3.08 MRI and CT Scanning Services

Total Page:16

File Type:pdf, Size:1020Kb

3.08 MRI and CT Scanning Services Chapter 3 Ministry of Health and Long-Term Care Section 3.08 MRI and CT Scanning Services urgent (within two days), semi-urgent (within 1.0 Summary 10 days) and non-urgent (within 28 days). These targets are set at the 90th percentile, which repre- sents the time within which 90% of patients in each Diagnostic medical imaging includes the use of category should receive their scan from the date of magnetic resonance imaging (MRI) and computed referral for the scan. This means that no more than tomography (CT) scans to provide physicians 10% should wait any longer than that. with important information for diagnosing and Our audit found that, overall, Ontario’s wait monitoring patients’ conditions. Timely, quality, times for patients requiring MRI and CT scans were medically necessary scans can help doctors to the lowest when compared to five provinces where accurately diagnose and treat many diseases earlier the 90th percentile wait-time data was available in their course, positively contributing to patients’ (public information is not available from British health outcomes. Columbia and Quebec). However, many Ontarians Chapter 3 • VFM Section 3.08 As technological advances continue to broaden who needed scans have had significantly long waits the range of their medical uses and the diseases in comparison to Ministry targets. We also found that can be diagnosed, MRI scans performed have that if existing MRI and CT scan machines had been increased by 17% and CT scans by more than 30% operated more hours, more patients could have over the five years up to 2017/18, excluding emer- been scanned, thereby reducing wait times. Our gency cases (as emergency data was not required to audit also identified opportunities where increased be collected before 2015). efficiency and better use of resources could help The Ministry of Health and Long-Term Care to reduce wait times for MRI and CT scans. While (Ministry) is responsible for overseeing, through some of our specific findings are common to both the 14 Local Health Integration Networks (LHINs), MRIs and CTs, others are unique to either MRIs or the funding and performance of MRI and CT CTs, as follows: services in Ontario. Of the 137 public hospitals in Ontario as of April 2018, 78 had at least one MRI or CT machine. MRI Scanning Services Timely access to MRI and CT scanning services is For MRIs, in 2017/18, a total of 108 MRI machines a fundamental part of Ontario’s Wait Time Strategy. in 52 hospitals performed over 835,600 examina- The Ministry has set four priority levels for radiolo- tions. During the same fiscal year, the Ministry gists to use to triage patients and has set a wait-time provided funding of $157 million, plus a one-time target for each level: emergency (within 24 hours), additional payment of $7.3 million, to these 365 366 hospitals, to be used specifically for providing MRI longest wait times, as compared to 63 days in services. Hospitals also have the discretion to use the LHIN with the shortest wait times. funds from their global budgets (annual lump-sum • Patients wait unnecessarily long times funding from the Ministry) or other sources to pro- for MRI scans, while machines are not vide additional MRI services. operating for sufficient hours, despite • 65% of semi-urgent and non-urgent available capacity. We found that MRI patients waited longer than the Ministry’s machines could have been operating more targeted waiting period to receive their hours, thereby reducing wait times, but the MRIs. Ontario hospitals were mostly able hospitals were financially unable to increase to provide timely services to patients who their operating hours for these machines. If required either emergency or urgent MRI all 108 MRI machines in Ontario’s hospitals scans, but were unable to do so for semi- had operated for 16 hours, seven days a week, urgent and non-urgent patients. It is still hospitals would have been able to outperform important for semi-urgent and non-urgent the Ministry’s wait-time targets. patients to receive timely services. Long wait On average, all 108 MRI machines were times delay their diagnosis and treatment, used at only 56% of maximum capacity and can impact their quality of life, such (which is running 24 hours a day, seven as their ability to return to employment, days a week) in 2017/18. We estimated the school or everyday life. In some cases, the additional cost to meet the Ministry targets long wait can result in deterioration of the by the end of 2018/19 would be about patient’s condition. $34 million, assuming hospitals operated For emergency patients, only 5% waited machines 132,197 more hours than