvements now.



52
                                                       53
             Volunteers raising Big Bucks:
             When we need them, they are always
there. The Scarborough hospital’s volunteers work                  Better food: Meeting the unique needs of each and every
tirelessly and their fundraising efforts have landed               patient isn’t limited to clinical care—it means all aspects of the
them at the top of the donor wall with more than       patient’s journey. To this end, Food and Nutrition Services is working with a
$1 million raised for the hospital’s Foundation. one   local mosque to create better halal meals, and has added additional menu
of their most recent projects was the successful       choices to serve other populations. in the coming year, the plan is to add a
car raffle, helping to close the deal on two much      full roster of choices, ensuring all patients have access to healthy and ap-
needed cT Scanners for the hospital.                   propriate food.




  54         patHology excellence: our laboratory Services have
             surpassed many other hospitals by being the only lab in
                                                                                   55         a great place to work: The word
                                                                                              is out on the street—TSh is a great place
                                                                                   to work. advertised jobs typically have plenty of
  canada to implement the True positive identification (TpiD) system in            qualified applicants, and staff members attending
  pathology. TpiD identifies, labels and tracks the specimen throughout            industry events are often asked if there are any
  the testing process, using two-dimensional barcode technology.                   openings. and did you know TSh is Scarborough’s
                                                                                   largest employer?

14                                                          March 2011                               The Scarborough hoSpiTal
56        keeping our staff healthy: Getting our patients
                                                                  healthy isn’t our only goal at TSH. Our staff matter, too.
                                                        Our well-equipped fitness centres at each campus, accessible to
                                                        members 24/7 at their convenience, boast modern cardio equip-
                                                        ment and weights, and space for fitness classes.




                                                                                 58         HiVe: all clinicians now have immedi-
                                                                                            ate electronic access to emergency
                                                                                 Department records, as well as lab results and



57
                                                                                 Di reports, thanks to health information Viewed
                                                                                 electronically (hiVe). The next phase of hiVe will
          Hsmr: When hSMr was first publicly reported a few years ago,           tackle day surgery and inpatient discharges.
          TSh made the front page for having one of the worst rates in the
province. Now, after concerted quality improvements, TSh has dramatically
lowered its hSMr figure, becoming one of the top performers in the gTa.


The Scarborough hoSpiTal                                 March 2011                                                             15
59         interpreter program:
           as one of the most diverse
communities in the world, TSh needs to
ensure language is not a barrier to care.
Full-time interpreters are now avail-
able to provide interpretation services
in Mandarin, cantonese (birchmount
campus) and Tamil (general campus) for
TSh patients. based in the emergency
Departments, the interpreters can be
called on for any department in the
hospital.




60         incorporation of pHysi-
           cian leadersHip into
senior team: in many hospitals,
the Senior Management Team is just
“management,” with physician partici-
pation limited to the chief of Staff. at
TSh, a number of physician leaders are
members of the senior team, providing
their unique perspective to the discus-
sions and decisions. “This is a much
more inclusive and transparent way of
making decisions,” explains Dr. Wright.
“our physician leaders are really helping
this organization move forward.”




                                                         61        positiVe media
                                                                   coVerage: There was
                                                         a time when it seemed that TSh
                                                         was always in the papers— for
                                                         all the wrong reasons. Today,
                                                         TSh is consistently the subject
                                                         of positive coverage in local,
                                                         national and ethnic media outlets.




                                                         62          partnersHips witH
                                                                     otHer proViders: in
                                                         the last 24 months, TSh has forged
                                                         strong partnerships with many
                                                         organizations that allow TSh to
                                                         dramatically improve the care ex-
                                                         perience for our patients. Some of
                                                         these partnerships include the Yee
                                                         hong dialysis satellite and the new
                                                         lhiN-wide gaiN clinic and home
                                                         First partnerships. TSh’s oncology
                                                         clinic also works in partnership
                                                         with cancer care ontario’s central
                                                         east regional cancer program and
                                                         rouge Valley health System to
                                                         provide cancer care and treatment
                                                         to Scarborough residents.

16                                          March 2011     The Scarborough hoSpiTal
63          skin-to-skin program:
             giving newborns the best start is
 the focus of all care in the Maternal New-                    64           STANDARDIZING CLEANING
                                                                            PRACTICES: Cleanliness is a
                                                               huge issue for patients and visitors to any
 born and childcare Department and the
 new skin-to-skin policy is doing just that. in                hospital, and over the past couple of years,
 a well-baby situation, newborns are placed                    we have made great strides in standardizing
 on their mother’s chest for a minimum                         our cleaning practices. For instance, staff-
 of one hour immediately following birth.                      ing classifications have been standardized
 research overwhelmingly supports that                         across sites, as have most of our clean-
 this initiative encourages breastfeeding and                  ing procedures, such as isolation cleaning
 helps build strong bonds between mother                       protocols. The result has been a huge drop
 and baby.                                                     in C. diff rates as we continue to implement
                                                               an integrated Quality Assurance program
                                                               throughout our cleaning practices.




