Annual Report 2 Contents Table of Table 2012

ANNUAL REPORT 2 CONTENTS TABLE OF TABLE 2012 . 2013STATISTICS 2012STATEMENT . 2013FINANCIAL 2012-2013 DIRECTORS OF BOARD HAWKESBURY GENERAL HOSPITAL FOUNDATION GENERAL HAWKESBURY COMMUNITIES! OUR SERVING CASSELMAN… AND ROCKLAND EXCELLENCE: STANDARDS! QUALITY SUPERIOR PATIENTS! SERVING INNOVATION: TELEMEDECINE COMPASSION: TESTIMONY! A VIBRANT STAFF OF CHIEF RETIRING THE OF REPORT OFFICER EXECUTIVE CHIEF THE OF REPORT DIRECTORS OF BOARD THE OF CHAIR THE OF REPORT MISSION HOSPITAL ANEW FOR BRAND CORPORATE A NEW TO BETTER SERVE YOU... SERVE TO BETTER HOSPITAL 2017. IN A NEW 2018 FINANCIAL STATEMENT FINANCIAL CAMPAIGN MAJOR 2012-2013 2012-2013 DIRECTORS OF BOARD DIRECTORS OF BOARD THE OF CHAIR THE OF WORD | VISION FINANCIAL STATEMENT FINANCIAL FOUNDATION’S | VALUES

22-23 16-17 0-11 10 14-15 12-13 4-5 20 20 25 21 21 18 19 9 8 7 6 5 3 2012 . 2013 ANNUAL REPORT 4

A NEW In the forthcoming years, HGH will experience the most important development of its 100-year-old history. Starting in 2017-2018, the Glengarry and Prescott- CORPORATE Russell population served by HGH will have access to an expanded healthcare campus, which will include a new 100-bed regional hospital and a regional BRAND FOR A healthcare hub in Hawkesbury, as well as satellite services in Casselman NEW HOSPITAL and Rockland.

To reflect this transformation, the hospital’s corporate brand has been redesigned and adapted. The initials (HGH) are now prominent, rather than the legal form previously used. The logo adopted in 2000 is kept as it reflects community spirit. The corporate colors are also retained. Blue is associated with life and well-being, and by extension to the health mission of the hospital. Yellow is associated with warmth and revival. Closer to us, it represents one of the typical colors of the agricultural scenery of Prescott-Russell. MISSION of HGH. remainsby the founders the soul transmitted compassion of culture new building. To this day, this withinanchored the walls of the compassion and on was passed in 1984, Hospital General District & within the new Hawkesbury the current on were relocated site mission.and they charitable When their for compassionateknown 1900’s. were establishments These in the early the community serve to established were Clinic, Smith and the of Ottawa of Charity by thehospitals Sisters founded the present hospital, the former institutionsThe that preceded and the initials logo The are accompanied by that three keywords hospital’s the define inherent character. COMPASSION VALUES VISION TO PROMOTE HEALTH AND PROVIDE INTEGRITY, COMPASSION RESPECT, QUALITY, COLLABORATION, INNOVATION EXCELLENCE DEDICATED PEOPLE PURSUING HEALTHCARE COMMUNITIES THROUGH CYCLE THE LIFE. OF COMPASSIONATE

developing. has taken and root is further 30 years, this spirit of innovation Ininformation thelast systems. in healthcare aleader toHGH be allowedinformation technology investments Ongoing in models. as served that initiatives clinical several other administrative and in pioneered Ontario, HGH program Home a Hospital-in-the institution First to operate projects. 1984, launched innovative HGH in Following modernization its INNOVATION THROUGH TEAMWORK, TEAMWORK, THROUGH AND LEADERSHIP. AND

CARE FOR OUR OUR FOR CARE continue to build on excellence. Staff will HGH hospital, regional service of anew full opening future in recent years and the services the additionof manyWith new the upcoming years. years. upcoming the momentum of progressin at HGH to excellence will foster a new are convincing. This commitment results sectors in some performance of new achievements. Already, steps in the pursuit are important control quality stringent programs affiliation andthe deploymentof university the training programs, EXCELLENCE

5 2012 . 2013 ANNUAL REPORT REPORT OF THE During the past year, the Board of Directors was in “action mode” to update the HGH mission and vision. CHAIR OF THE BOARD OF For the third year, HGH has completed an annual Quality Improvement Plan with more than thirty initiatives, for which the targets were reached or surpassed in DIRECTORS more than 80% of the cases. Regular and comprehensive reports from the Chief of Staff demonstrate that medical practice is evolving positively in an environment of continuous improvement and accountability.

