MONTFORT 101: Portrait of an Academic The french version of the community report is available at rapportannuel.hopitalmontfort.com

Hôpital Montfort June 2016 Message from the leadership team

The year 2015-2016 was a turning point in Montfort’s evolution as an academic hospital. Intense reflection, nourished by the experiences and accomplishments of our 2011-2015 strategic plan led to the development of a new strategy.

Therefore, it is with great pleasure that we present you with the Hôpital Montfort 2016-2021 Strategy:

Mission Hôpital Montfort is ’s Francophone Academic Hospital, offering exemplary person-centred care.

Vision Your hospital of reference for outstanding services, designed with and for you.

Values Our daily actions are guided by compassion, excellence, respect, accountability and mutual support.

Our 2016–2021 strategy is based on four major objectives. Over the next five years, through the work of the entire Montfort Team, these objectives will translate into results with a positive impact on our community. Our objectives are:

• To enhance targeted clinical services • To become a clinical centre of excellence in multimorbidity • To achieve the attributes of an academic hospital • To fulfill our provincial mandate

Our new mission and its accompanying strategy will expand Montfort’s role as an academic hospital. This designation was conferred in June 2013, and the impact of this new status is felt each day with growing intensity.

We are often asked: What does it change for Montfort to be an academic hospital? The answer is simple: an academic hospital stands out for the exemplary care it offers its patients, thepractical teaching it provides for the next generation of healthcare professionals, and the research it conducts to advance knowledge in health and medicine.

In this report to the community for the year 2015-2016, we will explore these themes and demonstrate how the attributes of an academic hospital come together at Hôpital Montfort and how we are respecting our provincial mandate by making Montfort “Ontario’s Francophone Academic Hospital.” Lastly, by placing the individual at the heart of our 2015-2016 report to the community, we wish to demonstrate how Montfort’s activities are increasingly “person-centred.”

Thank you for your attention, and happy reading!

Ms. Suzanne Clément Dr. Bernard Leduc President of the Board of Trustees Chief Executive Office

3 Table of Contents

Exemplary care 5 Practical teaching 8 Research 11 Foundation 13 Volunteers 14 Governance 16 Medical organization 17 Financial statements 18

4 An academic hospital offers exemplary care

An academic hospital is, first and foremost, an excellent hospital. Anyone who walks in— to receive care, visit a loved one, or work there—can expect an exceptional environment that offers the highest quality care and services, with an approach of continuous improvement. The quality of this care is truly exemplary when other turn to it for inspiration.

The offer of exemplary healthcare is evident in every sector of Hôpital Montfort, and 2015–2016 was a year of innovation and recognition.

Provincial Awad for our Family Birthing Centre Our Family Birthing Centre (FBC) was awarded a provincial prize for its integration of midwives into the team, and Montfort received certification for participation in the Baby- Friendly Hospital Initiative, demonstrating Montfort’s commitment to implementing practices that promote breastfeeding, not only at the FBC, but also in other settings used by parents and their children.

Montfort was also the first hospital in Canada to receive a recognition prize from MOREOB, awarded to the nurses in the FBC, family doctor-obstetricians, midwives and obstetricians at Hôpital Montfort. This prize recognizes exceptional performance in the application of knowledge, communication and interprofessional collaboration in making patient safety a priority and everyone’s responsibility.

Healthcare adapted to the elderly Another major advance has been our move to become an acute care hospital offering healthcare adapted to the elderly. For example, our new Frailty Unit allows the senior frail patient to stay at the 4C medical unit at the end of their acute care stay. This way, more vulnerable patients benefit from a recovery period while receiving adapted care that will allow them to return home safely and avoid long-term care, if possible.

Also, Montfort has been chosen to be one of 18 Canadian organizations that will improve its healthcare services for the elderly, by designating an advanced practice nurse specialized in geriatrics to serve as a transition coach at the time of discharge of an elderly patient who received acute care at Montfort. This strategy of the Canadian

5 Foundation for Healthcare Improvement, entitled “Acute Care for Elders,” has already proven successful at Mount Sinai Hospital.

