HÔPITAL MONTFORT: WHERE THE SEARCH FOR INNOVATION AND EXCELLENCE NEVER ENDS!

annualreport 2012|2013 TABLE OF CONTENTS

P.4 Watch our videos! • Message from the Chair of the Board, the CEO and the Medical Chief of Staff of Hôpital Montfort • Testimonials and interviews

P.6 Members of the Board of Trustees

P.7 Chiefs — Medical Department

P.7 Physician Executive Council

P.8 Committees and Presidents

P.26 Auxiliaries/Volunteers Association

P.28 Montfort Hospital Foundation

P.30 Financial statements

P.10 | PROVIDING THE FIVE MAIN DIRECTIONS QUALITY CARE GUIDED WHAT’S NEW THIS YEAR? BY BEST PRACTICES1 P.17 | PROVIDING STAFF P.14 | NEW METHODS MEMBERS WITH A HEALTHY FOR IMPROVING THE WORK ENVIRONMENT WHERE HOSPITAL’S EFFECTIVENESS THEY CAN ACHIEVE THEIR 2 FULL POTENTIAL 3 P.19 | CLOSE COLLABORATION P.22 | EMPHASIS ON RESEARCH WITH PARTNERS AND THE AND ENSURING A SUCCESSION COMMUNITY FOR THE THAT CAN MEET THE NEEDS WELL-BEING OF PATIENTS OF TOMORROW’S COMMUNITY 4 5 ANNUAL REPORT 2012-2013 3 Life strength or « Force de vivre »: discover the story of WATCH the Smith-Johnston’s family. OUR VIDEOS!

Learn how research conducted by researchers at the Institut de recherche de l’Hôpital Montfort Message from the Chair of the Board, the CEO and the Medical Chief of Staff (IRHM) improves healthcare for of Hôpital Montfort Francophones.

An unforgettable encounter: the testimony of Councillor Stephen Blais.

French training of future health professionals in Ontario: a priority for Hôpital Montfort.

4 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 5 MEMBERS OF THE CHIEFS — MEDICAL DEPARTMENT BOARD OF TRUSTEES

Dr. Lucasz Bartosik Dr. Daniel Moreau Anaesthesiology Obstetrics-Gynecology Elected members (executive) Sister Rita Denommée, F.d.l.S. Representative, Daughters of Dr. Nicolas Roustan Delatour Dr. Robert Chevrier Mr. Alain-Michel Sékula Wisdom of Canada Chair Medical Biology Ophthalmology Mr. Jean-Yves Lalonde Mr. Ronald Bilodeau Dr. Chantal Beaulieu Dr. Jean-Pierre Laflèche Representative, United Counties Surgery Orthopedics Vice-president of Prescott-Russell Mr. Jean-Marc Dubé Dr. Fabiano Taucer Dr. Julie Nault Treasurer Ex-officio members Diagnostic Imaging Pediatrics

Mrs. Mona Fortier Mrs. Brigitte Legare Dr. Allain Baldo Dr. Raymond Tempier Secretary Chair of the Board of Trustees, Medicine Psychiatry Hôpital Montfort Auxiliaries/ Elected members Volunteers Association Dr. Jennifer Douek Dr. Shaun Visser Family Medicine Emergency General Maurice Baril (retired) Mrs. Madeleine Joanisse Chair of the Board of Trustees, Mrs. Mariette Carrier-Fraser Montfort Hospital Foundation

Mrs. Suzanne L. Clément Mr. Gilles Morin PHYSICIAN EXECUTIVE COUNCIL Mr. Charles Peter Daniel Past Chair of the Association and Board of Trustees, Hôpital Montfort Mrs. Rachel Décoste Dr. Jocelyn Deneault Dr. Jean-Pierre Laflèche Dr. Bernard Leduc Mr. Richard Flageole President and CEO, Hôpital Montfort Chair Treasurer

Mrs. Claudine Girault Dr. Guy Moreau Dr. Robert Lussier Dr. Ingrid Custeau Chief of Staff Vice-chair Secretary Mrs. Brigitte Goulard Dr. Jocelyn Denault Mr. Pierre Lanoix President, Physician Executive Mr. Mario Malouin Council

Appointed members Dr. Robert Lussier Vice-President, Physician Executive Mr. Bernard Grandmaître Council Representative, former City of Vanier Mrs. Lucille Perreault Vice-President, Department of Clinical Services

6 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 7 COMMITTEES AND PRESIDENTS Mona Fortier

Quality council

Mandate

Alain- Suzanne Mariette Michel Clément Carrier- Sékula Fraser Clinical and Research Executive organizational and education committee ethics committee committee

Mandate Mandate Mandate

Pierre Richard Lanoix Flageole Development Audit committee projects committee Mandate Mandate

Ronald Jean-Marc Lynn Bilodeau Dubé Casimiro

Governance Management Research ethics committee committee committee

Mandate Mandate Mandate

8 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 9 WHAT’S NEW THIS YEAR?