they longer than the 24-hour target. For urgent operated them in 2017/18, at a rate of $260 patients, 17% waited longer than the two-day per hour. target (up to five days). Semi-urgent and non- • Patient no-shows (missed appointments) Chapter 3 • VFM Section 3.08 urgent patients accounted for 91% of the total are costly, but the Ministry and hospitals MRI scans in 2017/18. Overall, only 35% (not do not understand why they occur. When the intended 90%) of semi-urgent and non- patients do not show up for an appointment urgent patients received MRI scans within the or cancel it the same day, scanning machines Ministry’s wait-time targets of 10 days and 28 can sit idle if hospitals are unable to fill days, respectively. The remaining 65% (not the time slot quickly. Lack of user-friendly the intended 10%) waited longer than these communication systems at the hospitals to wait-time targets (see Figure 7). allow patients to confirm receipt of their • Wait times for MRI scans vary depending appointment, including emails and text- on where the patient lives in Ontario. The messaging, contributed to patient no-shows. wait-time disparity for non-urgent patients We also noted that none of the four hospitals was the most significant. Depending on where we conducted audit work routinely where a patient lives and the demand for MRI tracks reasons for no-shows. scanning services in that LHIN, patients have MRI patient no-show rates across Ontario a shorter or longer wait than in other LHINs. hospitals ranged between 0.1% and 13.4% The Ministry has not analyzed why wait times of scheduled appointments. In 2017/18, vary significantly among LHINs. hospitals reported a total of 48,320 MRI In 2017/18, 90% of non-urgent patients appointments where patients did not show waited up to 203 days in the LHIN with the up, which we estimated cost hospitals about $6.2 million, mainly to pay for staffing. MRI and CT Scanning Services 367 CT Scanning Services available capacity. We found that CT In 2017/18, a total of 165 CT machines in 78 hos- machines could have been operating more pitals performed almost 1.8 million scans. In the hours, thereby reducing wait times, but the same year, the Ministry gave $9 million to these hospitals were financially unable to increase hospitals to be used specifically for providing CT their operating hours for these machines. services. Hospitals rely more heavily on their global On average, all 165 CT machines were budgets to provide CT services—the $9 million is used at approximately 37% of maximum intended to be supplementary funding. capacity in 2017/18, despite long wait • 33% of semi-urgent and non-urgent times. Cancer Care Ontario does not have a patients waited longer than the Ministry’s predictive model to determine the number of targeted waiting period to receive their hours needed to achieve the Ministry’s wait- CT scans. Ontario hospitals were mostly time targets for CT scans. able to provide timely services to patients • Patient no-shows (missed appointments) who required either emergency or urgent are costly, but the Ministry and hospitals CT scans, but were unable to do so for semi- do not understand why they occur. Lack urgent and non-urgent patients. of user-friendly communication systems at For emergency patients, less than 1% the hospitals to allow patients to confirm waited longer than the 24-hour target. For receipt of their appointment, including emails urgent patients, 4% waited longer than the and text-messaging, contributed to patient two-day target (up to four days). Semi-urgent no-shows. We noted that none of the four and non-urgent patients accounted for 49% of hospitals where we conducted audit work the total CT scans in 2017/18. Only 67% (not routinely tracks reasons for no-shows. the intended 90%) of semi-urgent and non- CT patient no-show rates across Ontario urgent patients received CT scans within the hospitals ranged between 0.6% and 13% Ministry’s wait-time targets of 10 days and of scheduled appointments. In 2017/18, 28 days for these two groups. The remaining hospitals reported a total of 57,916 missed CT Chapter 3 • VFM Section 3.08 33% (not the intended 10%) waited longer appointments, but they were able to fill these (see Figure 9). slots with little difficulty. • Wait times for CT scans vary depending on where the patient lives in Ontario. The MRI and CT Scanning Services wait-time disparity for non-urgent patients The Ministry is unable to justify the was the most significant. Depending on • funding methods for MRI and CT scans, where a patient lives and the demand for CT which have remained unchanged for over scanning services in that LHIN, patients have 10 years. The Ministry has not reviewed its a shorter or longer wait than in other LHINs.
