How To Reach Us: Sunnybrook News is published twice a month by the Communications & Stakeholder Relations Department (Public Affairs) at Sunnybrook Health Sciences Centre. Room D100 Submissions to Sunnybrook News are welcome, however, they are subject to space availability and editorial discretion.

Sunnybrook Campus Editor: Christine Henry 2075 Bayview Avenue Visit us online at: www.sunnybrook.ca , ON M4N 3M5 About Sunnybrook: P: 416.480.4040 Sunnybrook Health Sciences Centre is transforming healthcare through the dedication of its 10,000 staff members, physicians and volunteers. An internationally F. 416.480.5556 recognized leader in research and education and full affiliation with the University of Toronto, distinguishes Sunnybrook as one of Canada’s premier health sciences E-mail: [email protected] centres. Sunnybrook specializes in caring for critically-ill newborns, adults and the elderly, treating and preventing cancer, cardiovascular disease, orthopaedic and arthritic conditions and traumatic injuries. Sunnybrooknews

Volume 6 No. 2 April 2010 Patient satisfaction high Pharmacy kiosk provides convenient option for Canada’s best in music, dance and comedy Sunnybrook’s with post-operative picking up post-surgery medication support Sunnybrook Respect Program Holland Centre clinics By Marie Sanderson One of Sunnybrook’s corporate goals is to be the health- Sunnybrook’s commitment to innovation was recently Since the summer of 2008, Sunnybrook has taken the Great tickets for May 17 event available at nightofstars.ca care workplace of choice. To achieve this, we must Advanced Practice Physiotherapy role showcased by the launch of a new PharmaTrust MedCentre lead role in assessing this medication dispensing system, strive to live the values of Sunnybrook. Respect is one kiosk in the main lobby of the Holland Orthopaedic with a similar kiosk for patients at the Bayview campus. of our core values and is fundamental to the culture at receives high scores from patients & Arthritic Centre on February 23, 2010. The Holland Sunnybrook Health Sciences Centre. Centre performs 2,200 hip and knee replacements each Holland Centre patients The Respect Program is meant to give an appropriate year and pain management is a key factor in helping to now have access to a restore quality of life and mobility. The convenient loca- PharmaTrust MedCentre focus to one of our most important values. Respectful tion of the kiosk, centrally located in the hospital’s main kiosk, a telepharmacy behaviour will help us build and sustain respectful work lobby, will make it easier for patients to pick up their that dispenses relationships and work environments. It will improve our prescription drugs, in the productivity, the delivery of the services we provide to medication before they leave the hospital. main lobby. PharmaTrust pharmacist Sunny Lalli our patients and visitors, and how we interact with each The kiosk offers a live two-way video link with a pharma- speaks with Sabina Sunnybrook’s Night of Stars, to be held on May 17, 2010 will produce the show which raise money other. Together we will create work environments that cist who guides patients through the dispensing process, Dizdar, pharmacist at the at the Princess of Wales Theatre, will be showcasing a for redevelopment of the Holland Centre and will allow welcome the diversity of our workforce and are built on company’s call-centre. stellar lineup of Canadian talent. Tickets are available, Sunnybrook to continue to provide the exceptional hip a foundation of respectful behaviour. This will ensure counsels on the medication and answers any questions. Photo: Doug Nicholson Each step of the medication dispense is completely con- starting at just $49 for staff, and all proceeds go to and knee care for which the hospital is renowned. staff, physicians, volunteers and students feel included, trolled by the pharmacist to ensure patient safety and Sunnybrook’s Holland Orthopaedic & Arthritic Centre. experience the reality of belonging, and are able to fulfill personal information is secure and protected. Only the “We are thrilled that such their potential at Sunnybrook. Canada’s best in music, comedy and dance are donat- amazing Canadian talent patient can hear the pharmacist over the phone and the Advanced Practice Physiotherapist Shahiroz Juma explains ing their time to the event, including pianist and artistic has thrown their support technology enables patients to speak quietly and privately This is a shared responsibility and everyone in the or- the results of an x-ray with Holland Centre patient Jeannette director of the Art of Time Ensemble Andrew Burashko; behind Sunnybrook’s Holland Mercer. Photo: Geoff George with the pharmacist. ganization – staff, physicians, volunteers and students Cirque du soleil choreographer Debra Brown; stars of Centre,” says Marilyn Wright, – must be accountable for their behaviour, actions and the upcoming production Rock of Ages Yvan Pedneault co-chair, Night of Stars and A patient survey, compiled from February to June 2009 in work relationships. We must work together as a team to and Elicia Mackenzie, known for her role as Maria in member of the Holland the post-operative follow-up clinics shows that patients promote respectful behaviour, respect work interactions, The Sound of Music; ; comedians Musculoskeletal Program at the Holland Centre are very satisfied with both the and build respectful work environments. surgeon-led and the Advanced Practice Physiotherapist- Jessica Holmes and Ron James; Glass Tiger front man Alan Campaign Cabinet. “The Frew; The National Ballet of Canada’s Sonia Rodriguez, Holland Centre is Canada’s led clinics. Among the 750 patient surveys that were Celebrating food from field to table In November 2009, through a series of education and Aleksander Antonijevic and Karen Kain, and classical largest centre for joint re- analyzed, 88 per cent indicated that they had no further focus sessions, we launched the program to our hospital violinist James Ehnes. placement surgery, where