6 In terms of partnerships and its regional role, this year, HGH has focused on the affiliation with La Cité collégiale of Ottawa. This agreement allowed our organizations to set up two in-training programs for two groups of students, namely for the Personal Support Worker program and the Registered Practical Nursing Program.

HGH joined the Lower Outaouais Family Health Team to initiate planning for a regional Health Link project for Prescott-Russell within the new strategy of the Ministry of Health. Earlier this year, HGH was given the mandate to manage the telemedicine network for the five Eastern Counties. All these initiatives allow HGH to innovate and prepare for its future as a regional hospital.

Sébastien Racine, In terms of infrastructure, remarkable progress was achieved. The Ministry of CHAIR Health approved our Functional Program and all technical plans in January 2013. As planned, on May 23rd, 2013, Infrastructure Ontario issued a call for tender for prequalification. To date, our project remains compliant with established budgets and timelines.

The Board of Directors has approved a process to start the functional and technical planning for the Prescott-Russell Healthcare Hub project, a key strategic initiative which will consolidate the primary health care and a number of HGH community care programs in new or modernized buildings.

Over the next three years, the hospital will have to complete a major and complex transition. From a district hospital, we will become a full service regional hospital. Through our actions and commitment to improve and develop services, the Board of Directors has already paved the way for this transition to be successful. in infrastructures for thePrescott-Russell Regional Healthcare Hub. investmentsproject, inadditionto giving needed ustheflexibility to support now reserves allowOur usto meetourfinancialobligations for the redevelopment On thefinancialside, we endedfiscal yearwithamajoroperating surplus. fora software humanresources management. medicalrecord.electronic We completed theinstallation oftheKronossystem, terms ofinformationIn technology, we continued ourintegration for project the them inthecoming years. 2013to inApril preparestarted employees to face majorchangesthat willaffect where more than50%ofouremployees attended. Achangemanagement initiative work teams.addiction We have training completed program acustomer service terms of human resources,In we have integrated the new mental health and quite ready for theirfirstvisit by Accreditation Canada in2014. isalready andthissector iswell underway for services mental healthandaddiction accommodate patient volume andavailability ofspecialists. The consolidation plan the operation of specialized and the capacity outpatient clinics will be upgraded to forThe care entire hasbecome thehospital. apriority sector ambulatory Thus, launched anewinitiative to reorganize andimprove theservice patient flow. given Service, theincreasingEmergency volume ofpatients andwaiting times, we will be operational in the near unit future.and this service bone density As for the pieces ofequipment indiagnostic imaging andcardiology. We have acquired a for surgical procedures. We have improved ofcertain thetechnical functionality additional operating2013,we room are since targeting January thesameobjectives us to reduce ourwait timesandincrease ourdailyvolume ofprocedures. With an times andincrease ouroperational capacity. The newendoscopy suite allowed andaccess, terms ofquality In we have putinplace initiatives to reduce waiting the newhospital. established for 2013-2017,whichisthetransition before period theopeningof defines allthemeasures andstrategies required to meetthestrategic directions we immediately proceeded with the development plan. of a tactical This plan Following theapproval ofthestrategic plan by theBoard ofDirectors 2012, inApril

Marc LeBoutillier, CHIEF EXECUTIVE OFFICER OFFICER EXECUTIVE CHIEF THE OF REPORT 7 2012 . 2013 ANNUAL REPORT REPORT OF The year 2012-2013 was another productive year for the medical staff at HGH. THE RETIRING Fifteen new colleagues have joined our Medical Staff. Recruitment remains a high CHIEF OF STAFF priority at the Medical Affairs Office. In 2012-2013, many physicians have actively participated in the hospital’s redevelopment project. Their views and opinions are essential in order to ensure the new hospital will meet the needs of the community and also to promote the advancement of the practice of medicine at the cutting edge technology. 8 Despite the ongoing growth of clinical activity at the Emergency Department, the emergency physicians still continue to offer high quality services. While waiting for the future expansion, the emergency team has implemented innovative solutions in order to continue to provide quality services to its clients.

