Celebrating Our 50Th Anniversary
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our hospital.our future. Celebrating our 50th Anniversary JOSEPH JOSEPHBRANT BRANT MEMORIAL HOSPITAL MEMORIAL HOSPITAL 1961-2011 annual report 2010/11 report annual celebrating 50 years A message from the Board of Governors Chair and President and CEO Susan Busby, Chair Eric Vandewall Board of Governors President and CEO As we mark our 50th anniversary, we pause to reflect on the remarkable successes of our hospital team and look forward to our redevelopment and expansion. 2 This year’s remarkable successes added year, our Accreditation survey was a tremendous along with our quality indicators. Strengthening momentum to Joseph Brant Memorial Hospital’s success, and much more important, a great learning quality and patient safety is a topic at the front of transformation, as we prepare for our largest experience for all staff. We recently received our every leadership, Board and team meeting – and expansion ever – an expansion that will position Accreditation certificate from Accreditation Canada it remains a focal point for all our activities – after the hospital to successfully meet the health care and it will be proudly displayed in our hospital. all, our patients are at the the centre of everything needs of Burlington and area residents for many Thanks to the efforts of our entire hospital team, we do. years to come. we are proud of our balanced budget position, Our successful Accreditation and our positive As we mark our 50th anniversary, our community something we have been able to achieve for a results on internal and required public reporting hospital has expanded on quality and safety second consecutive year and with no reduction are indicators that our efforts are yielding positive initiatives, continued to focus on evidence in patient care services. We have also aligned our dividends for our patients. based practice, established new community capital dollars with a focus on needs related to Overall, 2010/2011 has been quite a year, a year partnerships, renewed its organizational structure, quality and safety improvement at the hospital. of transitional change that is rebuilding the cultural and developed a new strategic plan to help guide Joseph Brant Memorial Hospital has also foundation of Joseph Brant Memorial Hospital. us over the next three years. Of significance in been proactive in responding to the legislative There are many more successes, all thanks to the the development of our new strategic plan is the requirements that are part of the Excellent Care dedication, skill, and commitment of our great active involvement that our Board of Governors, For All Act (ECFAA) that the Ontario Government hospital team, including our Staff, our Physicians, physicians, hospital staff and volunteers played in passed into law in June 2010. The Act included the our Foundation, our Board Members, our Auxiliary creating this document. development of a Quality Improvement Plan (QIP) and our Volunteers. Not to overshadow the other impressive and Declaration of Patient Values that we have JOSEPH BRANT MEMORIAL HOSPITAL ANNUAL REPORT 2010\11 www.jbmh.com ANNUAL JOSEPH BRANT MEMORIAL HOSPITAL accomplishments of our hospital over the past completed and posted on our hospital website Susan Busby Eric Vandewall our new strategic plan 2010/11 Board of governors COMPASSIONATE CARE, EXEMPLARY SERVICE, EVERY TIME. In 2010, our Board of Governors and services as a regional partner. undertook a journey to refresh We provide a safe, supportive our Strategic Plan. Following environment focused on healing, extensive consultation with our staff, prevention and wellness and offer physicians, volunteers, Hamilton learning opportunities in a community Niagara Haldimand Brant (HNHB) setting. We will achieve this by living LHIN, community partners and the our organizational values: public, we developed our 2011–2014 Strategic Plan. • Compassion REPORT 2010\11 ANNUAL JOSEPH BRANT MEMORIAL HOSPITAL www.jbmh.com Our plan sets out a renewed Vision, • Accountability 3 Mission and key Strategic directions • RespeCt to guide our hospital over the next • exCellenCe 3 years. It reflects today’s realities and builds a roadmap to meet the To fulfill our Vision we have future needs of our patients, their defined five strategic directions that families and caregivers, and our staff, will drive specific action plans to volunteers, partners and community. ensure that we consistently deliver Our Vision reflects our desire to compassionate care, exemplary provide leading practice health service, every time: BACK ROW (l-r): Brett Stevens, MD., Mae Radford, David Dean, Adam Grzeslo, MD., care in a modern, well-equipped Karmal Sakran, Don Dalicandro, Robert Hamilton, Kathryn Osborne, Randy Cross, MD., facility