                                                                     65          new weBsite launcHes: in
                                                                                 January 2010, TSh launched a
                                                                     clean, simplified and user-friendly website
                                                                     that has made it much easier to engage our
                                                                     patients and our community online. The
                                                                     award-winning site has seen a significant
                                                                     increase in traffic, too, providing us with an
                                                                     efficient, cost-effective way to promote our
                                                                     hospital and our programs and services.




                                                                     66         iV team innoVation: We are
                                                                                the first hospital in the gTa to
                                                                     introduce a bedside nurse-driven ultrasound
                                                                     guided picc insertion using the Sherlock
                                                                     Tip location System (TlS). This procedure,
                                                                     carried out by our experienced iV team,
                                                                     eliminates a trip by patients to Diagnostic
                                                                     imaging, increasing patient comfort and sav-
                                                                     ing valuable staff resources.



The Scarborough hoSpiTal                          March 2011                                                      17
Mission
                                                                      Vision
                                                                      To provide an
                                                                      outstanding care
                                                                      experience that meets
                                                                      the unique needs of




                                                                   Values
                                                                      each and every patient.
                                                                                                         To be recognized as Canada’s
                                                                                                                   leader in providing
                                                                                                                    the best healthcare
                                                                                                                            for a global
                                                                                                                           community
                                                                                                                           community.
                                                                                                 I CARE:
                                                                       Integrity • Compassion • Accountability • Respect • Excellence




                                                                                            www.tsh.to


67        mission, Vision and Values:
          integrity, compassion, accountability,
respect and excellence aren’t just words on the
                                                 F      O U N D AT I O N                                                                   F O U N D A

wall at TSh; they’re how staff, physicians and
volunteers deliver care. The new Mission, Vi-
sion and Values set the stage for a new day and
strengthened the organization as it strives to be
recognized as canada’s leader in providing the
best healthcare for a global community.



68
                                                                 F OUNDATION                        F OUNDATION


            connecting witH our
            community: Making strong con-
nections with other healthcare providers, social
service organizations and cultural and religious
organizations is one way TSh has begun to help
                          patients better navigate
                            the healthcare and
                            social service system.



                                                           69
                            Through the access and
                            equity Department,
                            health-based events are                   new emergency department: open to much fanfare, with
                            linking the hospital with                 dignitaries, donors, tours and multicultural entertainment, the $72
hard-to-reach communities and providing better             million emergency and critical care centre more than doubles the size of
information—and ultimately, better care. We have           the old eD. State-of-the-art infection control and isolation protocols were in-
also introduced a speaker series called “it’s Time to      corporated in the design, and five care zones—pediatric, rapid assessment,
Talk” that shares valuable information about impor-        critical care, acute care, and ambulatory care—means more efficient care for
tant health topics with members of our community.          patients and easier patient flow for emergency staff.

18                                                              March 2011                                The Scarborough hoSpiTal
70         doula program: having a baby is
           one of the most exciting things a family
ever experiences, yet it can also be confusing—
especially for first-time moms and those who face
language barriers. Now, any expectant mother
here can have a doula to help guide her through
labour and delivery thanks to a new partnership
with Discover birth. The only partnership of its
kind in an ontario hospital, this program offers
doula services at rates that are based on income.




71          di goes filmless: converting from
            film-based medical imaging systems to
digital systems in 2004 was similar to changing
from a film camera to a digital camera, eliminat-
ing messy chemical film processors. The real ben-
efits, however, have been enhanced images and
electronic storage of medical images for easier
access by multiple users. TSh now participates
in the canada infoWay electronic medical record
initiative, which means authorized users from
partner hospitals can access images that were ini-
tially produced at other facilities. This reduces the
need for repeating studies, saves time, eliminates
unnecessary irradiation of patients and reduces
costs of duplication.


  “Scarborough is a great
  community with a vast
  array and blend of voices.
                                                          72         cleaner facilities: Two years ago, you told us in the staff
                                                                     satisfaction survey that we needed to focus on reducing clutter
                                                          and improving the overall cleanliness of our hospitals. and we did just that.
  These community voices                                  a staff-led clear the clutter program and a renewed dedication to keeping
  have been instrumental                                  our workplace clean has made a tremendous difference—both to infection
  in helping bring about                                  rates and overall aesthetics.
  the improvements that
  are occurring at TSH, and
  in the future they will
  continue to advocate for the unique and diverse
  health needs of the community.”