the Members of The National suggestions for improving the care and services in the By Hannah Sheehan, Dietetic Intern Ballet of Canada dazzle leadership. A Corporate Respect Agreement has been most severe cases are treated outpatient clinics. Qualitative feedback on the survey Ticket prices start at $49 and can be purchased online at at the 2007 Night of Stars developed and Respect Toolkits will soon be delivered using techniques developed event. reflected positively on the reduced wait times for ap- Each year Dietitians of Canada celebrates Nutrition Month farmer’s market. Visit www.farmersmarketsontario.com to your department. Over time, the process will begin nightofstars.ca or by calling 416-967-8628 by our own specialists.” pointments, pleasant and professional care and attention with a different healthy eating theme. This year’s theme for your nearest market. Make sure to take advantage of for each department, unit or program to develop their to answering patients’ questions. Patient satisfaction reflects the ever increasing popularity of the local food the farmer’s knowledge – ask how to store and prepare own Respect Agreement. There are many components to is an integral component of ongoing evaluation of movement, encouraging Canadians to “celebrate food... fresh produce. Be adventurous! Pick out something new the new program and Marilyn Reddick, Vice President of Sunnybrook’s Hip and Knee Arthritis Program model of from field to table”. every couple of weeks, or let your child pick a new fruit Human Resources and Organizational Development will care. or vegetable. If they choose it, they will be more likely to be communicating with staff through a series of Respect Trends like the 100 mile diet have increased the popular- eat it! Sunnybrook volunteers make a difference Bulletins. ity of local eating, but really this is just a reflection of our Canadian heritage. In the time of our parents and While you are at the market, why not pick up a few grow- when it matters most National Volunteer Week – April 18-24 Our actions can make a difference in sustaining a culture Sunnybrook volunteers grandparents, food was often produced on small farms, ing tips and start a mini farm of your own? If you have a of respect for each other. continued from page 1 and most meals were prepared from scratch and served yard, try starting a small vegetable patch with tomatoes, By Laura Bristow at the kitchen table with family. It’s true that we can’t peppers, cucumbers, beans, and other favourites. If you was a terrific way to combine my love of flowers, my pas- go back in time, but that doesn’t mean that practicing only have a small balcony, grow cherry tomatoes and In 1989, the project was expanded to include dug-up sion for gardening and give to the hospital at the same Respectful behaviour a more traditional, local way of eating isn’t possible and herbs in large pots. Some herbs will grow well on your tulips, which were kindly donated to the Volunteer time.” beneficial. windowsill. If you can’t grow your vegetables and fruits Association by the City of Toronto Parks & Recreation Builds good work relationships at home, one alternative is to have fresh local produce Department. A total of 13,400 tulips were handled, rais- Marilyn’s co-convenor, Jean McGrath, agrees, “I like work- There are many benefits of eating local. Eating locally delivered right to your door. Some organizations deliver ing $2,003. ing with the other 48 Greenthumbs. There is a real buzz means eating seasonally. Seasonal fruits and vegetables boxes of fresh, local or organic fruits and vegetables Which create great work enviroments in the greenhouse when we prepare special occasion are fresher, more abundant, and often less expensive weekly. Some will let you choose the content while others In February 1990, the Greenthumbs Service was officially baskets for Thanksgiving, Christmas, Valentine’s and than imported varieties. Seasonal foods have also trav- bring whatever is locally available that week. named. The dilapidated McLean House greenhouse was Easter. My connection to Sunnybrook goes back to my eled a shorter distance, reducing your carbon footprint restored just in time to take advantage of the gift of first job on 48 Centre on a 54 bed medical ward. Patients and any nutrient deterioration which may occur in transit. If you’re still a hardcore grocery store fan, have a look potted plants at the end of the Toronto City Hall Spring were primarily veterans and loyalty to Sunnybrook was Eating locally can also help you to get in touch with your at your fresh food labels. Most stores will tell you where Flower Show; otherwise destined for the compost pile. palpable. Then, when my father moved in K Wing 20 community and support local farms and businesses. So your produce, fish, and meat are grown and harvested. Sale of these plants along with dug-up Sunnybrook and years later I knew it was time to give back to the Hospital. now that you are considering the locavore how do you do City of Toronto tulips generated $3,500 in 1990. Later I have learned that whatever type of volunteer work I do, it? Here are some suggestions. Lastly, remember to make meal time a family affair. Get that year, the Greenthumbs were able to fix up the the most important factor is enjoying and respecting my Greenthumbs volunteers, Jan Fullerton and Betty Glave (fore- your children to help choose vegetables and fruits at the greenhouse further and make it even more hospitable fellow volunteers.” ground) and Stacey McIndless (background) work together in Start out by visiting a website like www.foodland.gov. grocery store or market. Children can also help to wash the greenhouse. Photo: Doug Nicholson for growing plants. on.ca/ . Foodland Ontario provides information on produce, stir ingredients, and set the table. As children Now in its 14th year, the Sunnybrook Golf Classic is an “The Greenthumbs program is truly a very special one Ontario fruits, vegetables, meats, poultry, eggs, and get older, have them help with the chopping and