As for our affiliation with the Faculty of Medicine of the University of Ottawa, we continue to be involved in teaching medical students. The majority of our physicians now have an academic appointment with the University of Ottawa as Luc Chagnon, MD clinician-teacher. In the past year, we have totaled 619 days of education to medical RETIRING CHIEF OF STAFF students and residents.

I wish to thank the HGH team of professionals who, by their daily commitment, improve the condition of our patients. I also would like to recognize the support staff’s involvement in promoting a healthy workplace.

I would also like to thank the Board of Directors for giving me the opportunity to fulfill the position of Chief of Staff for the past three years. Professionally, it has been a rewarding experience. I wish to extend my best wishes to Dr. Julie Maranda who has accepted the mandate of Chief of Staff as of May st1 , 2013. 7 8 1 9 DIRECTORS 10 BOARD OF OF BOARD 2 2012-2013 11 3

STÉPHANE P. PARISIEN, DR ANDRÉ BORDUAS, Absences 14 13 12 11 10 9 8 7 6 5 4 3 2 1 12 ] ] ] ] ] ] ] ] ]

] ] ] ] ]

MARCEL J. DAUTH, DR LUC CHAGNON, JEFFREY GEIGEL, SÉBASTIEN RACINE, SUZANNE SAUVÉ, JO-ANNE LAVIOLETTE, NICOLE DELAND, PAULE DOUCET, JACQUES PARISIEN,

MARIËLLE HEUVELMANS, LAURENT SOULIGNY, MARC LEBOUTILLIER, MICHEL LAFERRIÈRE, SUZANNE QUESNEL-GAUTHIER, 4 13 Member

Member Member Treasurer

Manager, Board Operations

Member Member President Staff oftheMedical Member

Member Board Chair Chief ofStaff 5

Chair, HGHFoundation Member Member Member Chief Executive Officer

(L’Orignal) (L’Orignal)

Vice-President, ClinicalPrograms (North Lancaster) (North

(Hawkesbury)

(Hawkesbury) (L’Orignal) (St-Isidore) (Casselman) (Casselman)

Vice-Chair 14

(L’Orignal) 6 9 2012 . 2013 ANNUAL REPORT Ms. Linda Ouimet COMPASSION

Mr. Laurent Lefebvre I WAS SO WELL CARED FOR! I FELT THAT PEOPLE TOOK MY WELLBEING TO HEART. [ … ] “ — Mr. Laurent Lefebvre COMPASSION: In the winter of 2013, Mr. Laurent Lefebvre from Alfred was hospitalized for five weeks. At 60, suffering from multiple fractures to the femur, it was his first stay in A VIBRANT a hospital. “At first, I could not even put on my socks or take a shower by myself. TESTIMONY! But I got help; I was cared for and was listened to. Everyone worked really hard to make my stay at the hospital pleasant and comfortable. They took the time to explain the treatments I was receiving. The patience, the sensitiveness and the good mood of all the people that worked here were amazing. It was like a family!” said Mr. Lefebvre about his hospital stay.

The staff’s compassion witnessed by Mr. Lefebvre is among the values 11 transmitted by the founders of the hospital. “Compassion is in our culture. It would be impossible to do a good job without feeling compassion for our patients” explains Mrs. Linda Ouimet, Charge Nurse for the Complex Continuous Care Service, also known as the Rehab Department.

Employed at HGH for 34 years, Ms. Ouimet coordinates the clinical activities of a 18-bed department. “The majority of our patients stay here for a period ranging from 14 to 30 days. We have time to build close relationships with them and their families. To offer better care, it’s important to understand all aspects of the lives of our patients and to develop a trusting relationship with them. Those hospitalized are often worried about the future. They wonder about the after-effects of their illness or accident and how their return home will be. This is why we work closely with families, as they are part of the treatment plan,” adds Mrs. Ouimet. 2012 . 2013 ANNUAL REPORT 2012 . 2013 ANNUAL REPORT To help and prepare the patient for his return home, the department organizes follow-ups with other hospital services such as occupational therapy, physiotherapy and psychiatry. Thereafter, professionals ensuring outpatient services, including home care, are involved.