  —Karen Gordon
  Chair, Community Advisory Council

                             “The many achievements
                             of both the hospital and
                             Foundation are already
                             translating into increased
                             financial support from
                             our community. This is
                             critically important as we
                             continue fundraising for



                                                          73
                             medical equipment and
   facilities to better serve our patients.”
                                                                    tHree million reasons to smile: They’ve barely begun, and
   —Paul Torrie                                                     the new TSh Foundation has already brought in a mega-gift—$3.1
   Chair, Board of Directors                              million—the largest in TSh’s history. and just last year, they presented the
   The Scarborough Hospital Foundation                    hospital with a cheque for another $3 million, earmarked for the West Wing
                                                          and medical equipment.

The Scarborough hoSpiTal                                       March 2011                                                           19
STAY IN TOUCH ONLINE AT:
                                                    www.tsh.to
                                                    www.twitter.com/Scarboroughhosp
                                                    www.facebook.com/Scarboroughhospital


E-copies of this publication, along with a longer, unabridged list of recent success stories,
          are available in the Publications section of our website at www.tsh.to

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Celebrating 73 Success Stories

  • 2. Seventy-three success stories. Seventy-three reasons to celebrate. sonal or department accomplishments of which you are very proud. Also, it is important to keep in mind that this list is in no way ranked—the numbers are merely to showcase the volume of achievements, not to suggest some are more or less significant than others. Today you should be proud. Of what you have achieved personally and what we have achieved together. Every single one of you is part of this TSH success story. Yet our journey is far from over. Striving for excellence is now a part of our cul- ture, and we will continue to improve as a hospital. Two years from now, I hope T we can celebrate another 73 accomplish- his booklet could just have ing the excellent patient care that is our ments that equal those presented here. easily been called 173 Success core business. Stories. Or 1,073 Success I am proud to be the CEO of this Stories. The point is that the last two And by “we” I mean every single one hospital and I would like to thank each years have been a period of incredible of us. The successes in this booklet and every one of you for your commit- achievement for all of us here at The are what happens when everyone rows ment and all your hard work. It’s been a Scarborough Hospital. together—when everyone is determined tough two years and the journey wasn’t to do better, to make improvements, to always smooth, but just look at what We have done the impossible. We put patients first. we’ve accomplished. have racked up accomplishments and achievements that would have been My only regret is that we couldn’t list Thank you! unthinkable 24 months ago. We’ve kept all of our achievements here. Seven- growing and building and moving the ty-three is far from an exhaustive list, Dr. John Wright organization forward, all while provid- and I know many of you have per- President and CEO 2 March 2011 The Scarborough hoSpiTal
  • 3. 1 dramatic staff satisfaction gains: When it comes to physician and staff satisfaction, a 2 per cent increase is considered good. Five per cent is considered re- markable. So what do you call an improvement of 13 per cent? Monumental. in fact, the organization that collected our survey data tells us they have never seen such dramatic gains— anywhere. at TSh, every single category showed significant improvement, clearly signaling a renewed commitment to our hospitals and our patients. 60 Employee Commitment % positive score 50 50.9 40 30 37.8 20 10 Jan-Dec 2008 Current Period 2 social media leaders: The Scarborough hospital was an early adopter of social media, and remains a leader with hundreds of engaged Friends and Followers across several channels including 3 Twitter, Facebook, linkedin and YouTube. We were one of the first hospitals in canada staying safe: We underwent a major to promote a dialogue with shift in the way we report a wide range our community using a wide of events and incidents, thanks to SaFe (Safety range of social networking & accountability For everyone). This electronic platforms. reporting system—which captures everything from minor safety concerns like potholes in the parking lot to unexpected events—has been an overwhelming success and well-received by clinicians at all levels. The Scarborough hoSpiTal March 2011 3