Recommended publications
  • Hand Hygiene
    Why is it important to publish performance reports? Bluewater Health is pleased to share reports of our performance not only as a means of communicating and demonstrating the quality of care provided at our hospital and our plans to improve healthcare experiences, but also as an indication of our commitment to accountability and transparency to our community, patients, and staff. What is the purpose of measuring and reporting our performance? Bluewater Health measures and reports performance for many reasons: 1.To monitor our progress in achieving the desired outcomes of our strategic plan. 2.To check that our efforts to improve the quality of care at Bluewater Health, as outlined in our Quality Improvement Plan (QIP), are truly resulting in better and safer care. 3.To comply with Local Health Integration Network (LHIN) and Ministry of Health and Long-Term Care (MOHLTC) requirements for publicly reported patient safety measures as a condition of receiving funding for the care and services we deliver. Table of Contents Quality Care PAGE Safe & Effective Hospital Standardized Mortality Ratio (HSMR) 1 Hand Hygiene 2 3 Central Line Infection (CLI) 4 Methicillin-Resistant Staphylococcus Aureus (MRSA) 5 Surgical Safety Checklist Compliance 6 Surgical Site Infection Prevention 7 Vancomycin-Resistant-Enterococcus (VRE) Infection 8 Ventilator-Associated Pneumonia (VAP) 9 Falls 10 Medication Reconciliation 11 Accessible & Equitable Surgery, Magnetic Resonance Imaging (MRI), and Computed Tomography (CT) Wait Times 12 Emergency Department Wait Times
    [Show full text]
  • The Hon. Dr. Eric Hoskins Minister of Health and Long-Term Care 10Th Floor, Hepburn Block 80 Grosvenor Street Toronto, Ontario M7A 2C4
    The Hon. Dr. Eric Hoskins Minister of Health and Long-Term Care 10th Floor, Hepburn Block 80 Grosvenor Street Toronto, Ontario M7A 2C4 December 9, 2014 Dear Minister Hoskins, We are writing to request an urgent meeting with you to discuss how we can partner to ensure progress in Ontario's Diabetes Strategy. We acknowledge the government investments in the Ontario Diabetes Strategy which has resulted in improved screening, prevention and treatment of some diabetes related complications in the province. However, the prevalence of one of the most devastating outcomes of diabetes -- foot ulcers and amputations -- continues to grow. Ministry of Health and Long-Term Care data shows that in fiscal year 2008/9 there were 18,341 hospitalizations in Ontario due to diabetic foot ulcers or amputations. In 2010/11 there were 33,199.1 This has direct and devastating implications for the approximately 1.46 million Ontarians with diabetes, their families, the services that support them, and the health system as a whole.2 Chief among these gaps is the fact that most Ontarians with diabetic foot complications have to pay out of pocket for the care they need, which includes preventative shoes, socks, offloading devices and chiropody/podiatry/nursing treatment. Also of critical import is that primary care screening rates for diabetic foot complications in Canada are currently the lowest among high income countries.3 Furthermore people with early signs of diabetic foot complications often have no place to go, beyond the emergency room. Unlike jurisdictions such as the United Kingdom, Ontario lacks regional multidisciplinary diabetes foot care teams to perform emergency limb salvage.
    [Show full text]
  • TO the CITY of GREATER SUDBURY MAYOR and COUNCIL 2014 in Review
    2014 REPORTTO THE CITY OF GREATER SUDBURY MAYOR AND COUNCIL 2014 In Review 2014 was a momentous year at 2014 saw the launch of the North Health Sciences North (HSN). Eastern Ontario Centre for Kids Despite the difficult financial climate Health, also known as NEO Kids. faced by hospitals across the This project builds on the Pediatric province, HSN was able to improve Centre of Excellence vision by and add new services for patients providing a central location for all while at the same time balance its pediatric outpatient needs at HSN. budget for the second year in a row. NEO Kids will play an important role going forward as it will change how This past year saw another children and youth are cared for in successful recruitment of our community. Already it is adding physicians to Greater Sudbury. In new services such as an allergy clinic total, 16 new physicians established which will result in fewer kids having their practices in Greater Sudbury, to travel to Toronto to get tested. including two Emergency Medicine physicians, five family doctors, As the regional referral hospital for and nine specialists in the fields of the northeast, HSN serves people cardiology, obstetrics/gynaecology, all across the north. To ensure oncology, anaesthesia, general that patients have access to timely surgery and pathology. care, HSN has turned to advanced technology to address the north’s Parking also got a boost in 2014 with vast geography and dispersed construction of a new parking lot at population. the Ramsey Lake Health Centre. Scheduled to be completed by fall 2015, it will add 965 additional parking spaces.