cooking Sunnybrook is fortunate to have hundreds of volunteers “It has been incredible to see the program ‘grow’ as opportunity for our participants and sponsors to mingle and I feel very fortunate to be a part of it,” says Marilyn. dairy. Look up your favourite Ontario produce and they as well. Cooking and baking are life skills that are easiest who provide service and fundraise in a wide variety of much as it has,” says Katherine Alexopoulos, Director, with many of Sunnybrook’s top medical minds. will tell you what varieties are available and when, how to learn if you start young. An added benefit is that chil- areas of the hospital. They contribute countless hours, Volunteer Resources. “It is truly thanks to the tireless ef- During National Volunteer Week, Sunnybrook would like to shop for them, how to store them, and how to prepare dren are more likely to eat a meal that they have helped and their compassion, caring and commitment to fort and energy of the volunteers that Greenthumbs has Hosted at Eagles Nest Golf Club, this is one of the to recognize the many contributions of our volunteers. them, including several tasty recipes. prepare. When the meal is ready, sit down as a family, Sunnybrook truly makes a difference. become the success it is today.” most anticipated golf tournaments of the year, with all Please remember to say thank you to all the volunteers turn off the T.V., radio, and Blackberry, and enjoy catch- proceeds helping to fund the renovation of the Schulich who give their time so gener- The best way to fully understand how food gets from ing up with each other. Make family dinners a habit and One such service is provided by the Greenthumbs volun- For the volunteers who are a part of Greenthumbs, it is Heart Centre. ously to the families, patients field to table is to actually go to the field itself. Visiting start to discuss other food traditions. Decide on a few teers. The Greenthumbs service all started with a little more than just a gardening activity. and Veterans at Sunnybrook. a farm is a great weekend activity for family or friends. traditions you would like to continue and others that you earth, a few bulbs and some loving care and grew into This year’s dinner will be hosted by Ron Hewat, radio Volunteers play a significant In the fall pick apples, in winter try cutting down your would like to start. Most of all take the time to enjoy what one of the Sunnybrook Volunteer Association’s most “I initially joined Greenthumbs because I had recently re- personality and broadcaster of every Canada Cup hockey role in enhancing patient and own Christmas tree, in June collect strawberries, and you are eating and be thankful for your time together and prized initiatives. tired and thought it was time to give back,” says Marilyn series since 1976. resident care and are a valued in August go blueberry picking. U-Pick options are very all that Canada has to offer. Okada, co-convenor of Greenthumbs. “On my initial visit and integral part of the hospital affordable so load up on berries and other fresh fruits In May 1988, the Volunteer Association began a small to the greenhouse I was very impressed with the quality Date: June 8, 2010 community. side-project to raise funds by selling tulip bulbs dug from and vegetables during the summer and freeze them, can For more information on celebrating food from field to of the gardening, the friendly volunteers and the nature For more information visit, sunnybrook.ca/golfclassic flowerbeds to make room for planting annuals. The sales of their involvement in raising money for Sunnybrook. It Left: Volunteers, Hedva Chiu and them, or make jams, salsas, or chutneys to enjoy through- table, visit www.dietitians.ca/eatwell and click on the generated $1,300. At that point the Association realized Rikers Rukaj, assist a patient at out the year. If you can’t get to a farm try out your local Nutrition Month Links. 4 Sunnybrook. Photo: Doug Nicholson what might be possible if the program was formalized. continued back page 1 Sunnybrook scientist More than 300 turn out for talk on stroke prevention Sunnybrook Academic AFP Innovation Volunteers needed for a recognized for teaching By Monica Matys Projects announced study examining the use commitment Every ten minutes, another Canadian suffers a stroke. of meditation and yoga to In fact, stroke is now Canada’s third leading cause of By Nadia Radovini Dr. Sheldon Tobe, Associate death. About 80 per cent of strokes are caused by the manage blood pressure Scientist with Sunnybrook interruption of blood flow to the brain because of a blood Sunnybrook Academic Physicians recently received con- The Fund has been established as a competitive peer Research Institute, is the clot. And the risk of stroke is much higher in people who firmation from the Provincial Oversight Committee (POC) review funding initiative accessible to all academic physi- By Laurie Legere recipient of the 2009 have a common form of irregular heartbeat, called atrial that all 10 of their proposed innovation projects have cians participating in the Academic AFP and is targeted at Ambulatory Community fibrillation. been approved. We are pleased to announce the 2009- funding the most deserving projects. The old adage “mind over matter” is being put to the Medicine (ACE) Teaching 10 Academic AFP Innovation Projects for the following test at Sunnybrook Health Sciences Centre. Award from the University Fortunately, there are many things people can do to reduce Sunnybrook physicians. This is the fund’s second year. This year, the Ministry of of Toronto. This award their risk. More than 300 people attended Sunnybrook’s Health and Long-Term Care distributed over $10 million Sunnybrook, in collaboration with the Heart and Stroke acknowledges the commit- Speaker Series on March 23 to get the latest knowledge Congratulations to all! in these Innovation Fund allocations to the AHSC AFP Foundation of Ontario, is conducting a study to deter- ment by a member of the on blood clots, atrial fibrillation and stroke prevention. Governance