Another major innovation is our Promotion of Mobilization (ProMo) program. After implementing it in several sectors of the hospital, ProMo is now offered to patients in intensive care. Both staff and family members contribute to the patients’ rehabilitation during their stay in intensive care by having them do a few simple exercises every day to improve mobility.

Several other initiatives contributed to Montfort’s exceptional healthcare offer in 2015–2016, including:

• The deployment of hourly roundings of our hospitalized patients, which allows nurses to ensure the well-being of their patients, reduce patient anxiety, anticipate patient needs for the next hour, and prevent patients from moving around without help and risking a fall.

• We received our first group of patient-partners, who are people who received care and services at Montfort in the last two years—or their loved ones did. The patient-partners share with us their thoughts on their experience at Montfort and advise us on how to improve the experience of all future patients.

• Our won a prize for the scope of improvements introduced in one quarter, awarded by the Studer Group. The improvements reported include improved triage times and a considerable reduction in the duration of stays for patients admitted.

• Our mental health program continues to grow and we currently have 46 beds and 12 psychiatrists, in addition to three family physicians from the Montfort Academic Family Health Team. The patients also have access to new services, including yoga classes and a comfort room.

• Since 2008, Hôpital Montfort has been improving its processes and patient flow thanks to the Lean methodology. Our Lean efforts are presently focused on surgeries by reducing the time required to prepare the operating room between surgeries, accelerating surgery patient transfer to a floor, and better informing patient families, among other things.

• The Management and Leadership Best Practice prize was awarded to the members of our pharmacy team by the Canadian Society of Hospital Pharmacists. This prize highlighted the considerable reduction in response time in preparing prescriptions, thanks to the Lean Pharmacy initiative.

• The “quality circles” initiative is ongoing and is now well rooted. The 6C team reached the milestone of 200 improvements of all kinds, made by the members of the team following these daily meetings.

• Through our involvement in the national program “Choosing Wisely,” we have significantly reduced requests for blood tests at the Emergency and the Family Birthing Centre, without any impact on patient care. Compared with last year, we avoided over 72 000 needless tests, thereby reducing our patients’ discomfort and having more time to offer them quality care.

• We organized our first “Wound Care Trade Show” for hospital staff, in order to expand their knowledge of wound care products. The trade show also included information booths on wounds-related topics, run by occupational therapists, dietitians and representatives of other sectors.

6 • We improved how we handle cytotoxic medications, used primarily to treat cancer. Since these medications modify cell behaviour in the human body, it is important to properly protect those who handle them.

• We took another important step toward achieving our goal of becoming a “paper-free hospital.” Since July 2015, the files of patients who are staying at Hôpital Montfort or have been discharged are digitized.

• The internal campaign of the Foundation’s fundraising campaign, under the theme For you, sweet heart, was successfully launched to members of the staff, volunteers and physicians. Our Foundation raised $159,082 for the purchase of a CT scanner with a specialized cardiac module, an ultramodern device that will make it possible to provide patients with a quick and complete diagnosis using less invasive technology.

• With support from our Foundation, we also installed giant screens in several strategic places, making it possible to keep our patients and their loved ones informed on a variety of topics while they are waiting for an appointment or between treatments.

• In order to promote the active offer of French-language services, we launched the campaign “Bonjour, Hello!” so that our patients and visitors feel free to express themselves in their language of their choice when they walk into Hôpital Montfort.

• We are the first hospital to have attained Bronze status for the “Healthy Foods” initiative, awarded by the Champlain Cardiovascular Disease Prevention Network. From now on, visitors to our cafeteria will have healthier options to choose from.

• The Orléans Family Health Hub has evolved a great deal over the last year. This innovative initiative reflects the major priorities of the Ministry of Health and Long-Term Care and Champlain LHIN in the area of integrated person-centred care. With our seven partners on this project, we have identified a range of programs and services that will contribute to better responding to the needs of the population of Orléans and Ottawa East. We are now awaiting approval from the Ministry to move to the next stage of development of this project. Enlever un des deux points

• In October 2015, we received a delegation of 15 visitors from Accreditation Canada International. These visitors from Brazil were impressed by the implementation of best practices in quality care and patient safety at Montfort.

