Report to City of Mayor and Council

November 2011

MICHAEL McCANN

Your Worship Mayor Marianne Matichuk and members of City Council, it is a pleasure to present a progress report this evening on Health Sciences North / Horizon Santé‐Nord. Redefining Initiative

• New name a result of extensive consultation and research

• Process highly consultative with over 1,600 ‘touch points’ (community, front-line staff, management, physicians)

• Health Sciences North/Horizon Santé-Nord is a new approach to delivering the highest quality patient care, research, teaching and learning to our region and beyond

• It is a network of integrated facilities and programs working together for the benefit of our patients, communities, physicians, researchers, staff, and learners in the areas of prevention, diagnosis, treatment and care

One of the responsibilities of the Board is to be the voice of the community when it comes to the affairs of the largest health care institution in northern . It is a responsibility we take seriously.

The engagement of our community –both internal and external –in the revisioning of our institution was both broad and in‐depth. Our redefining exercise involved over 1,600 touchpoints with staff, physicians, community, educational, business and health care partners as well as special interest groups such as our Francophone and Aboriginal communities.

Through this extensive engagement, we learned that there was solid support for our institution’s vision to become a leading academic health sciences network. At its core, Health Sciences North is our evolution from a community hospital to an academic health sciences network.

Health Sciences North is a new approach to delivering the highest quality patient care, research, teaching and learning to our region and beyond. It is a network of integrated facilities and programs working together for the benefit of our patients, communities, physicians, researchers, staff and learners in the areas of prevention, diagnosis, treatment and care. Health Sciences North Top Two Questions……Greater Sudbury Health Sciences Corridor Institutions/Programs/Facilities that make up the Health Sciences Corridor Sudbury Mental Health & • Integral to the HSN conceptAddictions is the CentreSudbury Health Sciences Corridor Cedar Street

– Acute care facility as the hub with physical and organizational connection with our facilities and partners: Sudbury Mental Health & Addictions – Northern Ontario School of Medicine Centre Kirkwood Sudbury Outpatient –Centre Laurentian University – Complex Continuing CareScience Centre North

– Kirkwood Place - Mental Health Facility Laurentian St. Joseph’s Villa/ University – Research Institute Health Sciences North Continuing Care Centre

Northern Ontario Sudbury & District School of Medicine Public Health Unit

When we shared the new name with our employees last week, we told them that Health Sciences North is a BIG idea.

Integral to the vision of Health Sciences North is the Health Sciences Corridor. With Health Sciences North as the hub, we are creating physical and organizational connections with our facilities and partners.

Think of University Avenue in Toronto where some of the largest health care institutions are clustered. We are creating our own health sciences corridor here in Sudbury.

Ramsey Lake Road offers a cluster of health care excellence with Health Sciences North, the Northern Ontario School of Medicine, Laurentian University, St. Joseph’s Complex Continuing Care Centre, Kirkwood Place, the Public Health Unit, Science North and many others.

When you have a health cluster with an academic health sciences network as its anchor, you will attract the best and brightest health care professionals who will develop new and better ways of delivering health care. Vision –Academic Health Sciences Centre

Core mission – quality patient care

Much progress achieved on advancing academic mission

. Launch of new patient services

. Hub of outpatient care excellence

. Mental health and addiction centre

. Surgical innovations

Some people may be concerned that our new academic mission will mean a shift away from front‐line patient care. It is important to understand that an academic health sciences network has –as its core mission –quality patient care.

If anyone doubts the benefits of our new direction, one simply needs to look at the achievements we’ve made over the past year.

We have launched new patient care services at a rate of one per month. Some of these services are the first of their kind in northeastern Ontario and the rest of the province.

At the former Memorial facility, we are creating a centre of excellence in outpatient care where residents with chronic conditions such as diabetes, obesity, heart and kidney disease are getting help to manage their conditions and lead a healthier and more independent lifestyle. The same can be said for our Mental Health and Addictions Centre on Cedar Street and Kirkwood Place.

Our surgeons are performing procedures never before seen or done in Ontario. Over the past year, we have recruited surgeons with expertise and credentials rarely found in other centres. Vision –Academic Health Sciences Centre

. Groundbreaking cancer research

. Creation of research hub for the North

. Learners Space Capital Project

. French Language Service Designation by Province

Our researchers in cancer are conducting advanced, world‐class ground‐breaking work.

The recruitment of Dr. Diaz‐Mitoma as Vice President of Research has heralded an unprecedented phenomenon of collaboration to create a research hub for the north.

Just recently, the provincial government approved our Medical Learners Space, which will see 20 thousand square feet of space devoted to learners. This new space will also feature a simulation lab where medical residents and our staff can learn new techniques using the latest technologies.

I am also pleased to report that we have submitted our plan to the Ontario government to become a fully designated bilingual institution. Health Sciences North

• A new vision not only for our institution but also for our community as a whole.

• Hub of Health Care Excellence to benefit patient care

• Innovation • Leadership • Collaboration • Quality • Excellence

We have been successful in securing new incremental funding for the vast array of new clinics and services I just mentioned. This new additional funding speaks to the government’s support for our new vision and direction.

As a Board of Directors, we are working to ensure first and foremost that patients have the front line care they need. Health Sciences North is a vision not only for our institution, but also for our community as a whole.