  • 4. Battling Superbugs 4 c. diff: TSh could have used excuses when it had poor c. diff rates two years ago—aging buildings, no storage space, few private rooms, many shared bathrooms—but it didn’t. instead, everyone got on board and made changes result- ing in an unprecedented 94 per cent drop in cases. impressive results for a hospital that posted one of the worst rates in the province just a few years ago. 5 Vre: public reporting of patient safety measures like Vre was welcomed by TSh and coincides with our commitment to be transparent and accountable. current rates are posted regularly on the hospital’s website, and an aggressive screening process for patients has contributed to consistently low Vre rates at TSh. 6 mrsa: Strengthening TSh’s infection control department and putting a strong focus on infection control practices in all departments of the hospital have had a positive impact on quality of care. MrSa rates, for example, are typically well below the provincial average. 7 Balanced Budget: it’s a lot more complex than our budgets at home, but the principles are the same—the money coming in has to cover the costs 8 going out. Through a consistent program of fiscal responsibility and hard work at the unit level, TSh has maintained a balanced new di system a world first: We may not be a big downtown budget for the past three years, putting us hospital, but that doesn’t stop us from being on the leading edge. an in a strong position when seeking addi- investment in new digital technology made TSh the first in the world to run tional investments to improve patient care. two key diagnostic imaging systems on an integrated platform—a major benefit for cardiac patients who can now get faster, more accurate diagno- ses and treatment. 4 March 2011 The Scarborough hoSpiTal
  • 5. 9 Breastfeeding rates increase: Breast milk is best for baby and we’re making sure newborns get the best start possible at TSH. New moms get all the facts here about breast- feeding—including the risks of formula feeding. The results? A 127 per cent increase in babies who are exclusively breastfed at discharge. Re- markable results for a hospital that was criticized less than a year ago for having one of the worst breastfeeding rates in the GTA. I CA RE I CA INTE G COM RITY RE 10 PASS ACC IO OUN N INTE TABI I RESP LITY GRI EXCE T EC care TY i COMPAaBout LLEN SS O CE Values: IThe ACC OUN N RES TA EC so BILIT buttons wornPbyT many Y CAR EX of our staff, CELLEN physicians CE and volunteers say it all. E integrity, compassion, accountability, respect and excellence resonate I CA as important values, Integr ity • C RE and as more than words ompa in a document. i care Respe ssion • Ac ct • E c INTE GRIT has become more than a xcelle ountability COM Y nce PASS ACC IO slogan. it is now a way of OUN N providing outstanding care to RESP TABI EC LITYpatients, and for welcoming our EXCE T LLEN visitors to our hospital. CE 12 yee Hong dialysis satellite: providing life-saving dialysis for hundreds of patients at TSh each day is something we do well—and our regional Nephrology program is the largest in North 11 america. The opening of a satellite dialysis unit from i care to eye care: a in partnership with Yee great example of our ongoing hong is just one more pursuit of healthcare excellence, The eye way we are providing centre, located at the birchmount campus, excellent patient- performs close to 6,000 cataract surgeries a centred care, closer to year, and is the largest provider of cataract home. surgery of its kind in canada. The Scarborough hoSpiTal March 2011 5
  • 6. 15 community adVisory council: The structure is unique in the province—a community advisory council (cac) that is indepen- dent, and reports directly to the board of Directors. bridging the gap between the community and the hospital, the cac has already racked up some impres- sive accomplishments in its short his- tory, including assisting with the budget process and helping obtain the go- ahead for the new Mri at birchmount. 13 telecommunications improVements: TSh is answering the phone faster, providing better customer service. a leaner workflow and new technol- ogy have improved efficiency in the Telecommunications Department. response times for callers to the hospital have decreased by 66 per cent. 14 Hand Hygiene cHampions: When the province first announced in 2009 that it would be publicly posting hand hygiene rates, TSh’s 16 etHics: ethics is every- body’s business at TSh. a new program was created in were far from impressive. after a focused 2010 that aims to integrate ethics campaign and plenty of hard work, staff through TSh in clinical and non- moved that rate up—way up, as it turns clinical areas. hospital staff and out—posting the best rates in the province. physicians now have more resources Since then, TSh continues to be a leader in hand including a clinical ethics decision- hygiene in the province. making tool. 17 emergency wait times: There’s no ‘magic bullet’ when it comes to improving wait times in ontario’s emergency Departments, as a recent auditor general’s report states. Still, several of our frontline initiatives, such as the performance improvement project and rapid assessment unit, have improved most Ministry of health and long-Term care targets for wait times in our emergency Departments. 6 March 2011 The Scarborough hoSpiTal
  • 7. “Despite the many challenges and criticisms facing healthcare in Ontar- io in recent years, The Scarborough Hospital has evolved into a leaner, more transparent and more account- able organization that is recognized for a number of governance best practices. Our Board bylaws, which hardwire community engagement, are a model for other hospitals. Our Board members are skills-based, bringing invalu- able governance experience to their role. And our commitment to the hospital’s Mission, Vision and Values is transforming the way we care for 18 our patients. I am proud to have been a part of this evolution, and I look forward to even greater achieve- worsHip centre: both of our campuses were founded as strong faith- ments in the years to come.” based organizations, and our new Worship centre in the general campus’s West Wing reflects that proud history. The Worship centre, which welcomes patients —Michael Mueller and visitors from all faiths, features a beautiful stained glass window made from the Chair, Board of Directors previous chapel’s window inserts, and furniture made from the original chapel’s pews. 19 “The nurses in the Palliative interprofessional Care Unit did a practice: our clinical pro- really good job fessionals bring a great deal of experi- caring for my ence and knowledge to their roles each wife. They have day, and we are fortunate to have an a very tough environment where each profession is job, but they encouraged to work to full scope, to use do it very well. current evidence-based practices and to And when we needed them, they be supported in being the best we can were there for us.” be. The interplay of professions, where each discipline is valued, where no dis- —Harvey Walker cipline is more important than another The exceptional care his wife received and the sharing of expertise towards inspired Harvey to make a $100,000 meeting patient goals ultimately results donation to TSH in her memory. in safer care, better outcomes and in- creased satisfaction. 