Organizations of which Sunnybrook’s share mine if teaching meditation techniques to people who ACE teaching faculty, and A panel of leading Sunnybrook experts was on hand to Left to right: Bill Bartle, Dr. Eugene Crystal, Dr. David As part of the province’s Academic Alternative Funding was approximately $800,000. At Sunnybrook, a six per- are in the early stages of developing hypertension is an Gladstone, Ron Totty and moderator Dr. Peeter Poldre. Photo: nominations come directly present the latest data, and answer questions directly Plan (AFP) for physicians in academic health science cen- son review panel including an independent chair, hospital effective intervention for lowering blood pressure. Doug Nicholson from students. Many de- from the public. tres, an Innovation Fund was created which provides seed executive representation, University of Toronto represen- scribed Dr. Tobe’s excellence in teaching and mentoring, funding to support innovative projects and to enable tation, Medical Department Head representation, and two Preventing and controlling high blood pressure is Dr. David Gladstone, Director, Regional Stroke Prevention noting that he was always there to support learning and There are several drugs to help prevent stroke in patients academic physicians to develop a program sufficiently to AFP physicians at large reviewed 27 submissions and shown to be one of the most effective strategies for Clinic, talked about stroke warning signs, prevention and provide a steady hand through the academic process. “I with atrial fibrillation, and he reviewed all the latest op- qualify for additional support or to facilitate the transla- made recommendation to the POC on those proposed to reducing the incidence of cardiovascular disease and treatment. Dr. Eugene Crystal, Director of Arrhythmia was very honored to receive this honour for ambulatory tions for patients. tion of new strategies into medical practice. The Fund be funded within the Sunnybrook share of funds avail- death. Stress has been associated with greater cardio- Services, discussed the growing array of choices for care teaching,” said Dr. Tobe. “I just assume that it is my affords academic physicians the opportunity to evaluate able. We are pleased to announce that for the second vascular risk and stress management is a recommended stroke prevention and atrial fibrillation. He outlined sev- The panel of Sunnybrook experts was also joined by Ron routine role to do the teaching, and was very pleased that novel strategies to transform health care delivery in year in a row, all of Sunnybrook’s recommendations have intervention for patients with high blood pressure. eral case studies to help show those attending what the Totty, a patient who had a stroke associated with atrial the students felt it was worthy of an award.” This honour Ontario. been approved by the POC, and notification letters have best choices are to consider. And Bill Bartle, Associate fibrillation. Ron, who attends Sunnybrook’s anticoagula- adds to Dr. Tobe’s outstanding research on kidney dis- been sent to the Principal Investigators for each project. Led by Dr. Sheldon Tobe, Nephrologist at Sunnybrook, Director, Anticoagulation Clinic, addressed the role of tion clinic, is doing very well, and shared his personal ease. Photo: Doug Nicholson Projects are deemed particularly ‘innovative’ if they: the HARMONY (Hypertension Analysis of Stress medications in preventing stroke. experiences with attendees. • Have definite potential for impact on health delivery For more information on this program please visit: Reduction using Meditation & Yoga) study examines • Are implementable (realistic in terms of project scope http://www.health.gov.on.ca/english/providers/project/ a relaxation therapy known as Mindfulness-Based Missed the talk? You can view the webcast on line at sunnybrook.ca and look under “Sunnybrook Connection”. and goals) ahsc/ahsc_mn.html Stress Reduction (MBSR) to see whether it can lower Medical oncologist • Have clear measurable metrics for success blood pressure and delay or prevent the progression • Offer opportunities for knowledge translation into Congratulations to the following Sunnybrook Physicians of hypertension. MBSR is a structured program that receives national award medical practice and their Innovation Projects, which have the potential to teaches participants to take charge of their health and Highlighting the importance of colorectal • Are transferable to other institutions/situations improve patient care at Sunnybrook and in the province well-being and has been shown to alleviate stress and • Offer opportunities to support multi-sited projects: of Ontario: treat certain medical conditions. cross-functional; cross-site; cross-institution; cross- cancer early screening city; cross-province “My hope is that this may lead to the day when physi- cians can refer patients with high blood pressure to By Natalie Chung-Sayers trained health practitioners who can deliver standard- Principal Investigator Project Name A critical activity during Colorectal Cancer Awareness ized, effective lifestyle therapy,” says Dr. Tobe, who is Month (March) was to increase awareness for the impor- Dr. Neil Adhikari Expanding the scope of Critical Care Rapid Response Teams: a cost-effective approach to also an Associate Professor in Medicine at the University tance of colorectal cancer early screening to save lives. identify preventable adverse events that cause harm of Toronto. Dr. Linda Rabeneck, chief, Sunnybrook’s Odette Cancer Dr. Clare Atzema Speak Fast, Use Jargon, and Don’t Repeat Yourself: Using Online Videos to Supplement Centre, and Regional Vice President, Cancer Care Ontario, Emergency Department Discharge Instructions Dr. Tobe and his team of researchers are recruiting 70 people over the next year to participate in this study. was one of the keynote speakers at the Ministry of Health’s Dr. Martin Chapman Transforming the care of patients with severe traumatic brain injury in Toronto Participation may be required for up to ten months. 