It has been a very successful year, and we are looking forward to carrying that success forward into 2012. Health Sciences North

Introduction of many new initiatives and priorities

• Expanded the scope of services we provide to our patients;

• Established chronic disease management and outpatient care as key priorities;

• Launched new services aimed at frail and elderly seniors.

DR. ROY

Bonsoir mairesse Marianne Matichuk et membres du Conseil municipal.

As indicated by Chair Elect, Mr. Michael McCann, this past year has seen the introduction of many new initiatives and priorities:

•We have expanded the scope of services we provide to our patients; •We have established chronic disease management and outpatient care as key priorities; •And our institution has launched new services aimed at frail and elderly seniors. Health Sciences North

Quality Improvement

• improve or maintain our infection control practices; • reduce wait times in our Emergency Department; • reduce wait times for CT and MRI scans; • reduce wait times for hip and knee replacement surgeries; • reduce unnecessary time patients spend in acute care; • improve compliance with the surgical checklist.

Another priority area for our institution is quality improvement.

We have developed a plan that outlines for the public and our stakeholders the key areas that we have targeted for improvement. They include:

•improve or maintain our infection control practices; •reduce wait times in our Emergency Department; •reduce wait times for CT and MRI scans; •reduce wait times for hip and knee replacement surgeries; •reduce unnecessary time patients spend in acute care; •improve compliance with the surgical checklist, which is a standard list surgical teams go through before each procedure to ensure the highest quality and safety of care.

Nous constatons des améliorations concernant le nombre de patientes et patients de soins en phase post‐aiguë – mieux connus sous le nom de patients nécessitant un autre niveau de soins (ANS) –par suite d’investissements importants dans le système de soins de santé communautaires. Recruitment

Destination of choice for health care professionals

• Total of 45 new physicians recruited to our city since 2010

• Recruited 150 nurses – another record for recruitment in Sudbury

• Significant economic driver for the City

• HSN second largest employer

Our new academic mission is putting us on the map as a destination of choice for health care professionals who want to come to a health sciences network that encourages research, teaching, innovation and excellence in patient care.

This year, in collaboration with the City and Chamber, we have recruited 23 new physicians. This brings the total to 45 new physicians – family doctors and specialists – recruited to our city since 2010.

That is an average of about two new physicians each month, for the past two years. These are recruitment levels not seen in other communities in the province.

We also recruited 150 nurses to our institution –another record for recruitment in Sudbury.

With these increasing numbers, Health Sciences North will continue to be a significant economic driver for the City. With 4,000 employees, our institution is the second largest employer in Greater Sudbury. Challenges

Obstacles not unique to Sudbury

• Wait times in the Emergency Department, as well as for certain diagnostic tests and surgical procedures

• Parking  Issuing an RFP for construction of a tiered parking structure  Purchased land on Centennial Drive

While we have enjoyed many successes, we recognize there are still many challenges ahead. Many of these challenges are not unique to Sudbury, and are being faced by hospitals across Canada.

We continue to have long wait times in our Emergency Department, as well as for certain Diagnostic tests and surgical procedures. We are seeing some improvements as we implement measures to address these service gaps.

Another challenge that you are all very much aware of is that of parking at the Ramsey Lake Health Centre. I am pleased to report that we are taking steps to address this issue.

We will be issuing a Request for Proposal next month for the construction of a tiered parking structure. We have also purchased land on Centennial Drive and site preparation for off‐site parking is expected to be completed soon.

These options will provide Ramsey lake Health Centre with parking capacity that exceeds current and projected demands. Focus on the Future

Hub of Health Care Excellence

• New and innovative ways of delivering care

• Expansion of outpatient care and chronic disease management

• Friends to senior initiatives

• Surgical innovation and excellence

• Pediatric Centre of Excellence

En résumé, 2011 a été une année très fructueuse dans notre évolution pour devenir un centre hospitalier universitaire.

Nous redéfinissons les soins de santé à Sudbury et dans le Nord‐Est en les prodiguant de façon innovatrice aux patients et aux résidents.

We are an academic health sciences centre with a focus on the future. We are redefining health care in Sudbury and across the northeast as we look at new and innovative ways of delivering care to patients and residents.

We want to continue in our expansion of outpatient care and chronic disease management. We will also continue to implement initiatives that are friendly to seniors and helps them to live more independently and enjoy a greater quality of life.

We want to enhance our opportunities for innovative surgical excellence. We are excited about creating a Pediatric Centre of Excellence that will offer the best care for our children. Health Sciences North/Horizon Santé‐Nord is an acknowledgement of what the community has been working towards over the past decade. The entire system has moved beyond amalgamation and consolidation into an era of growth, evolution and vision.

Le Grand Sudbury s’est énormément diversifié. La municipalité est un chef de file mondial des technologies et du savoir‐faire miniers.

Nous croyons que la même évolution peut se produire dans le domaine des soins de santé. C’est d’ailleurs déjà le cas et la tendance ne fera que s’accentuer au cours des prochaines années.

An academic health sciences network is beneficial for our patients, our physicians and nurses, our citizens, our economy and our future.

Health Sciences North/Horizon Santé‐Nord is far more than a new logo –it is creating a picture of change for our community. It is the most visible signal of the change in who we are, what we do and what we value.

Merci.