“I was so well cared for! I felt that people took my wellbeing to heart. In addition to fractures, I am diabetic; they also helped me to better manage my condition. I return regularly for physiotherapy and I want to say thank you and congratulations to the whole team for the excellent care,” concludes Mr. Lefebvre.

HGH, a culture of COMPASSION! Mrs. Nicole Pageau Mrs. Lise McDonell Mrs. Sylvie Lefebvre INNOVATION

IT’S A GREAT SERVICE! [ … ] THANKS TO THE CAMERA AND THE SCREEN, I COULD SEE AND HEAR MY NEPHROLOGIST VERY CLEARLY. [ … ] “ — Mrs. Nicole Pageau INNOVATION: For close to three years, Mrs. Nicole Pageau has been seeing a kidney specialist. In July, she had her first experience of telemedicine at the HGH. “It’s a great TELEMEDECINE service! I was very pleasantly surprised. Everything was well organized and I SERVING PATIENTS! received the same level of service as if I had seen my doctor in Ottawa, but without having to spend hours on the road. It saves a lot of stress and it reduces costs. Thanks to the camera and the screen, I could see and hear my nephrologist very clearly. I could also ask questions, just like during a visit in person. A nurse was with me and it was reassuring, “ relates Mrs. Pageau.

Applying technology to patient care defines the spirit of innovation that exists in the hospital where the staff is proudly committed to the constant improvement of access to services.” Because of telemedicine at HGH, our 13 patients now have access to consultations in nephrology, dermatology and podiatry, as well as in cases of thrombosis, fertility treatments, pre and post-operative examinations and weight management. Specialists are now available, no matter where they practice in Ontario. Using high-performance instruments, they can hear the heart, breathing or examine the patient’s ears or throat remotely. A nurse accompanies the patient and manipulates the equipment during the consultation. Telemedicine also benefits the staff by facilitating distance learning, inter-professional collaboration and the holding of clinical meetings,” explains Mrs. Lise McDonell, Geriatric & Clinical Nurse Counsellor and Telemedicine Coordinator.

In 2011, recognizing the expertise acquired by the hospital, the Champlain Local Health Integration Network commissioned HGH to manage the telemedicine system in the five Eastern Ontario counties. Also in 2011, HGH was one of the

first hospitals in Ontario to offer Telestroke, a specialized telemedicine service. 2012 . 2013 ANNUAL REPORT In stroke cases, this program allows the emergency physician to remotely consult a neurologist and to quickly begin the most effective treatment for the patient. “When a stroke is suspected, the whole hospital is quickly called up to treat the patient, as we only have a few hours to minimize its negative consequences. All the professionals on the response team are aware of their specific role and its importance to the patient’s health. This program changes lives. It allows us to quickly treat patients here. It avoids ambulance trips to hospitals in Ottawa and the related loss of time. It helps our patients recover faster and greatly improves their quality of life, which also has a very important impact on their families and the entire community,” says Mrs. Sylvie Lefebvre, Director of Specialty Care.

HGH, a spirit of INNOVATION! 14 EXCELLENCE

Dr. Jeffrey Wackett Dr. André Borduas

Mrs. Hélène Cousineau-Ouellette Mrs. Élaine Brazeau

WHAT AN IMPROVEMENT FOR OUR PATIENTS AND STAFF! [ … ] “ — Mrs. Hélène Cousineau-Ouellette SUPERIOR QUALITY EXCELLENCE: EXCELLENCE: STANDARDS!