2010 ColonCancerCheck public event in Toronto. Other During this study period, participants will be asked distinguished speakers at the event were Terry Sullivan, Dr. Natalie Coburn A SMART adverse Events Tracking System for Physicians to come to Sunnybrook for monthly blood pressure Dr. Sunil Verma has been awarded the 2010 Association of president and CEO, Cancer Care Ontario, Dr. Sandy Dr. Nick Daneman Day 3 Reflections: Hospital Wide Stewardship of Broadspectrum Antimicrobials assessments and study visits. Also, over the course Faculties of Medicine of Canada (AFMC) Young Educators Buchman, Regional Primary Care Lead, Toronto Central Dr. Ed Etchells Project H – Using an Innovative Radio Frequency Identification system to measure hand hygiene of nine weeks, participants will attend ten sessions of Award. This is a national teaching award given to a faculty LHIN, Provincial Primary Care and Cancer Network, Jean compliance MBSR in a group setting at Toronto General Hospital. of medicine member who has produced change in his/her Loeffelhardt, a colorectal cancer awareness advocate, and Each session is two-and-a-half hours long. One of these university or within the medical community through their Dr. Rajin Mehta A Virtual Ward to Reduce Readmissions after Hospital Discharge (a multi-site project in Barry Stein, president, Colorectal Cancer Association of sessions will be a day-long mindfulness meditation vision and work. Sunil was nominated by the University of partnership with Women’s College Hospital, Mount Sinai Hospital, and University Health Canada. 2010 is the third year of ColonCancerCheck, the retreat that takes place on a Saturday or Sunday. In Toronto Faculty of Medicine and has been selected as the Network) first province-wide colorectal cancer screening program addition to this, participants will be asked to complete national recipient of this award. Photo: Doug Nicholson in Canada that was launched in Ontario by the Ministry Dr. Simron Singh & The Association Between the Transfer of Emergency Department Boarders to Inpatient Hallways some practice at home. of Health in partnership with Cancer Care Ontario. The Dr. Matthew Cheung and Outcomes of Oncology Patients

Dr. Linda Rabeneck, chief, Sunnybrook’s Odette Cancer Centre, goal of the program is to reduce deaths from colorectal Dr. Richard Swartz The CLOQS trial: Countdown Lights to Optimize Quality in acute Stroke (a multi-site project in In order to be eligible for this research study, partici- and Regional Vice President, Cancer Care Ontario. Photo: Doug cancer, the leading cause of non-tobacco cancer death in partnership with St. Michael’s and University Health Network) pants must meet the following criteria: Nicholson New T-Wing main Canada. Dr. Homer Tien Improving Interfacility Transfers of Trauma Patients in Southern Ontario Using Weekly Telephone Conferencing (a multi-site project in partnership with St. Michael’s) • Between 20 to 75 years of age reception more • Have been diagnosed with high-normal or high blood pressure centralized for patients • Not be taking any medication for elevated blood Partnering for patients pressure More women will get the best for their breasts • Be willing to participate in the 10 sessions (over a Sunnybrook and Providence work together to ensure best post-operative period of nine weeks) of Mindfulness-Based Stress rehabilitation for hip fracture patients By Heather Gibson Reduction

By Marie Sanderson “Being at Sunnybrook, to me, was like being in the arms As compensation for each participant’s time in the of an angel,” Cynthia remembers. “There were so many study, they will receive MBSR therapy and MBSR ma- Providence Healthcare is ready, or close to being ready, for transfer to a rehabilita- times I sat in the waiting room thinking ‘oh my gosh, I’m terials as well as reimbursement for parking costs to one of several rehabilita- tion facility. so lucky to be here in this hospital.” attend study sessions. tion organizations that Sunnybrook is exploring This “pull strategy” helps to identify patients who are It was in a Sunnybrook waiting room that Cynthia saw Please feel free to visit www.harmonystudy.ca for more partnerships with to en- good candidates for Providence’s rehabilitation program a flyer for Live to Tell, an event featuring Sheryl Crow information. If you would like to participate, or have sure patients receive the for hip fracture patients which include medical manage- to raise funds for Sunnybrook’s Breast Cancer Research any questions regarding your eligibility or if you would best possible care after ment, strengthening, mobility, activities of daily living Centre. like to come in and have your blood pressure assessed, they’re discharged. Led and assistive device training. Patients were consulted please contact: by a team of staff from through the process as active players in their care and “I just looked at the flyer and thought, ‘I need to go online the Orthopaedic and were impressed by the coordination of post-operative re- and sign up.’ Because every woman with breast cancer Office of Dr. Sheldon Tobe Sunnybrook’s Odette Cancer Centre (T-Wing) opened a Neurosurgical Unit (D5) habilitation services between Sunnybrook and Providence. should get to be a Sunnybrook patient. And if the new Nephrology Research new, more centralized and accessible Main Reception at the Bayview Campus, Breast Cancer Research Centre gives more women access Sunnybrook Health Sciences Centre to better serves patients. The expansion made possible the relationship began “This new partnership is a good fit for everyone, es- to Sunnybrook, that’s amazing.” 