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Report to the City of

20 Health Sciences North 2016 Report to the City of Greater Sudbury 16Page 1 Health Sciences North is pleased to present its 2016 report to the City of Greater Sudbury.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 2 This past year, signifcant progress was made on several key initiatives in which Health Sciences North and the City of Greater Sudbury enjoyed a strategic partnership.

PET-CT Scanner at Health Sciences North

In November, the government announced $4.6 million in capital funding to build the suite $4.6 million Capital Funding that will house a Positron Emission Tomography - Computer Tomography (PET-CT) scanner at Health Sciences North (HSN). $3.5 million Community Fundraising At the same time, the Northern Cancer Foundation announced the community had successfully raised $1 million the $3.5 million needed to purchase the PET City of Greater Sudbury scanner, thanks in large part to a $1 million pledge from the City of Greater Sudbury. $1.6 million Annual Operating Funding HSN would also like to acknowledge the work of the Sam Bruno Pet Scan Fund Committee and its many supporters, the Northern Cancer Foundation, and Patricia Mills in HSN’s Development Ofce for their roles in making the PET scanner at HSN a reality.

We are estimating that HSN’s PET scanner will be operational within 18 months, pending fnal government approval. Approximately 4.5 full-time equivalent jobs will be created. The provincial government has also committed up to $1.6 million in annual operating funding.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 3 Walford Road Capital Project

Progress is being made on the This project is supporting 35 construction jobs. construction of the new state-of-the-art laboratory for the HSN HSNRI thanks the City and the GSDC for supporting this Research Institute, located on Walford project, which continues to boost Sudbury’s economy Road. The City and the Greater and reputation as a centre for leading health care Sudbury Development Corporation research, while improving the health of our northern and (GSDC) have committed $1.75 million Indigenous populations. to this capital project.

Physician Recruitment

For over a decade, HSN, the City of The economic impact of our shared initiative to recruit Greater Sudbury, the Greater Sudbury doctors is enormous. The Ontario Medical Association Chamber of Commerce, and the estimates that one doctor will generate at least four jobs School of Medicine in the community, $200,000 to Ontario’s Gross Domestic have worked together to recruit new Product, and $50,000 in municipal, provincial and federal physicians to our city. 2016 proved to taxes. be another successful year. A total of 16 new physicians were recruited to the city. A report completed in 2014 by the Centre for Rural and Northern Health Research, using data from 2010, estimated that doctors with privileges at HSN contributed a total of $93.0 million to the Greater Sudbury Since 2010, economy through spending and re-spending of local approximately 140 income. These doctors also generated $3.2 million in local new physicians have property taxes and created or supported 1,114 FTE jobs. established practices The same study also estimated the economic contribution in the city, including of HSN itself to Greater Sudbury at an additional $310 74 medical specialists. million, as well as $12.3 million in property taxes.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 4 EnergySavers

HSN was also pleased to partner with Greater Sudbury Hydro’s EnergySavers team on an energy conservation initiative.

Through the assistance of Greater Sudbury Hydro, HSN was able to access over $277,000 in incentive funding from Ontario’s Save on Energy Program for such measures as the installation of over 26,000 new energy-efcient light fxtures, LED lighting in main parking areas, and the installation of advanced new temperature and humidity monitoring equipment.

The energy-conservation measures initiated through this partnership are expected to reduce HSN’s annual energy consumption by 3.6 million kilowatt hours (3.6 gigawatt hours), at an estimated annual saving of $504,000.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 5 HSN wants to thank the City of Greater Sudbury for these partnerships and strategic investments in “ health care.

The City of Greater Sudbury and HSN have partnered on initiatives designed to directly improve patient care and wait times ”

Through funding from the City, HSN provides a Registered These clients are brought to HSN’s Nurse in the who works with Withdrawal Management Service on Greater Sudbury EMS paramedics to better facilitate the Pine Street, instead of the Emergency transfer of patients who arrive by land ambulance. This Department. Since its launch in 2015, reduces the amount of time Greater Sudbury paramedics this pilot project has helped divert over spend in the hospital and allows them to respond more 150 clients from the ED to Withdrawal quickly to other calls. As a result of this arrangement, Management, where care is provided in ambulance of-load times have been averaging around 20 a more timely fashion and appropriate minutes, well below the provincial average. setting.