20 foundation restructured: renewal and restructuring hasn’t been limited to 21 ortHopedic wait times: TSh has a high volume of hip and knee replacement surgeries but 22 mental HealtH consolidation: a bright, newly renovated space greeted patients the hospital—TSh’s Foundation has un- our skilled orthopedic team ensures and staff when Mental health Services dergone a similar process of rebuilding. our patients don’t wait any longer than consolidated from three separate loca- The result is a stronger Foundation and necessary. in fact, at 124 days for hips, and tions into one 50-bed unit at the birch- a committed Foundation board ready to 130 days for knees, TSh is well below the mount campus last year. take on the big campaigns the hospital provincial wait time target of 182 days. will need to move forward. The Scarborough hoSpiTal March 2011 7
  • 8. 23 Hospital goes smoke-free: We’re walking the walk and talking the talk. as healthcare workers we know we need to set a good example for our patients and visitors, so we decided to butt out, making the hospital a smoke-free facility. Many “Creating a unified organization following the amalgamation of two employees have even quit for good. different hospitals has been no easy 24 task for The Scarborough Hospital, but our physicians critical care have been mak- consolidates: our old icu, ing great strides ccu and aMu at the general campus in achieving were dreary and cramped spaces where just that. Over the only thing separating patients was the past couple a drape. The new critical care centre of years, The is a 22-bed unit with state-of-the-art Scarborough technology and private rooms with Hospital has natural light, where the nurses’ stations begun to appoint corporate medi- are strategically located to allow for cal chiefs for our programs, helping optimum visual monitoring of patients. standardize processes and care across both campuses. Many of our programs are already led by a single chief, and 25 our Diagnostic Imaging program is currently recruiting for that role. I am sHared Hospital laB: in proud of our physician leadership for october 2009, the introduction taking an active part in achieving of the Shared lab between TSh, Toronto a “one hospital” vision for TSH, and east general and North York general cut the I know our community—and our turnaround time for c. difficile test results hospital—will be better served as a from two days to less than 24 hours, help- result of their commitment.” ing to move patients out of the emergency Department faster. having such critical test — Dr. Steven Jackson results faster helps us identify and mitigate Chief of Medical Staff the spread of c. diff. 8 March 2011 The Scarborough hoSpiTal
  • 9. 26 rapid assessment unit: No man is an island, and no medical unit in our hospital can work successfully in a bubble. When there’s collaboration—such as the eight-bed rapid assessment unit de- veloped and implemented between Medi- cine and the eD—great things happen. The rau has helped reduce the average length of stay (aloS) for patients in the eD who are waiting for an inpatient bed to 11 hours from 17 hours. 27 pain management: Managing pain in a way that focuses on the whole patient and takes into account culture and language is important at The Scarborough hospital. recently, more than two dozen nurses became pain champions to help assess and minimize patient pain. 28 Hospitalists: everyone involved in the hospitalist program benefits when there’s daily access on the floor to a physi- cian and an interdisciplinary healthcare team. From improved communication between physi- cians and the team, to enhanced coordination and continuity of care, the hospitalist program is having a positive impact on patient satisfaction. 29 fundraising successes: Sev- eral events held by the Foundation have proved to be excellent ways to raise funds for the hospital and to engage both new and existing community and corporate donors. golf and hockey tournaments, as well as a successful Scarborough garden party, have set the stage for future events that will help raise money and build the profile of The Scarborough hospital in our community. 30 complaint resolution: resolving patient complaints quickly and effectively is a key goal of patient relations, and is so impor- tant for a positive patient experience. That’s why we’re proud of the steady improvement from an average of 27 days in 2009 to our current average of 11 days for resolution. a more timely resolution of complaints leads to increased patient and family satisfaction. The Scarborough hoSpiTal March 2011 9
  • 10. 31 new logo: as part of the organization’s renewal process, a revised TSh logo was unveiled. The new logo is sleeker, brighter and more modern—just like the new TSh. 32 Patient satisfaction on its way uP: Throughout TSH, staff and physicians are launching 35 initiatives designed specifically to improve patient satisfaction, and their work is paying off. The most recent paedlink: an innovative approach to ‘fast track’ children and their survey results show four units have families from the emergency Department to a pediatric clinic— called patient satisfaction rates above the GTA paedlink— has reduced wait times. More importantly, paedlink has alleviated average: CP3 (Orthopedics) and 4Central much of the fear and anxiety experienced by children and, of course, their par- Surgery at the General campus and ents, in visiting the hospital. Cardiac Stepdown and 4A (Surgery) at the Birchmount campus. 