    [Show full text]
  • Health Sciences North (HSN) Sudbury, Northern Ontario
    Health Sciences North (HSN) Sudbury, Northern Ontario Medical Oncology Practice Opportunity Join Northeastern Ontario’s health care leader Health Sciences North/Horizon Santé-Nord (HSN) is recruiting health care professionals who have a keen interest in affecting change within its dynamic health care system. As the tertiary care referral centre for the entire Northeastern Ontario region, HSN serves a catchment population of over 600,000 residents. HSN’s Northeast Cancer Centre is currently seeking a Medical Oncologist to join its Systemic Treatment Group Spring/Summer 2021. The collegial team of 11 Medical Oncologists/Haematologists, a group of 4 General Practitioners in Oncology, and 7 Radiation Oncologists, enjoys an active Clinical Research Department which provides ample opportunity for Clinical Trials participation, including the capability of performing clinical research in-house. As a large tertiary care provider, HSN serves as the regional resource and referral centre for the entire Northeastern Ontario region, serving over 600,000 residents. Its Northeast Cancer Centre is a modern, well-equipped facility integrated within a new state-of-the-art hospital and includes dedicated in-patient oncology/haematology and palliative care beds. We are also provincial leaders in providing virtual care to patients from across the northeast. Candidates must have obtained specialty qualifications from the Royal College of Physicians and Surgeons of Canada and be independently li- censed or eligible for licensure in Ontario; qualified Academic or Pathway 3/4 physicians will also be considered on a case by case basis. Ability to communicate in both English and French is also considered an asset. All physicians are required to seek academic appointment at the Northern Ontario School of Medicine (NOSM), and become involved in teaching undergraduate and postgraduate trainees.
    [Show full text]
  • HSN Visitor Guide Jan2017.Pdf
    South Tower Centre Tower North Tower 1 Level 1 Level 1 Level • Ambulatory Care Unit - ACU 1 • Administration • Chapel (Medical/Surgical Clinics) • Clinical Laboratory • Connection to Northeast Cancer Centre and • Dr. Fortin • Finance - Patient Accounts Daffodil Terrace Lodge • Laboratory and Pathology Offices • Health Information Services • Dr. A Graham, EMG Lab • Neo Kids Foundation • Heart Failure Disease Management Program • Regional Evaluation Centre • Neurodiagnostics / Stroke Prevention Clinic - Infusion Clinic • Health Sciences Library • Pediatric Outpatient Clinic • Medical Day Clinic • Outpatient Rehabilitation Services • Violence Intervention and Prevention • Patient Relations • Volunteer Association • Telemedicine Ramsey Lake Health Centre 2 Level 2 Level Health Sciences North Main Entrance 2 Level Main Entrance • Ambulatory Care Unit - ACU 2 (Orthopedics Main Entrance • Diagnostic Imaging NORTH and Plastics Clinics) • Cafeteria (Rock Garden Café) (CT, MRI, Angiography) • Diagnostic Imaging SOUTH • Emergency Department • Connection to Northeast Cancer Centre and (Fluoroscopy, Nuclear Medicine, • Emergency Preparedness Daffodil Terrace Lodge Visitor Ultrasound, X-Ray) • Endoscopy and Minor Procedures • Dr. Sandre • Boutique Gift Shop 3 Level • Helpline Medical Alarms • Health Sciences North Foundation • Boardroom • Hospitalist Service Guide • Pharmacy 3 Level • Laboratory Out-Patient Collection / • Intensive Rehabilitation Unit Electrocardiogram (ECG) 4 Level • Pediatrics • Lecture Rooms • Oncology and Medical Unit • Main Conference
    [Show full text]
