Patient- Centred Innovation
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Annual Report Patient- Centred Innovation 2011 2012 1 Patient-centred innovation. It is a state of mind in which we believe the health care Of the several roles I fulfil at HSN, the one that is most fulfilling and motivating is that Message system should revolve around the patient, not the other way around. It is a philosophy Report from of ED physician. Nothing is more satisfying for me than meeting with patients directly and approach that constantly examines and refines what we do and how we do it, and playing an active role in addressing their health care needs. I see every shift I always with the patient’s best interests at heart. Patient-centred innovation must be work in the ED as an opportunity to both learn and teach. We do that by asking such from the the foundation on which the pillars of our institution are based: highest quality care, the Chief of questions as “What can we learn from this situation? What can we do to improve the research, teaching and health promotion. It is a daunting task to be truly patient- outcome for our patient? How can this help the next patient we see?” centred in a field that is systematic, multi-faceted, evidence-based, highly regulated Board Chair and with very little - if any - margin for error. But it is a mindset that we have embraced Staff and Vice That is where patient-centred innovation starts. It’s born out of a desire to make this past year at Health Sciences North (HSN). people well again, fostered by a willingness to be curious and think of all possible and President President of options, and it grows by retaining and sharing that knowledge. Ultimately, patient- The timing was ideal. There were seismic shifts in the health care landscape centred innovation succeeds by having the right people and creating the right over the past year, locally and provincially. The Drummond Report, the provincial environment. and CEO government’s Health Care Action Plan, the Excellent Care for All Act and the Ontario Medical and budget all placed greater emphasis on health care that is patient-centred, effective, This past year, HSN made several strides in fostering that environment, thanks to the cost-efficient, and timely, with greater scrutiny and accountability of how hospitals dedication and skill of our staff, and the addition of 23 new physicians and specialists provide that care and use public resources. At the same time, ongoing challenges Academic to Greater Sudbury. We also hired approximately 240 other health professionals this persisted including high numbers of Alternate Level of Care (ALC) patients, long past year, from nurses to clinicians to therapists. Our staff are skilled and committed wait times in our Emergency Department (ED), and slow access to some surgical Affairs to exploring new ways of making care better for our patients. Dr. Denis Roy, President and CEO procedures and diagnostic tests. and Russ Boyles, Board Chair Among the measures put in place this year to make our care more innovative and We responded. We put in place new measures of accountability and transparency patient-friendly was the development of a Quality Improvement Plan outlining key within the governance and administrative levels of the institution. We developed new areas targeted for improvement, including a reduction in wait times and improvements programs and methods of delivering care that are more responsive to the needs of in infection control practices. patients, especially in the areas of outpatient care, chronic disease management, seniors’ and emergency care. Whether that innovation occurred at the bedside or the Dr. Chris Bourdon, Chief of Staff One of the most significant advances in patient-centred innovation this year occurred boardroom, our people performed with great skill, dedication and professionalism. and Vice President of Medical and when the provincial government approved our Learners Space Capital Project. This Academic Affairs project will allow HSN to accommodate more medical learners than ever before. The centrepiece of the Learners Space is a Simulation Centre, housing the latest in teaching technology, such as state-of-the-art medical mannequins and other simulators. Perhaps the single largest innovation chronic disease live a more healthy and witnessed this year was the unveiling independent lifestyle. We are creating Both learners and existing staff will have access to the Simulation Centre to learn or of a new identity and approach to a Learners Space which will allow us perfect various skills and procedures. It’s the health care field’s equivalent of a flight health care for our institution, an to teach and train medical students simulator, and the presence of a Simulation Centre is proven to improve outcomes identity directly related to our drive and other learners in surroundings and reduce complications for patients. towards patient-centred innovation. that will foster continuous learning and Health Sciences North/Horizon Santé- improvement. As a front-line physician, I see first-hand the challenges facing our health care system. Nord reflects how we’ve grown as But I also see a remarkable drive and determination on the part of everyone at HSN to an institution, and how we embrace There is no doubt substantial challenges meet those challenges through innovative thinking and a willingness to embrace and innovation in patient care, research, remain, both for HSN specifically, and enact change for the benefit of our patients. I am very honoured to be part of the team teaching and health promotion of the for the health care system in general. at HSN. highest calibre. Our new identity also But even in these areas of challenge, sends a clear message to health care progress is being made as we re- professionals of all disciplines who share examine and redesign how we do things this mindset: we are a destination of to make our care more responsive to the choice that will encourage you to use needs of our patients. your skills to their full potential, and pursue new ways of providing care for We are very proud of what has the benefit of our patients. been accomplished this past year Dr. Chris Bourdon at HSN. The drive to be innovative It is an approach that is working. and patient-centred, and having This past year was one of the best people of the highest calibre and for recruiting physicians to Greater commitment to excellence, has been Sudbury. New programs, procedures key to our successes this year. With the and technologies were introduced this combination of innovative people and year at HSN, innovations that in some innovative thinking, we are confident we Dr. Kevan Saidi, who performed the first computer-navigated orthopaedic Dr. Denis Roy cases have never been done before in will meet any challenge that lies ahead. biopsy of its kind in North America: “As a surgeon, I was thrilled to be part other parts of Ontario or Canada. of this innovative procedure and to have the support of the hospital. Most We are redesigning how we care for our importantly, our patient received access to a procedure that’s only available in patients with the Sudbury Outpatient a few centres in the world.” Centre where we can help people with Russ Boyles 2 3 Four Pillars Patient-Centred Care HSN undertook an extensive survey of our patients, which led to the creation of our Patient Declaration of Values. It identifies and articulates four key values which will of HSN serve as our guide as we continue our efforts to be patient-centred in our care. These values include treating our patients and their families with respect, having our patients actively involved in their care, sharing important health care information with our patients, and accommodating any questions or concerns they may have. The experience of care, as perceived by the patient and family, is an important factor in health care quality and safety. One way this is being determined is through the creation of a CEO Patient Advisory Council. The purpose of the Council is to empower patients to take an active role in improving the patient experience by providing feedback and solutions to challenges that affect patients. HSN will also create Patient Advisory Councils at the program level. Through the development of these councils, we will invite patients to work with us as partners to improve quality of care and safety across the organization and enrich the patient experience at HSN. HSN is moving forward with an Organizational Excellence initiative to enhance the quality of patient care services. Based on LEAN methodology, the program will use the patient’s journey across the organization to evaluate and improve all components of care delivery. The goal of these improvements, designed by staff and One of Sudbury’s new surgeons, Dr. Antonio Caycedo, performs the first microsurgery biopsy of physicians, will be to its kind in northeastern Ontario. improve the coordination of care, patient flow and access so as to exceed our patients’ and staff expectations of quality, safety and A new Heart Failure Infusion Clinic was Our Cardiac Program’s STEMI Bypass value. These improvements will enable us to better serve our community as a whole, established for patients with congestive protocol, initiated in 2010, continued The four pillars of our institution while improving each patient and family’s experience and level of satisfaction. heart failure. This new service allows to produce potentially life-saving (patient-centred care, research, David Schram, Heart Failure clinicians to provide enhanced care, results. Under the protocol, people teaching and health promotion) A special emphasis was placed this year on seniors’ care. HSN introduced many monitoring and health promotion for with a suspected heart attack are Infusion Clinic patient: “This define how we will move forward new services designed to make our care more senior-friendly.