HSN and Greater Sudbury EMS are also partners in the HSN wants to thank the City of Greater EMS Diversion pilot project for patients with addiction Sudbury for these partnerships and issues. Approximately 160 paramedics received strategic investments in health care. special training to assist people struggling with serious They are reaping tangible benefts for the addictions. citizens of this community.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 6 Clinical Services more , we also introduced new surgical procedures. These new procedures are minimally invasive, which leads to better patient outcomes From a clinical perspective, 2016 was an incredibly and faster recovery times. busy year at HSN. Overall patient activity grew substantially. Mental Health HSN relocated and expanded its Child and Emergency Department Adolescent Mental Health Program (CAMHP) from Patient volumes in the Emergency Department have Kirkwood Place to the Ramsey Health Centre. increased by 13,000 in the past fve years. Last This is an inpatient unit for children under the age of year, HSN recorded over 73,000 visits to our ED, 18 with mental health care needs. the highest number on record. That translates into a new patient every seven minutes of every day. We The new, expanded CAMHP unit has extra capacity anticipate similar volumes in the ED this year. to accommodate more children than the previous location. It also features a classroom within the Despite the increase in overall activity in the ED, unit, which the previous location did not have. The wait times improved over last year for patients who new unit also houses a lounge, family room, private did not have to be admitted to hospital. therapy areas plus expanded work areas for clinical staf. ED wait times for patients waiting for a hospital bed continue to be a challenge. For the past year, Last year, HSN began sending teams of health care HSN has been in a state of overcapacity. There and crisis workers to the James Bay community of are several contributing factors. They include Attawapiskat to assist that community in dealing increased patient volumes, an aging population, with the urgent need for mental health care services. and challenges in accessing care in other more appropriate community settings such as the ofces President and CEO of family doctors, clinics, long-term care, and home Also in 2016, President and CEO Dr. Denis Roy care. HSN is continuing to work with community announced his retirement, to take efect in June of partners like the North East LHIN, the CCAC and this year. Since arriving in 2010, Dr. Roy has been primary care to fnd creative solutions. a remarkable leader and visionary, and a driving force in health care in our community and across Surgical Department . Under his leadership, HSN HSN performed 33,000 surgical procedures in has evolved tremendously as an academic health 2015/16. This is an increase of approximately 350 sciences centre, including the creation of the HSN surgeries over the previous year, and an increase of Research Institute. A recruitment process has been over 1,500 from 2013/14. In addition to performing launched in the search for a new CEO.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 7 HSN Research Institute ce 2 Since its creation in 2012, the HSN Research in 01 Institute (HSNRI) has attracted $11.75 million S 2 in capital funding, over $15 million in research funding, and created 62 new full-time, part-time, and casual jobs. This past year has also been successful for HSNRI. $15 Indigenous Health million In November, HSNRI recruited Dr. Carrie in research funding Bourassa to serve as its new Chair in Northern and Indigenous Health. Dr. Bourassa is a leading expert in the feld of Indigenous health. In January of this year, Dr. Bourassa was also named the Scientifc Director of the Canadian Institutes of Health Research (CIHR) Institute of Aboriginal Peoples’ Health. It is the frst time the CIHR has $11.75 based one of its research institutes outside of a major city centre. million in capital funding Vaccines and Studies HSNRI Scientifc Director and HSN Volunteer Association Chair in Healthy Aging, Dr. Janet McElhaney, released preliminary results of her study into higher-dose fu vaccine for seniors. Early 62 results show the higher-dose vaccine stimulated a new jobs stronger immune system response to the fu virus.

HSNRI received funding from the NEO Kids Foundation to study radon gas exposure.