  • Dr. Jonathan Morris North York General Hospital Rouge Valley Health System – Centenary Professor of Obstetrics and Gynaecology and Director, St
    University of Toronto Department of Obstetrics and Gynaecology Interhospital Rounds 2014-15 Premature rupture of membranes Ontario Telemedicine Network Friday, November 7, 2014 - 7:45 to 8:45 a.m. (OTN) Live Video Feed Sunnybrook Health Sciences Centre – Harrison Hall (EG21) Locations Health Sciences North – Sudbury Outpatient Services Mount Sinai Hospital Norfolk General Hospital (Simcoe) Dr. Jonathan Morris North York General Hospital Rouge Valley Health System – Centenary Professor of Obstetrics and Gynaecology and Director, St. Joseph's Health Centre Kolling Institute of Medical Research, Royal North Shore St. Michael’s Hospital Toronto East General Hospital Hospital; Associate Dean and Head of Obstetrics, Trillium Health Partners – CVH Gynaecology and Neonatology, Northern Clinical School, Trillium Health Partners – Mississauga William Osler Health Sys – Brampton New South Wales, Australia William Osler Health Sys – Etobicoke OTN Live Webcast Objectives: Watch Live: To outline the risk factors related to premature rupture of http://webcast.otn.ca/index/browse?pa membranes ge=1&type=3 To outline current approaches in the management of Search for Event Code: 37946109 premature rupture of membranes This is an open access event. Live Q and A Session Email questions during the event to: [email protected] Ways to participate Live audience Live OTN video feed Live webcast (individual/group) Recorded - view web archive http://webcast.otn.ca/index/browse /?page=1&type=1 To join the IHRounds network of clinical sites or receive IHR event alerts from U of T Ob/Gyn, contact With special thanks to our Educational Partners: Cherryl Bird, IHRounds Organizer. AbbVie Bayer HealthCare Pharmaceuticals Hologic Canada Ltd.
    [Show full text]
  • COLLECTIVE AGREEMENT Between: HEALTH SCIENCES NORTH/HORIZON SANTE-NORD (HSN) And: ONTARIO NURSES' ASSOCIATION (PARAMEDICAL) Expi
    COLLECTIVE AGREEMENT Between: HEALTH SCIENCES NORTH/HORIZON SANTE-NORD (HSN) (hereinafter referred to as "the Hospital") And: ONTARIO NURSES' ASSOCIATION (PARAMEDICAL) (hereinafter referred to as "the Union") Expiry: June 13, 2022 HEASN01.C22 TABLE OF CONTENTS Article Page ARTICLE 1 – PURPOSE ................................................................................................................. 1 ARTICLE 2 – SCOPE AND RECOGNITION .................................................................................... 1 ARTICLE 3 – MANAGEMENT RIGHTS ........................................................................................... 1 ARTICLE 4 – DEFINITIONS ............................................................................................................ 2 ARTICLE 5 – NO DISCRIMINATION OR HARASSMENT ............................................................... 3 ARTICLE 6 – NO STRIKE/NO LOCKOUT ....................................................................................... 5 ARTICLE 7 – UNION SECURITY (DUES DEDUCTION) ................................................................. 5 ARTICLE 8 – REPRESENTATION AND COMMITTEES ................................................................. 6 ARTICLE 9 – HEALTH AND SAFETY .............................................................................................. 9 ARTICLE 10 – GRIEVANCE AND ABRITRATION PROCEDURE ................................................. 13 ARTICLE 11 – LETTERS OF REPRIMAND AND ACCESS TO FILES .........................................