HGH, acommitment to says Dr. André Borduas, GeneralPractitioner. early, for thecommunity,” ofthisnewservice we understand theimportance that apatientknow hasa90%chance ofrecovery whencolon cancer isdetected surgeries are doneonsite. They now have access to faster service. When we physician, Irefer my patients to HGHfor sometests, andifnecessary, the The newendoscopy outsidethehospital. unitalsohasimpacts “As afamily ÉlaineBrazeau,Mrs. Aide for Device Reprocessing theMedical Service. new unitandourequipment allow for better work organization,” explains For thehealthofourpatients, we must eliminate ofcontamination. therisk The cleaning anddisinfectionofthescopes andmakesure theyare properly sealed. of instruments. “Our role iscrucial. We allthesteps for observe the muststrictly isthereprocessingperioperative services ofmedicalequipment, orsterilization As allsurgeries orendoscopy of involve aspect ofinfection,animportant risks in Ontario. ColonCancerCheck. Incidentally, HGH’s indicators quality are amongthebest province for screening exams andfollow-upsoftheearly program aspart also contributes meetthetimeframes to establishedby satisfactorily the rooms andmore operating time, whichreduced wait times,” hesaid. The unit ismuchmore efficient It now. Surgeons have attheirdisposal two operating number ofexaminations andprocedures anditalso freed anoperating room. is pleased with the changes. endoscopy unit allows us to“The make a greater screen.results Dr. simultaneouslyonahigh-definition Jeffrey Wackett, surgeon, that HGHissetting. The newspecialized facilitiesnow allow viewingoftest pursuit ofexcellence andthe achievement inallrespects objectives ofquality The newendoscopy unit, aninvestment of$1.5million,isanexample ofthe tissues ordosurgical procedures. body cavities ororgans withacamera inorder to makeadiagnosis, remove Director ofPerioperativeInterim Endoscopy isusedto Services. lookinside examinations andprocedures,” explains HélèneCousineau-Ouellette, Mrs. andpatients are muchmore during comfortable equipment isstate-of-the-art improvement for ourpatients andstaff! Wait timeshave been reduced, the and access to specialized procedures for patients intheregion. “ What an 2013,HGHinaugurated anewendoscopy January unitto improveIn services EXCELLENCE! 15 2012 . 2013 ANNUAL REPORT 16 ROCKLAND AND CASSELMAN … COMMUNITIES! SERVING OUR OUR SERVING

these communities, to facilitate access to programs andto reduce wait times. IntegrationHGH seeks to offered expand the range Network, of services in of the Champlain Local Health and the support its many partners community authorized psychogeriatric nurseandasubstance abusetherapist. Thanks to offeredto increase theservices by professionals,various includingaddingan customers. Casselman, Street the710Main In location was recently renovated satellite center willberelocated to Street 1905Laurier inorder its to better serve psychotherapy 2013, the area.Rockland October By will double in the Rockland Within a year, related services to problemaddictions, gambling and domestic violence, relationship problems, etc. abuse, problem gambling, trauma, schizophrenia, dementia, sexual assault, The reasons for consultations are varied:depression, stress, anxiety, substance long-term care facilitiesandinthesatellite centers ofCasselman andRockland. these programs that are offered inprivates homes, residences for theelderly, Centre. To date, over 4,500individualsandtheirfamiliesbenefiteach year from Community theAssertive Service, Treatment Team andtheRoyal-Comtois Psychiatry theGeriatric Service, theAddiction Service, HealthCrisis Mental 15programsOver are offered through HGH’s the five services: community improved at access therequest to ofthepeoplethesecommunities. services recent andCasselman. In intheareas years, ofRockland addictions HGHhas For more than15years, inmental HGHhasbeenproviding healthand services 17 2012 . 2013 ANNUAL REPORT 2012 . 2013 FINANCIAL STATEMENT

3 % 5 % REVENUES 8 %

43 %

REVENUES IN $M MINISTRY OF HEALTH OF ONTARIO $25 640 OTHER SOURCES $24 430 ONTARIO HEALTH INSURANCE PLAN $4 511 41 % RECOVERIES AND OTHER REVENUES $3 205 OTHERS $1 858

TOTAL REVENUES $59 644

* Including Mental Health and Addictions

EXPENSES 18 % 23 %

12 %

EXPENSES IN $M AMBULATORY CARE $14 805 INPATIENTS $12 245 DIAGNOSTIC AND THERAPEUTIC SERVICES $9 883 SUPPORT SERVICES $6 407 ADMINISTRATION $5344 OTHERS $1 858 10 % TOTAL EXPENSES $59 644