• Offering quality care requires a committed staff. Therefore, it was with great pride that we received the Quality Healthcare Workplace Silver Medal awarded by the Ontario Hospital Association for the third consecutive year. We also expanded the scope of our recognition activities in order to acknowledge our staff throughout the month of December. The Vice- Presidents and the President and CEO will henceforth be sending personalized thank you cards to the homes of staff members who have distinguished themselves through remarkable gestures that surpass expectations.

7 An academic hospital is a place of practical teaching

Each year, an academic hospital receives a new generation of health professionals seeking practical teaching. These dynamic medical students and residents, on the lookout for the latest practices in their field, hone their training alongside experienced professionals who remain on the cutting edge of knowledge thanks to a vigorous continuing professional education program. This combination of experience and energy creates a team that offers patients the highest standard of care and a fresh perspective on their state of health.

Practical teaching is a daily reality at Hôpital Montfort and in 2015-2016 we have taken several important steps.

Created in April 2015, the Institut du savoir Montfort (ISM) integrates within a single entity the functions of teaching, continuing professional health education and research (through the Institut de recherche de l’Hôpital Montfort). Officially launched on January 4, 2016, the ISM has established a board of trustees independent of that of Hôpital Montfort. Work is currently underway to adopt an initial development and positioning strategy for the ISM; new orientations and actions should be unveiled in the near future. The ISM will position Montfort as a leader in preparing the next generation, training health professionals, and creating new knowledge to improve health for everyone.

First international agreement On December 15, 2015, Montfort signed its first international agreement as an academic hospital. Through its collaboration with the Ruijin College of Clinical Medicine, affiliated with the Shanghai Jiao Tong University School of Medicine, in China, Montfort will soon be receiving 4th and 5th year medical students from China for internships in French. For over 20 years, Ruijin College has been offering a clinical medicine program in French, now jointly sponsored by the Chinese and French governments. Physicians from both hospitals will be able to participate in exchanges that will foster continuing professional education.

Residency in hospital pharmacy Our residency program in hospital pharmacy, run jointly with , is a first in Ontario. Through the collaboration of our two institutions,

8 a pharmacy resident is received at Montfort, a secondary care hospital, while benefiting from the structure and resources of The Ottawa Hospital, a tertiary care hospital. The program received accreditation from the Canadian Society of Hospital Pharmacists in 2015, and the Society congratulated Montfort and The Ottawa Hospital for their continuous support and training of pharmacists.

Several other initiatives supported practical teaching at Montfort in 2015–2016:

• We were mandated by the Ministry of Health and Long-Term Care to organize, in collaboration with the ISM and all of the players in the French health sector, a first summit on the future of French-language human resources in healthcare in Ontario. On February 9 and 10, 2016, some 60 participants from across the province met in ; they reflected on strategies to meet the training needs of health professionals in French in Ontario, with the goal of developing a five-year action plan. A report on the recommendations from the summit was submitted to the Ministry.

• We repatriated surgery and psychiatry internships to Montfort. Since the beginning of the medicine program in French at the , a large proportion of surgery and psychiatry internships were completed in the Outaouais in Québec rather than in Ontario. With pressure from McGill University and with the knowledge that these internships are a Montfort responsibility, the Faculty of Medicine and both medical departments involved brought these students back under Hôpital Montfort’s roof, thereby ensuring an optimal experience in French for these future physicians.

• In 2016, the organizing members of the Journées Montfort feverishly prepared for the 15th edition of the largest Francophone medical conference outside Québec. Seven plenary sessions and 26 workshops were on the agenda for the 230 participants—primarily family physicians and health professionals, but also medical specialists, residents and students from Ontario, Québec and New Brunswick.

• We are very proud of Dania Versailles, clinical nurse specialist in the mental health program, who won the prestigious Leadership Award in Student Mentorship, awarded by the Registered Nurses’ Association of Ontario (RNAO) in April 2015. This prize, awarded each year at the provincial level, recognizes the pursuit of excellence of a nurse in clinical teaching. Ms. Versailles has been a member of the mental health program team since 2010. Her stated mission is to remind students why they chose nursing and to help them discover the enriching side of working in mental health.