Dr. Hoang-Thanh Le secured funding from CIHR Full-time Part-time Casual for his work on developing a nicotine vaccine.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 8 The Patient Voice at HSN Challenges

When it comes to improving care and the overall By all indications, 2017 will be another year of patient experience, HSN values the voice of patients substantial patient volumes at HSN. Patient and family members. To that end, in 2012, HSN volumes are again expected to increase over created the CEO Patient and Family Advisory Council the previous year. (PFAC). Challenges in accessing care in the community Since its inception, patients such as primary care, home care, and long-term have been involved in care will continue to put substantial pressure on hospital resources, afecting patient fow, and numerous initiatives to wait times. improve care and the patient In 2015/16, we were able to achieve a balanced experience. budget, despite greater patient volumes and demand for services, as well as rising costs for Their input guided our decision to extend visiting salaries, medical supplies, drugs, and utilities. hours. Patient advisors were instrumental in the development of what’s known as the Name, We anticipate the same fnancial challenges Occupation, Duty (NOD) protocol. This protocol this year, as the province looks to gain greater better identifes to our patients who their care efciencies from Ontario’s health care system. workers are and what exactly they will be doing. Ontario’s Financial Accountability Ofce estimates that the province will have to fnd an Patient feedback is helping us improve our additional $2.8 billion in savings over this fscal communication about the purpose and possible side year and the next two years if it hopes to meet efects of medications. its own targets for curbing spending growth in the health care system. This will impact Patient and family members also helped shape across Ontario. changes to our parking system. They said we needed to give patients, family members, and visitors Despite these ongoing challenges, HSN’s team more options and fexibility when it comes to parking. of health care workers, physicians, support staf, Our new system refects that. administration, volunteers, and patient advisors have done an outstanding job of providing And this year, for the frst time ever, PFAC members quality patient care and assistance. They have have been included on the executive search performed remarkably in difcult conditions. committees for our new CEO and Chief of Staf.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 9 We look forward to working with community partners like the City of Greater Sudbury to advance the health and well-being of the populations we serve.

HSN will continue to pursue teaching and research as they directly contribute to advances in front-line health care. They also have a positive impact on our local economy and national reputation, by attracting health care expertise and research funding to our community.

We thank the City for its ongoing support of HSN, and look forward to working with you in the future.

Health Sciences North 2016 Report to the City of Greater Sudbury Page 10 2016 YEAR IN REVIEW

January

16 The CEO Patient and Family Advisory Council releases its annual report for 2015 which highlighted patient participation in management recruitment, and the adoption of a Name, Occupation, Duty (NOD) identification protocol for HSN staff.

19 United Way campaign at HSN raises $27,000.

HSN celebrates National Non-Smoking Week. As of January 1st, anyone smoking on hospital property in Ontario could 21 be subject to a provincial fine under the Smoke Free Ontario Act .

February

Northeast Cancer Centre marks 1st anniversary of My Cancer 4 IQ online self-assessment tool for cancer risk.

HSN hosts public forum on youth mental health featuring 11 TSN broadcaster Michael Landsberg and Canadian pro golfer Andrew Jensen.

Scientific Director Dr. Janet McElhaney releases preliminary 26 results of her study into higher-dose flu vaccine for seniors. Early results show the higher-dose vaccine stimulated a stronger immune system response to the flu virus. March

1 HSN marks Colon Cancer Awareness Month.

Dr. Rob Anderson, Medical Director of Sim Lab, 7 receives Canadian Association for Medical Education (CAME) Certificate of Merit Award.

Melissa Giguere, a Patient Relations Representative, 31 speaks at the Canadian Patient Relations Conference in .

April

15 HSN launches new social media feature, Humans of HSN.

HSN opens expanded Child and Adolescent Mental Health 21 Program unit ( CAMHP) .

20 HSN launches Advance Care Planning pilot project.

HSN Foundation provides funding to P.A.R.T.Y program, 20 which educates youth on the dangers of risky behaviours while driving.