36 33 ems offload rn: TSh is help- decision support: You ing paramedics get out of can’t run a modern hospital the emergency Depart- without detailed data and information ment quickly and back on analysis, and when it comes to under- the road responding to 911 standing key performance indicators, calls. Through a partnership wait time data and other clinical and with eMS, a dedicated nurse non-clinical business information, handles patients brought in staff and management are able to by paramedics so that they turn to our performance and Decision don’t have to stay with pa- Support Department. armed with tients for several hours in the their expertise, staff and management emergency Department. are better able to understand emerg- ing trends and make confident deci- 37 38 sions that help us improve efficiency and patient care. compliments are up: Better waiting 34 patients are happier with rooms: The new West their experiences at the hospital, Wing afforded us the opportunity to accreditation: Staff, saying staff and physicians are more enhance patient comfort by design- physicians and volunteers all compassionate and caring. in fact, ing larger and brighter waiting rooms contributed to the success of TSh achiev- compliments received by patient in the emergency Department— ing a full three-year accreditation from relations are up close to 50 per cent including a children-friendly area— accreditation canada in october 2009, year over year, a true testament to and for patient registration. The while our laboratory services met all of the staff and physicians living the Mis- birchmount recently revamped its eD requirements of the ontario laboratory sion, Vision and Values. waiting area with new seating and a accreditation, awarding a full four-year more efficient registration process. certificate for both campuses. 10 March 2011 The Scarborough hoSpiTal
  • 11. 39 code stemi: every 75 minutes, a patient comes to the hospital with chest pain. To provide the best care possible for cardiac patients, TSh imple- mented code STeMi in partnership with rouge Valley. This successful partnership helps ensure cardiac patients are immediately routed to the right test or procedure and is resulting in better outcomes for patients. 40 rotman: Developing our leaders is a priority for the hospital, and our second round of staff and physicians are currently enrolled in the prestigious rotman leadership Develop- 41 ment program. The projects being completed by this group are geared toward improving patient care and planning for surgical expansion: TSh keeps getting better. While internal business processes, helping celebrating the completion of the West Wing at the general campus, local Mpp TSh better fulfill its Mission, Vision brad Duguid delivered more good news: a $3 million planning grant for the redevelopment and Values. of the general’s outdated surgical suites and expanded pre-surgical services. 42 reVitalizing Volunteer serVices: We couldn’t function without the dedication of our hun- dreds of volunteers, so we embarked on a total revitalization of Volunteer Services by providing enhanced training and more support staff. This has led to added responsibility for art shows displayed in the art gallery, increased outreach to the commu- nity and a renovated gift shop at the general campus. our volunteers continue to raise funds for hospital equipment through new and exciting events, not to mention the tradition- ally popular bazaars and gift shops. The Scarborough hoSpiTal March 2011 11
  • 12. 43 surgical cHecklist: Since province-wide imple- mentation of surgical checklists, our 44 clinical pastoral education: our unique Spiritual and religious care department’s compliance rates have consistently clinical pastoral education program remained around the 100 per cent mark. attracts theological students and ordained This speaks volumes to our emphasis clergy from diverse backgrounds, on patient safety. The surgical checklist denominationally as well as ethnically is the final check prior to surgery used and culturally. These students bring to ensure everyone in the or has all the broad education and experience in the medical information they need about care they provide for our patients and the patient. families. 45 clinical action planning: our clini- cal action plan (cap)—the most intensive project undertaken by us, engaging staff and physicians from every corner of the hospital—is nearing its ultimate goal as business cases for nine out of the original 32 recommendations will soon be presented to the Steering commit- tee. From there, a final report will be submitted to the board of Directors later this year. 46 senior team more VisiBle: Safety rounds, bed meetings, “The Scarborough Hospital gave me the gift of life—twice. I am walkabouts, job shadow- really grateful for all of the doc- ing, leaN exercises, morning tors and nurses who saved me. huddles—you name it, and If they hadn’t, I wouldn’t be here members of the senior man- today. I wouldn’t be able to hang agement team can be found out with my friends. I would actively participating at the have died at a young age. I’m front line. “in moving to a leaN extremely grateful.” culture, we want to get away from long meetings in meet- — MICHELLE LY ing rooms, and really focus on Michelle is a former patient front-line, real-time problem who had a massive heart attack solving,” explains lindsey last year and was brought by crawford, TSh’s Vp of patient ambulance to the Birchmount Services. “being a support at campus—the same hospital the front line is where man- where she was born just 14 years agement can really make a earlier. difference.” 12 March 2011 The Scarborough hoSpiTal