    [Show full text]
  • Health Sciences North
    Health Sciences North ONA (Active and Early Retirees) Group Policy No. 101180-001 Group Plan Number 78180-001 & 011 Health Sciences North Life, Optional Life and Long Term Disability Insurance Underwritten by: Sun Life Assurance Company of Canada Group Policy No. 101180 Extended Health and Dental Benefits Administered by: Sun Life Assurance Company of Canada Group Plan No. 78180 Table of Contents Your Group Benefits Booklet .......................................................................................... 1 General Information ........................................................................................................ 3 Section 1 Insured Provisions Summary of Insurance .................................................................................................... 6 Life Insurance Provision ............................................................................................... 10 Long Term Disability Insurance Provision (Class 1) .................................................. 12 Long Term Disability Insurance Provision (Class 1A) ............................................... 16 Section 2. Administered Services for Non-Insured Benefits Summary of Benefits...................................................................................................... 20 Extended Health Provision ............................................................................................ 22 Extended Health - Basic Drug Benefit .......................................................................... 24 Extended
    [Show full text]
  • Your Guide to Total Hip Replacement
    NORTH EAST CENTRE JOINT D’ÉVALUATION ASSESSMENT DES ARTICULATIONS CENTRE DU NORD-EST YOUR GUIDE TO TOTAL HIP REPLACEMENT Disponible en Français 50 College Drive, P.O. Box/C.P. 2500, North Bay, Ontario P1B 5A4 Phone | Tél. 705 474-8600 www.nbrhc.on.ca RHC 1540 Revised April 2013 cockbt WELCOME Thank you for choosing the North Bay Regional Health Centre. This booklet was written especially for you, the patient, and your family. It contains information about what you can do before, during, and after your surgery so that your joint replacement is as successful as possible. We have attempted to answer the most commonly asked questions about your upcoming surgery in this booklet. Please feel free to ask your surgeon, nurse, or therapist any other questions you may have. Preparing for hip replacement surgery begins several weeks ahead of the actual surgery date. Please review this information and bring this booklet with you to your Pre-Admission Clinic appointment, the Pre-Operative Education class, and when you come to the hospital for your surgery. For more information about the North Bay Regional Health Centre and the services available, a patient services directory is available for free at the front entrance lobby of the hospital. Ensure to pick one up when you come for your Pre-Admission Clinic visit and take the time to review the information in this directory. ACKNOWLEDGMENTS Parts of this document have been reproduced with permission from: • OASIS (Osteoarthritis Service Integration System) at Vancouver Coastal Health: Before, During
    [Show full text]
  • 3 M 24, 2014 0730‐1600 the Cavern
    Program Descripon PLANNING COMMITTEE Health Sciences North is holding its 3rd Annual Cardiovascular Dr. G. Ravi Joanne Collin Symposium designed for family physicians, cardiologists, Dr. A. Costa‐Vitali Kari Kosw internists, intensivists, nurses and allied health providers. The Dr. C. Mailloux Carly Mohninger symposium will be delivered as a live conference with top Debbie Gray Kim Waine 3 clinicians and researchers who will each deliver a 15‐minute presentaon on updated clinical skills and new innovaons in cardiology. Twenty‐five percent interacvity will be achieved M 24, 2014 through queson and answer sessions for all parcipants. 0730‐1600 Learning Objecves SPONSORSHIP 1. Discuss sudden cardiac arrest in the absence of apparent structural heart disease Proudly supported by unrestricted E DATE! 2. Review end of life care and palliaon for heart failure educaonal grants from the following companies SAVE TH R 24, OCTOBE the 4th 3. Discuss praccal ps for office management of heart failure 2015 for Annual 4. Beer understanding of differenal diagnosis of syncope 5. Discuss strategies to reduce hospitalizaons in paents old G with heart failure 6. Review the latest guidelines for ancoagulant therapy 7. Review latest guidelines for management of atrial fibrillaon 8. Discuss clinical advances in intensive low density er lipoprotein management Silv 9. Idenfy effecve weight‐loss strategies 10. Discuss the treatment of dysglycemia in paents with cardiovascular disease 11. Idenfy benefits of physical acvity and exercise in older adults 12. Idenfy acute coronary syndrome management in The Cavern– Science North challenging paents with STEMI 13. Review new treatment therapy and recent scienfic 100 Ramsey Lake Road advancements in Cardiology Sudbury, Ontario FACULTY AGENDA Beth L.