while consistently delivering • Quality and safety Don Wray, Marianne Meed Ward (New City Representative). a positive service experience for • exCeptional CustomeR our patients, their families and Service FRONT ROW (l-r): Gary Crowell, Barb Hladysh, Eric Vandewall, Susan Busby (Chair), caregivers. • inspiRed people and Stephen Friday (Vice Chair), Cam Jackson (Past City Representative), Sandra Edrupt Our Mission states that we provide Teamwork quality services to our community • innovation ABSENT: Brenda Hunter, Michael Pautler through a wide range of programs • leading peRfoRmanCe To view our Strategic Plan visit our web site at www.jbmh.com. accreditation Measuring quality through our clinical and operational performance Joseph Brant Memorial Hospital was accredited by Accreditation Canada for three years in the Spring of 2011 after an extensive on site peer review survey. Participation in the accreditation process allows us to measure quality in our clinical and operational performance against established international and evidence-based standards of Surveyor Dr. Annette Snow (right) at Triage with Jill Schitka, JBMH excellence in care and Required Organizational Practices (ROPs) that are crucial to patient safety. Emergency Department Manager, on Day One of the Survey. We are proud to be recognized for meeting and successfully integrating national quality standards with our other ongoing quality and safety initiatives. 4 accountability Fostering a culture of transparency and accountability Joseph Brant Memorial Hospital regularly monitors and reviews our quality and safety measures to help us improve our performance and patient satisfaction outcomes. We believe in being accountable for the care we provide and are pleased to comply with all legislated requirements as set forth by the Excellent Care for All Act (ECFAA). We have developed and posted on our web site our Quality Improvement Plan and draft Patient Declaration of Values. We have also complied with The Broader Public Sector Accountability Act (BPSAA). The BPSAA increases transparency and accountability by requiring LHINs and hospitals to post information on their web sites about expense claims of individuals such as board members and senior managers. LHINs and hospitals are also required to prepare reports, approved by their boards, concerning their use of consultants. JBMH President and CEO Eric Vandewall (centre) with Accreditation Canada Surveyors, from l-r: Susan Yates, Margaret Bachle, Dr. Annette H. Snow and David Vigar. Our Expense Reimbursement Policy can viewed on our web site at www.jbmh.com. quality improvement plan Performance improvement and patient satisfaction are important to us ABOUT OUR QUALITY IMPROVEMENT PLAN (QIP) Our Quality Improvement Plan (QIP) will help us document and review our targeted areas for improvement and chart our progress in patient satisfaction and clinical performance. We have selected five (5) specific indicators for improvements based on current data, patient feedback and system pressures and priorities. By focusing our efforts in these key areas, we believe we can implement and PATIENT DECLARATION OF VALUES 5 sustain the desired improvements to enhance the quality of care and services we provide to all of our patients. The Patient Declaration of Values is an important document that tells us what you value most in IN OUR QUALITY IMPROVEMENT PLAN (QIP), WE HAVE SET THE FOLLOWING TARGETS. THESE your care experience. TARGETS ARE A STARTING POINT AND ARE ONE COMPONENT OF OUR OVERALL PERFORMANCE AND SAFETY INITIATIVES: Our Patient Declaration of Values is based on our CARE Commitment. This means that as a patient • Improve our hand hygiene compliance rates before patient contact by approximately 10% you can expect to be treated with Compassion, over the next year be in an environment that promotes mutual Accountability, be treated with Respect, and • Reduce our falls resulting in injuries to patients by 5% expect care and service in an environment of Excellence. • Decrease ED wait time by 5% for patients presenting to our ED who require admission To view both our Quality Improvement Plan and the • Decrease our total number of inpatient days designated as Alternate Level of Care (ALC) by 2% Patient Declaration of Values visit www.jbmh.com. • Increase our inpatient patient satisfaction scores specific to reasonable response times to call bells by 5% PERFORMANCE & SAFETY 6 Reviewing. Reporting. Learning. Improving. Measurement of key performance indicators is an important part of our quality and safety improve- ment program and we are also pleased to comply with the Ministry of Health and Long-Term Care's initiative requiring Ontario hospitals to report results for key patient safety indicators to the public. We are proud that several of our quality and safety