• When Carole Bourcier, PICC-line and resource nurse at Montfort, noticed that nursing students needed help preparing for the national certification examination, she did not hesitate to organize a study group in order to share the knowledge she acquired during her more than 27 years of practice. The initiative, which began in Ms. Bourcier’s dining room during her free time, was crowned by success when all six participants passed their exams with flying colours. Since then, other experienced nurses have offered their time and 17 students have participated in study groups, with excellent results.

• From January to April 2016, we warmly welcomed the first three interns of a new program offered at La Cité college. The community integration through cooperative education program offers individuals with an intellectual disability or autism spectrum disorder the opportunity to develop skills essential for the labour market and community life and to gain work experience. The students can access college level courses adapted to their needs and limitations, as well as supervised internships, leading to a certificate.

9 • Thanks to the generosity of the Consortium national de formation en santé (CNFS), a new series of digital health sciences books in French has been added to our library. The new collection was carefully chosen, with the goal of contributing to the training of our students and residents in family medicine, by providing them with the best Francophone works during their training at Hôpital Montfort.

• Our teaching mandate extends beyond Montfort’s walls and the academic setting. When over 1400 Francophone visitors from came for the 3rd edition of Carrefour Santé, on March 10 and 11, 2016, at the Ottawa Conference Centre, we were there to greet them. Visitors to the Montfort booth received information on our various programs, stress management, ergonomics at home, smoking cessation and even tips for how to find work in the health sector.

• In collaboration with the Bureau des affaires francophones of the University of Ottawa and Médecins francophones du Canada, we organized a first national colloquium, “Ethics and practice,” which took place on February 6, 2016, in Gatineau, and addressed the issue of medical-assisted dying.

• Members of Montfort’s staff made many presentations at scientific conferences, not only in the capital region, but in Montreal, Halifax and even Qatar. Presentations were made on subjects as diverse as the active offer of French-language services, implementation of the ProMo program in intensive care, our Lean approach and the qualification process for Clinical Trials Ontario.Pendant l’année scolaire 2015-2016, Montfort a accueilli :

• Throughout the year, our continuing education centre Prométhée organized 689 continuing professional education activities.

• During the 2015-2016 academic year, Montfort received: • 178 medical students and 112 residents for 23 705 days of medical training • 1449 high school, college and university students for 24 886 days of professional training

10 An academic hospital conducts research

The future of health begins in an academic hospital. At every step of a stay in an academic hospital, patients and their loved ones have the option of participating in research projects, in collaboration with researchers, staff and physicians, students and residents. Together, they contribute to advancing knowledge in health, finding cures, testing new technologies, inventing new techniques to reduce pain or promote healing. The discoveries made in an academic hospital contribute to improving practical training for everyone working there, and give the patients access to more advanced care.

Research is now well established at Hôpital Montfort, and in 2015-2016 it truly took flight.

Top 40 Research Hospitals

Hôpital Montfort made the list of Canada’s top 40 research hospitals. This was revealed by Research InfoSource Inc., a Canadian organization specialized in information on research and development, in its Canada’s Top 40 Research Hospitals List, published in October 2015. Hôpital Montfort ranked 38th across Canada, and 18th out of 20 Ontario hospitals. In terms of research intensity, Montfort ranked even higher, at the 28th position, with an average annual budget of $147,000 allocated to each researcher to conduct research. The researchers at the Institut de recherche de l’Hôpital Montfort (IRHM) conduct research based on an approach that integrates physical and mental health, particularly among Francophone communities in minority settings.

Accreditation by Clinical Trials Ontario

Another important step in the evolution of research at Montfort was the accreditation of Montfort’s Research Ethics Board by Clinical Trials Ontario. We now belong to a select group of a dozen hospitals in Ontario whose research ethics boards meet the highest provincial, national and international standards and can authorize clinical trials, for example, on medication or new medical devices. This designation makes Montfort a consultant in matters of research ethics at the provincial level.

11 Several other initiatives demonstrate how research has taken off in 2015-2016:

• We have put in place a collaborative research approach platform, which enabled us to increase the recruitment and involvement of volunteers within our research teams. For example, three patient partners actively participated in the elaboration of a project to better identify the implications of the language barrier on the quality and safety of healthcare for Franco-Ontarians.