2075 Bayview Avenue, Room C-504 by generous donations, features more check-in stations with the goal of develop- pecially our patients who receive top-notch geriatric Phone: 416-480-6100 extension 1641 and a larger waiting area with new chairs, and is part of ing a new care pathway rehabilitation services in a timely manner at Providence,” Cynthia talked to her doctor, Rebecca Dent, about how to E-mail: [email protected] overall physical improvement plans to include the expan- for patients who have says Gerry Hubble, Patient Care Manager for D5. “By get involved with fundraising. sion of the Centre’s Chemotherapy Unit, and Pharmacy. experienced a hip frac- pre-identifying the patients, we assist in helping to get Cynthia and Jon Nagamatsu pictured here with Sheryl Crow, All queries will remain strictly confidential. Photo: Doug Nicholson raised $13,000 to help us build a state-of-the-art Breast Cancer Hip x-ray at the Holland Centre. ture while living in the them transferred quickly and efficiently so that they can She ended up raising more than $13,000 to build the Photo: Geoff George Centre. community. begin their rehabilitation journey. We’re in the process Breast Cancer Research Centre. of exploring closer partnerships with other rehabilitation The goal of this new model of care is to ensure that organizations, including St. John’s Rehabilitation Hospital “It was during the economic downturn, and I thought it “There were so many times I sat in Sunnybrook’s patients have a successful return to and Bridgepoint Health Centre.” would be a struggle to raise a thousand!” says Cynthia. “I their pre-fracture living situation. Staff first met with was shocked by my donors and their response. It made the waiting room thinking ‘oh my Providence representatives in September 2009 during This new strategy will be assessed after three months me realize how I’ve impacted people.” a site visit and tour of D5. Now the Clinical Leader of to see if there has been a decrease in length of stay for gosh, I’m so lucky to be here in this Providence’s Patient Flow Department has been attend- Sunnybrook’s hip fracture population and an increase in You too, can support the construction of the Breast 2 ing D5’s weekly rounds and reviewing patients who are transfers to Providence. Cancer Centre by making a gift at sunnybrook.ca. hospital.” 3 National Medical The road to learning never stops, even if MRSA ‘superbug’ on the Interprofessional education student Laboratory Week you’re an educator rise In Canadian hospitals placement at Sunnybrook For the past 25 years, the third week of April has tra- By Natalie Chung-Sayers By Monica Matys By Lawrence Jackson and Francine de Belchior ditionally been designated National Medical Laboratory Week. At Sunnybrook’s first Education Strategic Planning Other speakers also addressed the importance of part- Over a 13-year period in Canadian hospitals, MRSA “Interprofessional education (IPE) occurs when two or “The IPE placement has increased my awareness of team Retreat at the Vaughan Estate, the goal was to help nerships between all health care providers to enhance (methicillin-resistant staphylococcus aureus) increased more professionals learn about, from and with each other dynamics and opportunities for collaborative care” This year is no different, as the medical laboratory has define the hospital’s future direction for teaching and learning and patient care. That kind of shift in thinking an alarming 17-fold and there was a dramatic increase to enable effective collaboration and improve health out- the opportunity to promote awareness and understand- learning for our students, teachers, staff and patients. A is on the agenda of the universities and hospital, com- of almost three times as many MRSA infections associ- comes.” (World Health Organization 2008) “I will be more comfortable making a referral to another ing of the role of medical laboratory professionals in the group of over 100 energetic and enthusiastic participants munity settings, including Sunnybrook. Partnerships are ated with more virulent strains from the community, say health professional” health care system. representing a wide variety of professions and partner key in delivering a positive and effective educational ex- researchers at Sunnybrook and the Canadian Nosocomial Six students from five of the health professions par- institutions came to brainstorm on how to achieve a new perience to thousands of students, staff and members of Surveillance Program. The scientist conducted a MRSA ticipated in a four-week structured IPE placement in the “It helped me realize that similarities exist between the These are the people working behind the scenes for our strategic goal using a direction. the public who come to Sunnybrook for learning. Results infection and colonization surveillance study from 1995 Veterans Centre last February with Francine de Belchior various healthcare professions” patients. You may never see the staff working in the from the January 2010 Education Strategy Survey were to 2007 with 48 hospitals across Canada, published in (Recreation Therapist, Veterans Centre) serving as the IPE laboratory, but rest assured, they are fully certified and “Over the past few years, there has been renewed rec- released at the Retreat, demonstrating that further devel- Infection Control and Hospital Epidemiology. coordinator for this placement. “It was great learning about a variety of professions, trained to provide the best patient care possible, work- ognition of the importance of teamwork, not only in the opment of IPE & IPC is highly supported at Sunnybrook. especially those that I’m not in regular contact with as it ing around the clock to ensure accurate test results are delivery of health care, but also in how we undertake our Getting there will require overcoming current obstacles, “This is the most comprehensive and representative To provide clinical context for the IPE placement, cases gives me a greater appreciation for how each profession available. academic teaching roles,” says Dr. Peeter Poldre, Vice including limited teaching space and lack of information picture we have to date of MRSA in Canada,” says Dr. for discussion were selected from the LGSE and LDMH contributes to patient care.” President of Medical Education & Professional Practice. sharing. Andrew Simor, lead author, and chief, Microbiology, and Resident Care Units in the Veterans Centre. The IPE place- Below