10 %

27 % * Including Mental Health and Addictions 2012 . 2013 STATISTICS

NEWBORNS INPATIENT DAYS ADULTS SURGICAL PROCEDURES

448 433 21 913 414 21 523 3 670 20 604 19 3 488 3 555

2011 2012 2013 2011 2012 2013 2011 2012 2013

VISITS EMERGENCY VISITS MENTAL HEALTH VISITS AMBULATORY CARE DEPARTMENT AND ADDICTIONS 2012 . 2013 ANNUAL REPORT 37 237 24 669 10 016 36 549 23 401 35 214 7 489 21 664 6 316

2011 2012 2013 2011 2012 2013 2011 2012 2013 WORD OF THE On behalf of the Board of Directors and staff of the HGH Foundation, let me offer my sincere thanks to our generous donors, participant in our philanthropic CHAIR OF THE activities, as well as to our volunteers. We are proud of our achievements. For my BOARD OF part, in this third year as Chair of the Board of Directors, it is with pleasure that I DIRECTORS continue to promote the aspiration of the founders of our charitable organization and therefore contributing to the success of their work.

One of our goals for this year is to raise $300,000 for services in mental health and addiction services of our hospital. It is very important for our entire community, to 20 whom we strive to offer the best healthcare services. Did you know that for every dollar invested in mental health and addiction, the medical health system saves seven dollars? With the expansion of the hospital, in 2014, the Foundation will be involved in financing the purchase of specialized medical equipment in order to provide the best possible care to the population. In relation to these challenges, and echoing the profound changes in the world of philanthropy in recent years, the Foundation is reviewing all of its policies and practices.

Michel Laferrière, Looking to the future, the Foundation reassesses its position and operations in CHAIR order to rally more donors around this great cause. Thank you for your trust and contribution to our success.

2012-2013 BOARD OF DIRECTORS

RESOURCE PERSON LUC SÉGUIN, Vice-President of Administrative and Fiscal Services, HGH

1 7 MILLION TIMES TIMES 7 MILLION 2 FINANCIAL STATEMENT 3 OVER EXPENSES: 696 $922 FOUNDATION’S EXCESS REVENUES OF THANK YOU THANK EXPENSES: $249745 4 2012 2013 5 ! ! REVENUES: $1172441 REVENUES: 7 6 AVAILABLE FUNDS:$301102 ANTICIPATED $450000 REVENUES: INVESTMENTS: $5553772 EARNED INTERESTGENERATED: $1319823 8 FINANCIAL STATEMENT MAJOR CAMPAIGNMAJOR 9 9 8 7 6 5 4 3 2 1 ] ] ] ] ] ] ] ] ]

SÉBASTIEN RACINE MARC LEBOUTILLIER JEAN-PIERRE PAQUETTE BARBARA PAQUETTE WAYNE ASSALY JEAN-GUY BARRETTE JEAN-GUY BARRETTE MICHEL LAFERRIÈRE JEANNINE LEFEBVRE JOHN HOLLETT $7 074 697 21 2012 . 2013 ANNUAL REPORT

A NEW HOSPITAL IN 2017. 2018 TO BETTER SERVE YOU...

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NEW PAVILION NEW PERIOPERATIVE EAST WING EXPANSION EXPANDED BED NEW SPECIALIZED New construction DEPARTMENT Level 1: CAPACITY (27 NEW MEDICAL West side of the Hospital Infill and construction Emergency Services ACUTE CARE BEDS) IMAGING UNIT (3 storeys, 72,000 sq. ft.). of current open courtyard expansion • Relocation of current • New CT Scan Service; Consolidation of located in the centre (18,700 sq. ft.); Complex Continuing • New Magnetic all specialty clinics, of the Hospital Care Unit to Level 2 Resonance Imaging Level 2: outpatient rehab, (8,600 sq. ft.) for OR, of Ambulatory Care (MRI) Service. Relocation of Family hemodialysis and day surgery, endoscopy Pavilion; Birthing Centre cardiology services. • Relocation and and minor surgery. (11,000 sq. ft.). expansion of the Intensive Care Unit adjacent to new Emergency Department; • Expansion of Medical- Surgical Unit; • New Psychiatric Inpatient Unit.