  • 13. 49 GOING GREEN: Green projects help the environment and, at 48 TSH, are saving money. The IS Department implemented new mri for a green project by updating BircHmount: Mpp gerry technology, eliminating physi- phillips said it best when he announced cal servers and adding more a second Mri for The Scarborough virtual servers. This greening hospital: “This isn’t a gift. You’ve earned initiative reduces the hospital’s it.” The new Mri—to be located at the carbon footprint and saves birchmount campus—will help us better about $50,000 a year in energy serve the Scarborough community. costs. 47 gain clinic: caring for our diverse community is a priority, and that includes our large and growing seniors population. To help seniors live independently, safely and with dignity, we have opened a geriatric assessment and intervention Network (gaiN) clinic, where referred patients are seen by an interprofessional geriatric team outside of the emergency Department. The result is specialized geriatric care, which may include home support—allowing elderly patients to avoid unnecessary hospital visits and admissions. The Scarborough hoSpiTal March 2011 13
  • 14. 50 improVed relations witH moHltc, lHin: Senior staff at TSh have made a concerted effort to improve relations with the ce lhiN and the Ministry of health and long-Term care through better communications and more face-to-face meetings. This is resulting in real benefits to the organization, such as the recently approved Mri for birchmount. 51 master plans: Where is TSh going? Staff in Facilities can tell you, at least for the next 25 years. as part of the application process for the new operating rooms at the general site, a master building plan (with the required expansions) has been created for the general, and this will be done at the birchmount in 2011. These plans allow staff to plan ahead, starting the planning (and fundraising) for much needed improvements now. 52 53 Volunteers raising Big Bucks: When we need them, they are always there. The Scarborough hospital’s volunteers work Better food: Meeting the unique needs of each and every tirelessly and their fundraising efforts have landed patient isn’t limited to clinical care—it means all aspects of the them at the top of the donor wall with more than patient’s journey. To this end, Food and Nutrition Services is working with a $1 million raised for the hospital’s Foundation. one local mosque to create better halal meals, and has added additional menu of their most recent projects was the successful choices to serve other populations. in the coming year, the plan is to add a car raffle, helping to close the deal on two much full roster of choices, ensuring all patients have access to healthy and ap- needed cT Scanners for the hospital. propriate food. 54 patHology excellence: our laboratory Services have surpassed many other hospitals by being the only lab in 55 a great place to work: The word is out on the street—TSh is a great place to work. advertised jobs typically have plenty of canada to implement the True positive identification (TpiD) system in qualified applicants, and staff members attending pathology. TpiD identifies, labels and tracks the specimen throughout industry events are often asked if there are any the testing process, using two-dimensional barcode technology. openings. and did you know TSh is Scarborough’s largest employer? 14 March 2011 The Scarborough hoSpiTal
  • 15. 56 keeping our staff healthy: Getting our patients healthy isn’t our only goal at TSH. Our staff matter, too. Our well-equipped fitness centres at each campus, accessible to members 24/7 at their convenience, boast modern cardio equip- ment and weights, and space for fitness classes. 58 HiVe: all clinicians now have immedi- ate electronic access to emergency Department records, as well as lab results and 57 Di reports, thanks to health information Viewed electronically (hiVe). The next phase of hiVe will Hsmr: When hSMr was first publicly reported a few years ago, tackle day surgery and inpatient discharges. TSh made the front page for having one of the worst rates in the province. Now, after concerted quality improvements, TSh has dramatically lowered its hSMr figure, becoming one of the top performers in the gTa. The Scarborough hoSpiTal March 2011 15
  • 16. 59 interpreter program: as one of the most diverse communities in the world, TSh needs to ensure language is not a barrier to care. Full-time interpreters are now avail- able to provide interpretation services in Mandarin, cantonese (birchmount campus) and Tamil (general campus) for TSh patients. based in the emergency Departments, the interpreters can be called on for any department in the hospital. 60 incorporation of pHysi- cian leadersHip into senior team: in many hospitals, the Senior Management Team is just “management,” with physician partici- pation limited to the chief of Staff. at TSh, a number of physician leaders are members of the senior team, providing their unique perspective to the discus- sions and decisions. “This is a much more inclusive and transparent way of making decisions,” explains Dr. Wright. “our physician leaders are really helping this organization move forward.” 61 positiVe media coVerage: There was a time when it seemed that TSh was always in the papers— for all the wrong reasons. Today, TSh is consistently the subject of positive coverage in local, national and ethnic media outlets. 62 partnersHips witH otHer proViders: in the last 24 months, TSh has forged strong partnerships with many organizations that allow TSh to dramatically improve the care ex- perience for our patients. Some of these partnerships include the Yee hong dialysis satellite and the new lhiN-wide gaiN clinic and home First partnerships. TSh’s oncology clinic also works in partnership with cancer care ontario’s central east regional cancer program and rouge Valley health System to provide cancer care and treatment to Scarborough residents. 16 March 2011 The Scarborough hoSpiTal