1 A new cardiovascular and pulmonary health program centred on heart and lung disease rehabilitation, education and prevention. This is the only hospital program in Ontario that delivers services PROVIDING in English and French. QUALITY CARE 2 A registered-nurse administered flexible sigmoidoscopy program made its Ottawa debut! The new program improves patient access GUIDED BY BEST PRACTICES to colorectal cancer screening tests.

3 Two newly created surgical first assist nurse positions are intended to support operating room staff and offset a shortage of assistant practitioners.

1 4 Breast clinic services

have been optimized with the creation of a I would be amiss not dynamic, professional “to call attention to the team composed of a outstanding work of the nurse navigator, five 5th-floor Hôpital Montfort medical department, surgeons, including Wing C. All of the staff one plastic surgeon, on duty during my time specialized radiologists, in the hospital did an extraordinary job and a social worker and a made absolutely every psychologist. effort to ease my pain.” Montfort hip surgery patient

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10 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 11 5 A new pharmacy technician assistant position was created.

6 Various patient support programs were established, like MATRIX (relapse prevention model). The purpose of these programs is to prevent relapse among patients who have had addiction problems or an initial psychosis.

7 Eight new mental health beds opened to broaden access to specialized psychogeriatric care.

8 Outpatient clinical services were introduced for teens with borderline personality disorder.

10 Module IV of the Managing Obstetrical Risk Efficiently (MORE) program involving some 130 registered nurses and physicians 9 A new clinic was created for Francophone adults who belong was launched. to a minority and/or immigrant culture in Ontario and who experienced one or more traumatic events (Transcultural Trauma and Psychiatric Clinic). 11 A chief resident in obstetrics and gynecology position was created to promote leadership among medical residents at Montfort.

What a fabulous team! I consider I applaud the “myself very lucky to have met you. “professionalism and 12 Three neonatalology nurse practitioners ensure full management I will use what you taught me every the friendly welcome of newborn care. day of my life, and that’s why I’m I received from all of so grateful to you. I certainly hope the workers I met. Your our paths will cross again someday. manner made me feel Thanks again from the bottom secure and relaxed 13 Care delivered at the Family Birthing Centre is centred on the of my heart for all your support, about the surgery. Labour / Birth / Recovery / Post-Partum model to ensure the continuity of care. empathy and expertise in each of ” your fields; it is deeply appreciated. Lise, Montfort wrist ” surgery patient Montfort patient 14 Monitoring is provided at the Hôpital Montfort pediatric clinic for newborns in need of the service after their hospital discharge.

12 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 13 WHAT’S NEW THIS YEAR?

1 Improvements on all of the priorities of the 2012-2013 Quality Improvement Plan (QIP).

Accreditation Canada requirement Hand hygiene – organizational practices compliance rate NEW METHODS compliance rate FOR IMPROVING 78.9% 100% THE HOSPITAL’S EFFECTIVENESS2

2 Montfort also achieved provincial recognition as the health institution where emergency room wait times improved the most over last year.

3 Participation in the Integrated Discharge Planning project with the Community Care Access Centre (CCAC) and the Local Health Integration Network (LHIN), cutting the number of patients requiring an alternate level of care (ALC) in half.

4 Update of the Meditech 6 electronic health record platform to encourage patient e-file sharing and access.

14 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 15 5 Introduction of a new electronic documentation monitoring PROVIDING STAFF system that speeds up access to care and reduces waiting times for consultation with surgeons and surgery. MEMBERS WITH

6 Deployment of a virtual office recognized for its efficiency, A HEALTHY WORK advanced technology and remote access to hospital computer systems. ENVIRONMENT

7 Collaboration with approximately ten regional hospitals on WHERE THEY CAN ACHIEVE implementing a new incident reporting management system. THEIR FULL POTENTIAL This system enables greater incident management efficiency by computerizing and standardizing the incident reporting form, thus making it possible to manage such incidents in real time.

8 Development of a mobility clock that 3 fosters a reduction in episodes of delirium, From the emergency room “to the 3rd-floor operating shorter time in acute room, every employee at care, fewer falls and Hôpital Montfort could not complications related have been kinder or more respectful, humane and to immobility, a lower professional… Naturally, risk of depression, the fact that I received increased home care in my first language discharge rates and at a time when I felt most vulnerable made a huge recovery by patients of difference. I am very their former functional grateful for that. independence and ” diminished hospitali- Isabelle, Montfort patient zation costs.