is a short skill testing quiz of facts and figures on “Interprofessional Care (IPC) and Interprofessional Infectious Diseases, Sunnybrook. “This surveillance is ment began with an initial three-hour tutorial which in- “The IPE placement allowed for a greater understanding the Division of Laboratory Services. Test your knowledge Education (IPE) are new terms for concepts that have a Fortunately, every challenge gives rise to great oppor- the first in Canada to be able to link clinical and epide- volved getting to know one another, sharing background of each profession and their contribution to patient care.” on medical laboratory services. long history in the legacies that are Sunnybrook.” tunity. Starting this spring, the Sunnybrook Education miologic data –for example, the types of patients who are information, discussing IPE concepts and planning the Advisory Council will meet every two months, providing most at risk – with well characterized laboratory isolates content and nature of the three subsequent one and a “The IPE placement allowed me to identify and commu- Susan VanDeVelde Coke, Executive Vice President, Chief a forum for Education leaders across all health profes- where we can match a specific patient to a specific iso- half-hour tutorials. Discussion topics during the three nicate to other health care professionals and how I as a 1. Number of Medical Lab Technologists at all three Health Professions and Nursing Executive, says it’s grati- sions to participate in strategic planning. The hope is to campuses. late, to further our understanding of the impact of MRSA consecutive weekly tutorials were chosen by the students social worker contribute to the care of the residents and fying to see we are emphasizing continuing professional provide a roadmap for collegial and consistent learning 100 195 250 300 on hospitalized patients.” and involved case-based discussions on the topics of de- their families within the Veterans Centre.” development for the health professions who are employ- across Sunnybrook. mentia, pain management and interprofessional conflict ees at Sunnybrook, who act as preceptors and teachers 2. Number of Medical Lab Assistants at all three MRSA is a major cause of healthcare-associated infec- resolution. Sunnybrook currently offers three to five structured IPE for our university and college partners. As well, the As Dr. Poldre says, it’s all part of the journey to advance campuses. tions and has recently emerged as a significant cause of placements per year. The number of students who can participants at the retreat discussed new opportunities the future of health care, by educating together. 30 50 75 110 community-associated infections. Staphylococcus aureus Sessions were co-facilitated by Lawrence Jackson participate in a structure placement is small relative to the for innovative methods of patient education. is a bacterium frequently living on the skin of a healthy (Pharmacy Clinical Coordinator, Veterans Centre) and number of students who are placed at Sunnybrook each 3. In a 24 hour period there are test requests person. The bacterium can go on to cause illness from Francine de Belchior. The co-facilitators enable the year, and thus a flexible structured IPE model is avail- ordered. minor skin infections to life-threatening disease. MRSA is students to discuss their discipline-specific role in pa- able to accommodate the majority of students. Although 4500 17,000 35,000 100,000 a common bacterial pathogen resistant to antibiotics, and tient care, their discipline’s conceptual model of care participation in the flexible structured IPE model is self- there are distinct healthcare-associated and community- and values in providing care, and explore disciplinary directed, guidance is available. 4. Up to 70-85 per cent of decisions about diagnosis associated strains. interdependence in the delivery of care. Through these and treatment are based on laboratory test results. discussions, students learn about, from and with each For further information on structured IPE placements True False “From a global perspective, this surveillance shows that other in the hope of fostering future interprofessional or the self-directed flexible model, contact Ruth Barker, Canada needs to be doing better,” says Dr. Simor, profes- collaborative practice. Director of Health Professions and IPE/IPC at ext. 5830. 5. Histotechnologists prepare tissue samples to enable sor, Departments of Medicine, and Laboratory Medicine the pathologist to make a diagnosis. and Pathobiology, University of Toronto. “We need to The students also gain an appreciation for the impor- True False continue to be vigilant in controlling this infection and tance of team processes in facilitating team functioning. monitoring, and developing more effective interventions Understanding the complementary skills and expertise 6. In 2009 12,117 blood donations were required to to control the rapid emergence of more virulent MRSA that various health professionals bring to patient care treat patients at Sunnybrook. strains associated with the community, that has now enables team members to develop trusting relationships True False been introduced into hospital settings.” and engage in shared decision making. Left to Right: Dr. Peeter Poldre, Wendy MacDonald, Betsy Larry Jackson, Clinical Coordinator of Pharmacy, leads a table 7. A fresh urine analyzed by a lab technologist can tell Jackson, Debbie Lai, Marilyn Reddick, Sue VanDeVelde-Coke discussion at the Education Strategic Planning Retreat. Photo: and Ruth Barker. Photo: Doug Nicholson Doug Nicholson From 1995 to 2007, the researchers conducted surveil- We wish to acknowledge and thank the guest speakers for the doctor: lance of MRSA infections and colonizations in 48 hospi- this IPE placement. Sylvia Buchanan, registered nurse and a) If you are pregnant tals of the Canadian Nosocomial Surveillance Program, patient care manager for LGSE and LDMH, spoke briefly b) If you have kidney function problems an initiative of members of the Canadian