• Within the framework of their research on maternal and infant health in French-speaking Africa, Dr. Stéphanie Malherbe and Dr. Marie-Hélène Chomienne, of the Institut de recherche de l’Hôpital Montfort, led a pilot project and trained 12 members in the village of Colli, in Benin, on the case management of newborns and monitoring their mothers following childbirth. Actions as simple as wiping and rubbing the newborn to stimulate breathing can be as effective in saving a newborn’s life as more invasive treatment. This pilot project will inform projects in Senegal and Benin with the goal of introducing these types of interventions in community health centres.

• Researchers and clinicians affiliated with Hôpital Montfort or our research institute edited a book on professional development within primary healthcare professions, published by the Presses de l’Université du Québec. For Hôpital Montfort and the IRHM, this is the first time we have achieved this level of presence in an academic work. Entitled Le développement professionnel en soins de santé primaires au Canada : Nouveaux défis, this collection brings together the contributions from more than 30 health professionals, including a large number affiliated with Montfort or the IRHM.

• A researcher from the IRHM, Dr. Nathalie Chapados, participated in an awareness-raising event for Ontario Members of Provincial Parliament (MPPs) in Toronto, on March 2, 2016, organized by the Council of Academic Hospitals of Ontario. She explained to the MPPs how people with diabetes have a false perception of the intensity of their physical effort, the impact of this false impression on obesity rates among diabetics, and the research she is conducting to find a solution to this problem.

• A study conducted by Dr. Raymond Tempier (IRHM/Hôpital Montfort/University of Ottawa), El Mostafa Bouattane (Hôpital Montfort) and John P. Hirdes (University of Waterloo), published in July 2015 in the scientific journalHealthcare Management Forum, demonstrated that a Franco-Ontarian patient has three times less chance than an Anglophone patient of having daily contact with a psychiatrist during the first three days of admission to a psychiatric department in Ontario. The study, which looked at 270 000 mental health admission assessments between 2005 and 2013, attracted the attention of Francophone media across the province.

• During the year, the IRHM received visits from several Ontario MPPs from the region as well as the Honourable Madeleine Meilleur, Attorney General and Minister Responsible for Francophone Affairs. They visited our laboratories and learned about the research projects being conducted at Montfort, which demonstrate how health research contributes to a “healthier, wealthier, smarter” Ontario.

12 The Montfort Hospital Foundation celebrates its 30th Anniversary

It’s in the spring of 1986 that the Foundation received its Letters of Patent. 30 years. 30 years of commitment, generosity and great achievements that allow Hôpital Montfort patients an access to health care that meets the highest standards.

The Montfort Hospital Foundation is supported by a dynamic network of friends, donors, volunteers, doctors and employees from all backgrounds. They are the core of the Foundation’s success.

Since its humble beginnings, the Foundation has contributed more than $25 million to Hôpital Montfort and continues to devote its energies to the hospital’s mission to support the development, the expansion and the promotion of the Hôpital Montfort’s objectives.

It is with a creative spirit and the support and talent of our devoted allies that we undertake our 30th with enthusiasm.

The For you, sweet heart Fundraising Campaign for the purchase of a CT Scanner with a Specialized Cardiac Module will be launched publicly in the following weeks. We are in the planning stage of the Orleans Family Health Hub, a unique and innovative concept, that integrates a range of primary and community client and family centered care under one roof, and the Institut du savoir Montfort which offers and integrated approach to physical and mental health.

These projects are of utmost importance to all of us and would not be possible without your support.

On this special anniversary, we extend our sincere thanks for your generosity and your support throughout the year.

President and Chief Executive Office of the Foundation,, Mme Christine Sigouin

Chair of the Foundation’s Board of Trustees, Mme Madeleine Joanisse

13 In 2015, the Association des bénévoles de l’Hôpital Montfort welcomed 449 volunteers. The Hospital was able to rely on the unwavering service of 328 regular volunteers. In total they generously devoted 58,177 hours of volunteer service to Hôpital Montfort.

Our hospital is a Francophone institution and its internal communications are conducted in French. However, all of our volunteers are bilingual, which allows our patients and visitors to be served in the language of their choice.