16 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 17 WHAT’S NEW THIS YEAR?

1 Use of various targeted means and support of all hospital stakeholders to fill new positions within the industry best CLOSE time frames. COLLABORATION 2 Mass posting of nursing positions to increase team stability, WITH PARTNERS limit inter-unit movement and thus training periods. AND THE COMMUNITY

3 Development of an integrated human resources plan (IHRP) to FOR THE WELL-BEING OF PATIENTS carry out the following activities: • Better support for front-line managers; • Better consolidation of the human resources management system; • Various activities under consideration to improve employee 4 health and well-being; • Recognition activities designed to highlight the contribution of individuals and teams as well as years of service to the hospital.

4 Significant reduction in the number of vacant positions, i.e., 1.27 per cent in March 2013 compared to 6.9 per cent last year. 6.9 % 1.27 %

2013 2012

18 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 19 WHAT’S NEW THIS YEAR? It was such a help to have the volunteers visible as soon as you entered the “hospital. They are to be commended for the service they provide in directing us to the area we needed, providing wheel chair service and many other things. From 1 Partnership with Ottawa Hospital to attract Francophone patients the cleaning staff to the nurses, the physio staff and the surgeon, we were given to the mental health program who wish to obtain treatment in professional courteous care. We wish to thank all those who made a stressful their first language. situation much less so.” Ruth, wife of a patient at Montfort who had a partial knee replacement

2 Participation in the regional CHAMP initiative to update the electronic health record server and thus save resources and ensure the continuity of care within the Champlain Local Health Integration Network. As a registered nurse with The very busy nurses who looked experience in surgical “ after my father both in pre-operation departments, I had a “ and post-operation were gentle, kind, good expectation of what 3 Partnership with the Canadian Forces Health Services Centre patient, and caringly supportive. Even the to expect as a patient. Ottawa; departure of Lieutenant-Colonel Gisèle Fontaine and “transporting” people with the gurneys I have to say however and wheelchairs were so wonderful. arrival of Lieutenant-Colonel Marc Bilodeau. that I was simply blown Nowhere else have I seen this dedication away by the exemplary to patient care. I highly recommend care that I received, the Montfort to anyone who listens. professionalism of every Participation in the Move On project in partnership with thirteen 4 member of the team, and ” other university hospitals in Ontario. With partial funding from the Lori, daughter of a patient hospitalized patient-centered approach at Montfort Council of Academic Hospital of Ontario (CAHO), this research engrained in everyone’s project relates to the importance of keeping vulnerable elders in actions. Ontario moving in order to limit functional decline of our elders. ” Carl, patient at Montfort

I was most impressed with the professionalism, bilingualism, warmth 5 During the year, the Champlain LHIN has completed the planning “ and enthusiasm displayed by all the staff phase of the Orléans Family Health Hub and submitted its that I encountered. Dr. Daniel Trottier recommendations to the government of Ontario. One of the The staff are excellent. They helped me with the decision to opt for recommendations provides for the transfer of the governance “pay attention to patients and surgery, addressed my concerns, was very informative about the procedures, and was of the Hub to Hôpital Montfort or one of its subsidiaries. their approach is humane. Personally, I was impressed caring and supportive throughout. I am by the cleanliness of the grateful for his skills, his amazing energy hospital and the way and for his wholehearted dedication to it’s managed.” his profession.” Montfort patient Rosemary, patient at Montfort

20 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 21 WHAT’S NEW THIS YEAR?

1 Development or renewal of agreements with colleges and EMPHASIS ON universities, raising the number of teaching affiliations to 55. RESEARCH AND 2 Overall 34 per cent increase in teaching days compared to ENSURING A SUCCESSION last year.

THAT CAN MEET THE NEEDS 3 Addition of a French-language pharmacy residence program in OF TOMORROW’S COMMUNITY collaboration with the Ottawa Hospital.

4 Admission of a hearing-impaired student from the Pharmaceutical Techniques program at La Cité collégiale.

5 5 Ongoing investment in staff professional development.

I just wanted to sincerely thank the entire medical team for the technical “know-how and listening skills it showed during my time in hospital, as it will no doubt continue to do during my many future consultations, in providing me with the most highly professional care possible.