Hospital at the introductory session on the philosophy of care and c) If you have an infection Epidemiology Committee in collaboration with the Centre healthcare professional interactivity on LGSE and LDMH. d) All of the above for Infectious Disease Prevention and Control and the As nursing and medicine were not represented among National Microbiology Laboratory, both of the Public the student group, Susan Greenwood registered nurse 8. Hematology is not the study of diseases in: Sunnybrook works with House Calls to ensure Health Agency of Canada. and advanced practice nurse for LGSE and LDMH was in- a) Urine vited to describe the nurse’s role in dementia care at one b) Diseases in blood cells seniors obtain medical care, community support after Detailed typing and characterization of Canadian strains session. Dr. Evelyn Williams, Head, Division of Long Term c) Clotting mechanisms of blood Back row from left: Larry Jackson, Co-facilitator, Nicole Levy, of MRSA was conducted at the Microbiology Laboratory, Care, described the physician’s role in pain management d) Hemoglobin determination is a common test discharge Art Therapy, Kathleen Nimigon, Recreation Therapy, Francine Sunnybrook Health Sciences Centre in Toronto and the at another session. At Sunnybrook, caring for patients is a 24/7 pursuit that The House Calls team works with clients living within de Belchior, Co-facilitator. Front row from left: Jennifer Hol- National Microbiology Laboratory in . 9. All germs are bad. doesn’t stop even when the patient is about to go home. North Toronto. To download a referral form or learn more land, Radiation Therapy, Sara Shanahan, Social Work, Steph- True False information about our program, please visit www.senior- The health care professional students found their IPE anie Eisner, Social Work. Absent: Jennifer Kwong, Pharmacy. experience rewarding as illustrated by these comments: Working with a new community-based team, Sunnybrook shousecalls.ca or contact (416) 481-5099. House Calls Dale Roddick 10. Number of glucose meters in use at all three sites. professionals identify frail, elderly patients who need provide ongoing comprehensive primary care including 75 100 143 157 medical care after discharge due to physical or cognitive chronic and acute disease management, medication Sunnybrook Credit challenges and are unable to visit a doctor’s office. management, in-home interdisciplinary assessments, Answers and ongoing case management. Seniors over age 65 can Union Limited annual 1. 300 2. 50; 3. 35,000 4. True 5. True 6. True These clients are now being followed by the House Calls also contact House Calls themselves to ask to be enrolled 7. d 8. a 9. False 10. 157 team and are benefitting from both ongoing interdisci- into the program. meeting plinary medical care and community support services. The team is based at SPRINT, an agency that provides SPRINT, the lead agency for House Calls, works in partner- a wide range of community support services to help se- ship with VHA Rehab Solutions, VHA Home Healthcare, Calling all members to attend the 59th annual Calling all Women & Babies niors live at home. and St. Clair West Services for Seniors and Dr. Sheila meeting of SUNNYBROOK CREDIT UNION LIMITED Neysmith of The University of Toronto’s Faculty of Social Program staff: Your House Calls is a not-for profit program providing frail se- Work. The Toronto Central Local LHIN (Health Integration Date: Tuesday, April 27, 2010 niors that would otherwise not be able to access medical Network) provides funding. For more information about Time: 5 p.m. SunnyTwin is waiting! care with physician-led interdisciplinary and comprehen- SPRINT, readers can visit www.SPRINT-homecare.ca or Location: Bayview campus McLaughlin sive primary care. The House Calls team offers patients a call (416) 481-6411. Auditorium, Room EG18a Do you work in the Women & Babies Program and… unique blend of medical and community support services Tickets: $8.00 (available from credit union in • Want to learn more about your best travel route to that help clients continue their recovery at home. CB02) the Bayview Campus? Dinner: Buffet dinner will be served at 4:30 p.m. • Want to know the location of the closest caffeine fix Under the leadership of primary care physician Dr. Mark and tastiest lunch deal at the northern campus? Nowaczynski, the integrated House Calls team includes a *Nomination forms will be available at the credit • Have other questions about what it’s like working at Social Worker, Occupational Therapist, Registered Nurse union office until April 13TH, 2010 for those the Bayview Campus? and Nurse Practitioner and is supported by a Program members interested in running for the Board Manager and Intake Coordinator. of Directors. All candidates will be reviewed by Sunnybrook has launched a program called the nomination committee and if the criteria are SunnyTwins to help answer questions like these for “When we facilitate safe discharges and successful met will be submitted to the annual meeting as Women & Babies Program staff. SunnyTwins matches transitions home from hospital, patients are much less nominees staff from the Women & Babies Program with staff likely to bounce back into emergency rooms,” says Dr. from the Bayview campus to encourage informal Nowaczynski. “That’s good for patients and our health- interaction and foster friendships in advance of the care system.” program’s move in September. You can connect with your SunnyTwin online, in person and over the phone It is also critical to surround these homebound seniors Submission deadline May issue: when it’s convenient for you. We have Bayview cam- with community-based support services. Such services in- April 28, 2010 pus SunnyTwins ready and waiting to connect with clude meal delivery programs and home visits by Personal Dr. Mark Nowaczynski attends to a patient during a house call you! To sign up, please visit Sunnynet at http://wb Support Workers.

Sunnybrook News Volume 6 No. 2 April 2010 Sunnybrook News Volume 6 No. 2 April 2010