    [Show full text]
  • January 27, 2021
    AGENDA OPEN SESSION BOARD MEETING Wednesday, January 27, 2021 Zoom Videoconference 5:00 pm Directors: Marg Dragan, Vice-Chair Louis Guimond, Treasuer Rachael Simon Anthony Iafrate Brian Knott, Chair Fred Vanderheide Bill Gillam Katherine Mantha Paul Wiersma Jenny Greensmith Bob McKinley Kirk Wilson Ex-Officio Directors: Mike Lapaine Shannon Landry Dr. Lincoln Lam Dr. Michel Haddad Dr. Andre Rudovics Invited Participants: Samer Abou-Sweid Laurie Zimmer Paula Reaume-Zimmer Julia Oosterman Kathy Alexander Dr. Dhiraj Dhanjani Recorder: Melissa Rondinelli *attached NO. TOPIC ACTION TIME PRESENTER 1.0 CALL TO ORDER: WELCOME AND OPENING REMARKS 5:00 Brian Knott 1.1 Traditional Territory Acknowledgement 2.0 AGENDA APPROVAL 2.1 Approval of Agenda Decision Brian Knott 2.2 Report on In-Camera Board Meeting – Nov. 25, 2020 Information 2.3 Declaration of Conflict of Interest Decision 3.0 CONSENT AGENDA Brian Knott 3.1 INFORMATION ITEMS TO BE RECEIVED 3.1.1 Board Chair Report* Brian Knott 3.1.2 Professional Staff Association Report* Dr. Andre Rudovics 3.1.3 Resource Utilization and Audit Committee Performance Scorecard* Samer Abou-Sweid 3.1.4 Quality Committee Performance Scorecard* Shannon Landry 3.1.5 Foundation Report* Kathy Alexander 3.2 ITEMS FOR APPROVAL 3.2.1 Open Session Board Minutes – Nov. 25, 2020* Decision Brian Knott 4.0 PRESIDENT & CEO REPORT* Information 5:03 Mike Lapaine NO. TOPIC ACTION TIME PRESENTER 5.0 BOARD DECISIONS/OVERSIGHT 5.1 Board Work Plan* Decision 5:08 Brian Knott 5.2 Monthly Financial Statement* Decision 5:13 Samer Abou-Sweid 5.3 Pandemic Response & Hospital Operations Information Scorecard* 5.4 COVID-19 Update Information 5:25 Mike Lapaine Dr.
    [Show full text]
  • Memorial Service Honours Loved Ones
    RACE FOR HEALTH & INTERNATIONAL GRANFONDO - Page 2 Memorial Service Foundations Support Honours Loved Hospitals’ Equipment Ones Needs Page 3 Page 8 A Publication of Bluewater Health Foundation Volume 16 Issue 2 Summer, 2016 HELP is available at Bluewater Health Volunteer Cory Soininen (left) helps Richard Graham stay abreast of the daily news. Being in a new place can be discon- A new program now available at The program was introduced on the interaction with patients makes the one-on-one discussion; exercise or certing. Add an injury or illness and Bluewater Health is helping older Medicine and Telemetry inpatient program unique and appealing to a mobility where a volunteer acts as make that new place a hospital, and adults return to their homes or pre- units in Sarnia, where many elderly broad range of volunteers, thereby a “cheerleader;” helping with tray the experience can become a pivotal vious living situations after being patients fitting the criteria are admit- strengthening the hospital’s link to set-up at meals and encouraging life event – especially for some old- hospitalized, with the same or better fluid intake; and hearing and vision ted, with program expansion planned the community.” The program also er patients. During a hospital stay, ability to function. Based on research first for the Surgical unit and Emergen- adaptations. In addition to reducing has indirect benefits – because these older patients with visual or hear- from the Yale University School of cy Department. HELP has been shown the incidence of delirium by 34 per patients’ non-clinical needs are be- ing deficits, mobility or cognitive Medicine, the Hospital Elder Life to be effective in preventing delirium, cent in trials, this program has been ing met by volunteers and the ELS, challenges, or dehydration or poor Program (HELP) seeks to prevent as well as cognitive and functional de- shown to improve consistency and it means reduced interruptions for nutrition are more prone to develop delirium and complications in older cline.
    [Show full text]