  • 17. 63 skin-to-skin program: giving newborns the best start is the focus of all care in the Maternal New- 64 STANDARDIZING CLEANING PRACTICES: Cleanliness is a huge issue for patients and visitors to any born and childcare Department and the new skin-to-skin policy is doing just that. in hospital, and over the past couple of years, a well-baby situation, newborns are placed we have made great strides in standardizing on their mother’s chest for a minimum our cleaning practices. For instance, staff- of one hour immediately following birth. ing classifications have been standardized research overwhelmingly supports that across sites, as have most of our clean- this initiative encourages breastfeeding and ing procedures, such as isolation cleaning helps build strong bonds between mother protocols. The result has been a huge drop and baby. in C. diff rates as we continue to implement an integrated Quality Assurance program throughout our cleaning practices. 65 new weBsite launcHes: in January 2010, TSh launched a clean, simplified and user-friendly website that has made it much easier to engage our patients and our community online. The award-winning site has seen a significant increase in traffic, too, providing us with an efficient, cost-effective way to promote our hospital and our programs and services. 66 iV team innoVation: We are the first hospital in the gTa to introduce a bedside nurse-driven ultrasound guided picc insertion using the Sherlock Tip location System (TlS). This procedure, carried out by our experienced iV team, eliminates a trip by patients to Diagnostic imaging, increasing patient comfort and sav- ing valuable staff resources. The Scarborough hoSpiTal March 2011 17
  • 18. Mission Vision To provide an outstanding care experience that meets the unique needs of Values each and every patient. To be recognized as Canada’s leader in providing the best healthcare for a global community community. I CARE: Integrity • Compassion • Accountability • Respect • Excellence www.tsh.to 67 mission, Vision and Values: integrity, compassion, accountability, respect and excellence aren’t just words on the F O U N D AT I O N F O U N D A wall at TSh; they’re how staff, physicians and volunteers deliver care. The new Mission, Vi- sion and Values set the stage for a new day and strengthened the organization as it strives to be recognized as canada’s leader in providing the best healthcare for a global community. 68 F OUNDATION F OUNDATION connecting witH our community: Making strong con- nections with other healthcare providers, social service organizations and cultural and religious organizations is one way TSh has begun to help patients better navigate the healthcare and social service system. 69 Through the access and equity Department, health-based events are new emergency department: open to much fanfare, with linking the hospital with dignitaries, donors, tours and multicultural entertainment, the $72 hard-to-reach communities and providing better million emergency and critical care centre more than doubles the size of information—and ultimately, better care. We have the old eD. State-of-the-art infection control and isolation protocols were in- also introduced a speaker series called “it’s Time to corporated in the design, and five care zones—pediatric, rapid assessment, Talk” that shares valuable information about impor- critical care, acute care, and ambulatory care—means more efficient care for tant health topics with members of our community. patients and easier patient flow for emergency staff. 18 March 2011 The Scarborough hoSpiTal
  • 19. 70 doula program: having a baby is one of the most exciting things a family ever experiences, yet it can also be confusing— especially for first-time moms and those who face language barriers. Now, any expectant mother here can have a doula to help guide her through labour and delivery thanks to a new partnership with Discover birth. The only partnership of its kind in an ontario hospital, this program offers doula services at rates that are based on income. 71 di goes filmless: converting from film-based medical imaging systems to digital systems in 2004 was similar to changing from a film camera to a digital camera, eliminat- ing messy chemical film processors. The real ben- efits, however, have been enhanced images and electronic storage of medical images for easier access by multiple users. TSh now participates in the canada infoWay electronic medical record initiative, which means authorized users from partner hospitals can access images that were ini- tially produced at other facilities. This reduces the need for repeating studies, saves time, eliminates unnecessary irradiation of patients and reduces costs of duplication. “Scarborough is a great community with a vast array and blend of voices. 72 cleaner facilities: Two years ago, you told us in the staff satisfaction survey that we needed to focus on reducing clutter and improving the overall cleanliness of our hospitals. and we did just that. These community voices a staff-led clear the clutter program and a renewed dedication to keeping have been instrumental our workplace clean has made a tremendous difference—both to infection in helping bring about rates and overall aesthetics. the improvements that are occurring at TSH, and in the future they will continue to advocate for the unique and diverse health needs of the community.” —Karen Gordon Chair, Community Advisory Council “The many achievements of both the hospital and Foundation are already translating into increased financial support from our community. This is critically important as we continue fundraising for 73 medical equipment and facilities to better serve our patients.” tHree million reasons to smile: They’ve barely begun, and —Paul Torrie the new TSh Foundation has already brought in a mega-gift—$3.1 Chair, Board of Directors million—the largest in TSh’s history. and just last year, they presented the The Scarborough Hospital Foundation hospital with a cheque for another $3 million, earmarked for the West Wing and medical equipment. The Scarborough hoSpiTal March 2011 19
  • 20. STAY IN TOUCH ONLINE AT: www.tsh.to www.twitter.com/Scarboroughhosp www.facebook.com/Scarboroughhospital E-copies of this publication, along with a longer, unabridged list of recent success stories, are available in the Publications section of our website at www.tsh.to