May

Staff celebrated Doctor’s Day and acknowledged 1 HSN’s medical staff for all they do.

9 HSN celebrates National Nursing Week. 10 AMRIC is renamed HSN Research Institute (HSNRI).

The FASD Clinic at NEO Kids expands to accept referrals for 19 children under the age of six. Previously, the clinic dealt with children between the ages of 6 and 18.

June

2 HSNRI receives funding from Neo Kids Foundation to study radon gas exposure.

HSN’s Patient Advisors launch patient safety tips video series on social media. 9

HSN opens new Cardiac Outpatient Centre at Sudbury Outpatient 21 Ce n t r e .

HSN hosts its Annual General Meeting, with guest speaker Dr. Bob 23 Bell, Ontario Deputy Minister of Health, and announces balanced budget for 2015/ 16.

July

4 Dr. Carole Mayer and Mark Collins receive distinguished service awards at the Canadian Association of Psychosocial 2016 Conference in Halifax.

6 HSN Lab achieves full accreditation!

The Canadian Vascular Access Association named its Northeastern Ontario chapter as 7 Chapter of the Year for its use of teleconferencing technology through the Ontario Telemedicine Network. It is the only CVAA chapter in Canada to use this method. August

HSN announces new parking system will be put in place at the 2 Health Centre and Sudbury Outpatient Centre. The new system will include more flexible rates and parking options for patients and visitors.

5 HSN receives $277,000 rebate from Sudbury Hydro for energy- conservation measures.

Dr. Deljit Dhanoa performs HSN’s first-ever Radiofrequency 25 Ablation (RFA) to remove a kidney tumour on a patient.

September

14 CEO Dr. Denis Roy announces his retirement, effective next June.

Dr. Hoang-Thanh Le of HSN Research Institute receives funding from 20 Canadian Institutes of Health Research for his work on developing a nicotine vaccine.

25 HSN Marks Franco- Ont ari an Day.

CEO Dr. Denis Roy and NEO Kids are among recipients of 2016 Dr. 29 Edward J. Conroy Community Leadership Awards, presented by Huntington University. October

HSN paramedic trainers Paul Myre and Eric Levasseur receive 6 the Governor General’s Emergency Medical Services Medal for Ex e m p l a r y Se r v i ce .

HSN acknowledges and thanks employees who have 14 volunteered for special assignment in Attawapiskat.

Heart attack survivor Mike Pressacco shares his remarkable 24 story of survival. Over 100 people, mostly from HSN, played a role in saving Mike’s life. Mike’s story is one of the most popular features on HSN’s Facebook page for 2016.

November

Ontario government announces funding for the 8 construction of a PET scan suite at HSN. The Northern Cancer Foundation also announces the community fundraising target has been reached, allowing HSN to buy the PET machine. Special thanks to the Sam Bruno Pet Scan Fund, named in honour of Sudbury businessman Sam Bruno, who lobbied for a PET scan before his death from cancer in 2010. 10 Memorial to ICU employee Joey Chamberland becomes most watched post on HSN’s Facebook channel in 2016.

21 HSN Volunteer Association provides $300,000 for the HSN VA Chair in Healthy Aging, held by Dr. Janet McElhaney.

24 HSN Research Institute creates new Chair in Northern and Aboriginal Health, to be held by Dr. Carrie Bourassa.

30 NEO Kids Month raises $1,000,000, through NEO Kids Founda t i on. December

5 HSN unveils architectural rendering of new PET scan suite.

Health Sciences North Research Institute (HSNRI) presented at a Council of Academic Hospitals of 6 Ontario (CAHO) information session at Queen’s Park. This was an opportunity to showcase the health research being conducted across Ontario’s research hospitals.

HSN earns more awards from Trillium Gift of Life Network for outstanding achievement in organ 12 donation.

HSN colorectal surgeon Dr. Antonio Caycedo named one of the 10 Most 15 Influential Hispanics in Canada, by the Canadian Hispanic Business Alliance and Canadian Hispanic Congress.