The mission, vision, values and strategic objectives of the Association des bénévoles are aligned with those of the hospital. The Association ensures that its orientations and activities promote the hospital’s values and the attainment of its objectives.

Our volunteers work in all sectors of the hospital, from patient rooms to waiting rooms, at the boutique or reception, in offices or in the Emergency. Everywhere, their presence, their smile and their kindness add an extra touch to the outstanding care provided by the professionals at Hôpital Montfort. They are also involved with the Long Term Care Home and the Institut du savoir Montfort.

Volunteers also participate in research and practical training. Some of them are active on committees and research teams. In addition, 64 high school students chose to complete their 40 hours of mandatory volunteer service at Hôpital Montfort as part of the Young Volunteers Program. They are incredibly enthusiastic about serving their community and we are always happy to welcome them and guide them.

Our volunteers come from various backgrounds and professions. Their commitment and dedication are a testament to their generosity and attachment to Montfort. In their various roles, they work hard and use their skills to support the hospital’s staff in providing the best possible care to patients and their families.

One of the most important characteristics of Montfort’s volunteers is their pride in belonging to a Francophone hospital recognized for the quality of its care. Moreover, they enjoy the hospital’s work environment and are touched by the recognition they regularly receive from management and staff.

The constant, harmonious and effective collaboration between the work of the Volunteers Services and the Association des bénévoles helps to ensure that the hospital’s objectives are met.

14 I wish to thank all volunteers, from the bottom of my heart, for making patients and their dignity the main focus of their work at the hospital. I am pleased and proud to serve alongside them and to belong to this big family.

Thank you.

Adèle Copti-Fahmy President of the Association des bénévoles de l’Hôpital Montfort

2015–2016 Board of Trustees of the Association des bénévoles de l’Hôpital Montfort

Adèle Copti-Fahmy President Luc Goudreault Vice-president Pauline Gagnon Secretary Denyse Brisson Director of Business and Treasury Sœur Linda Joseph, F.d.l.S. Member Louise Bourgault Member Marthe Loyer Member Gérald Garant Member Marc Seguin Member

Resource person: Marielle Beauchesne Manager, Volunteer Services

15 Hôpital Montfort 2015-16 Board of Trustees is composed of the following members:

Elected members Mrs. Suzanne Clément President Mrs. Mona Fortier Vice-president Mr. Pierre Lanoix Treasurer Mrs. Mariette Carrier-Fraser Secretary General Maurice Baril (retired) Member Mr. Ronald Bilodeau Member Mrs. Isabelle Daoust Member Sister Jocelyne Fallu, F.d.l.S. Member Mr. Richard Flageole Member Mrs. Claudine Girault Member Mr. Pierre Lanctôt Member Mrs. Daphné Toussaint Member

Ex-officio members Mr. Alain-Michel Sékula Outgoing President of the Board of Trustees Dr. Bernard Leduc President and CEO, Hôpital Montfort Dr. Guy Moreau Chief of Staff Dr. Chantal D’Aoust-Bernard President of professional staff Mrs. Lucille Perreault Vice-President, Department of Clinical Services Mme Hélène Perreault, Ph.D. Representative, University of Ottawa

16 Hôpital Montfort 2015-16 medical organization is composed of the following members:

Chief of Staff Dr. Guy Moreau

Departments Chiefs Dr. Vincent Landry Anaesthesia Dr. Nicolas Roustan Delatour Medical Biology Dr. Daniel Trottier Surgery Dr. André Olivier Diagnostic Imaging Dr. Chamoun Chamoun Medicine Dr. Jennifer Douek Family Medicine Dr. Daniel Moreau Obstetrics and Gynecology Dr. Steven Poleski Ophthalmology Dr. Philip Fleuriau Chateau Orthopedics Dr. Julie Nault Pediatrics Dr. Guy Moreau (acting) Mental Health Program / Psychiatry Dr. Shaun Visser Emergency

Council of Professional Staff Dr. Chantal D’Aoust-Bernard President Dr. Ingrid Custeau Vice-president Dr. Tom Psarras Secretary-Treasurer

17 Sources of revenue

18 Distribution of expenses

19