It’s teams like yours that make us proud of our Francophone hospital, and doctors like yours who ensure that patients are cared for in the best possible conditions.” Louise, Montfort emergency orthopedic day surgery patient

22 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 23 6 Diversification of the pool of trainers to prepare and offer 9 The Institut de recherche de l’Hôpital Montfort (IRHM) now specialized training. includes four research components, each with its own research unit; two of these components were introduced in 2012-2013. The IRHM research units are as follows: Training for Family Birthing Centre nurses on best breastfeeding 7 • Nutrition and metabolism research unit (NMRU); practices to expand their knowledge and thereby the satisfaction of new mothers. • Family health research unit (FHRU); • Mental health research unit (MHRU); • Primary care research unit (PCRU). 8 Contribution to the best practices guide of the Ontario Hospital Association (OHA).

10 In partnership with the University of Ottawa, the IRHM awarded its first research chair in mental health to Dr. Diana Koszycki, Numbers that speak Training methods for themselves clinical psychologist.

Traditional classroom approach 1,452 11 In partnership with the Consortium national de formation en santé students and medical residents Online courses (CNFS), the IRHM awarded its first post-doctorate fellow to Mr. Charles Daboné. 44,814 Simulation learning days of staff-supervised Educational telepresence 12 The IRHM’s first research training day was a tremendous success. education In collaboration with the CNFS, the presentations were distributed by remote broadcast.

Volume of teaching activities 13 Mrs. Natalie Chapados, NMRU researcher, obtained an outside, five-year grant from the Natural Sciences and Engineering 9% Research Council of Canada (NSERCC). for administrative and support 48% services by medical departments 43% by clinical services

24 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 25 AUXILIARIES/ VOLUNTEERS ASSOCIATION

HIGHLIGHTS:

1 Over the period of 2012-2013, 418 people (308 adults and 110 students) gave a total of 61,164 hours of volunteer time to the patients and staff of Hôpital Montfort.

2 To remain true to its mission, the Auxiliaries/Volunteers Association launched a detailed review of its activities this year in order to meet the changing needs of patients and staff at Hôpital Montfort ever more effectively.

3 In accordance with the law (extension), the Association submitted a revised version of its constitution and bylaws to its members, along with a name change proposal.

4 This year, the Association hosted the spring conference of the Hospital Auxiliaries Association of Ontario (HAAO), as approximately 120 delegates attended from various associations in Ontario. The outcome from this one-day meeting was extremely positive.

5 Thanks to the generous involvement of Volunteer Service staff, several helpful training courses were offered to members (i.e., training on patients under additional precautions, customer service, food hygiene and handling, and more). Other volunteers were asked to support new projects (such as a study on health in Ontario, a mobilization program and animal therapy).

26 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 27 MONTFORT HOSPITAL FOUNDATION 2 In addition to these various activities and programs, the Foundation: • Secured sponsorships amounting to $72,000 for Montfort Day 2012; • Raised $5,000 for the Monuments de la Francophonie in In the 2012-13 fiscal year, the Montfort Hospital Foundation remitted Hawkesbury and at the University of Ottawa, respectively; $1,077,356 to Hôpital Montfort, including $480,000 in payments for the magnetic resonance imaging (MRI) device. This amount was donated • Granted $3,000 to establish a merit scholarship for by our generous supporters and through various fundraising activities Francophones enrolled in nursing refresher training programs; and programs, including the annual charity golf tournament, direct • Participated in various match donation programs, such as the advertising programs, the monthly giving program, annual donations, United Way, CanadaHelps and Ciena Care Matching Gift Program; memorial donations, the Montfort Hospital Angels Program and the • Managed several designated funds. Newborn Club.

HIGHLIGHTS: 3 The Foundation ensures that investments generated from parking lot revenues, amounting to a portfolio of $9.9 million, 1 The Foundation gives $33,000 every month to the Institut de recherche de l’Hôpital Montfort which contributes to improving are managed effectively. the well-being and health of the population.

4 The Foundation receives revenues from business activities such as automated banking machines, TV set rentals and Friends’ Bingo Hall proceeds.

5 Under its planned giving program, the Foundation received over $210 000 in bequests and stock donations. The Foundation also is the beneficiary of life insurance policies amounting to $1.3 million.

6 Centred on the theme “Healthy Hearts”, be sure to attend the Choco- Chic banquet to commemorate Hôpital Montfort’s 60th anniversary on February 14, 2014 at the Canada Aviation and Space Museum.

28 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 29 FINANCIAL STATEMENTS FINANCIAL STATEMENTS

DISTRIBUTION OF SOURCE OF REVENUE EXPENSES

6.8% 8.3% 2.9% Depreciation Other revenues 19.9% Specifically funded Patients programs 1.7% Drugs

56.6% 23.1% Salaries and Supplies and other 2.9% 68.9% benefits expenses Specifically Local Health 8.9% funded programs Integration Network Medical Staff remuneration

30 HÔPITAL MONTFORT ANNUAL REPORT 2012-2013 31 hopitalmontfort.com