Delivering On Our Promise

Bluewater Health Annual Report 2010 / 2011

We Create Exemplary Healthcare Experiences for Patients and Families Every Time Contents

Reaching Our Potential 2

Opening Our Doors 3

“Charlotte’s House” – Celebrating 4 our First Century of Health, Heritage and Community

Enhancing Programs and Services 5

Measuring Our Performance 6

Highlights of Our Achievements 7 Quality Care Exceptional Relationships Outstanding Performance Inspired People A Culture Of Innovation

The Foundations of Our Success 9

Financial Statement 11

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 1 Reaching Our Potential

In a year filled with very visible enhanced our web site, and involved the activity, Bluewater Health made tremendous community in discussions about Emergency strides in delivering on our Mission: Department coverage at CEEH of Bluewater We create exemplary healthcare experiences Health and in the creation of our Patient for patients and families every time. Declaration of Values. We refreshed our strategic plan with goal-setting for 2011 and Our new community hospital was almost two 2012, and initiated a Quality Improvement decades in the making, but in June 2010, we Plan to advance our quality and patient safety celebrated its opening – and the fulfillment of culture. We continue to look for ways to involve a promise. The bright, new building features our healthcare partners, community leaders state-of-the-art technology and an eco-friendly and the public in our journey. environment to facilitate patient care. We are grateful for the community’s support and Our staff, physicians and volunteers remained patience as we settled into our new facilities. focused on patient safety and quality of care as we continued to advance our strategic priorities. The renovations to our facilities will continue through to fall 2011, when the remaining Less visible, but no less significant, we kept our patients and staff will move from the Mitton promise to act on opportunities identified in Site. Having all of our Sarnia staff and patients our Employee Engagement Survey of late 2009. in one location promises to be a significant In 2010/2011, we focused on some key activities positive step for our future development. to involve our hospital family in making meaningful changes – and we will report on The opening was not our only milestone this our progress, after our next employee survey year. In January 2011, through the efforts of a later this year. community-led planning committee, Petrolia and the Sarnia-Lambton community celebrated Our quest for quality is never finished – our 100 years of patient care at Charlotte Eleanor commitment to our mission is unwavering. Englehart Hospital (CEEH) of Bluewater Health. Sue Denomy, President and CEO We also delivered on our promise of greater Bruce Davies, Chair, Board of Directors transparency and accountability. We developed a community engagement framework,

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 2 Opening Our Doors

After years of fundraising, construction and vehicles. The second phase of moves was “My room was bright and planning, the hospital team was joined by completed in 2 hours and 27 minutes, or an elected officials, donors, and community average of just under three minutes per patient. beautiful, painted in warm leaders in June 2010, to celebrate the opening It was an enormous undertaking, but together, colours and thoughtfully of the new seven-storey building at Bluewater our move teams rose to the challenge. Health’s Norman Site in Sarnia. The new The relocation company hired to manage the arranged for my comfort hospital features a number of welcomed moves, Health Care Relocations, characterized changes, including a larger surgical centre and and care. Through large the moves at Bluewater Health as among the (ED); expanded acute best in which they had participated. windows I could see the care units; and a consolidated Maternal/Infant/ Child program. The same day, Bluewater Health simultaneously trees and catch the sunlight. opened the doors of our new ED on the More than 18 months of preparations, including corner of London Road and Norman Street, It renewed me and made special orientation sessions for staff, physicians and permanently closed our ED location at the and volunteers, culminated in our patient Mitton Site. The new ED is three times larger, me feel better.” moves. It was “All Hands on Deck” as specialized with five new trauma rooms outfitted with new teams were formed to handle every aspect, equipment including articulating arms and including cleaning, information technology, and patient monitoring systems. lifting and portering patients, among others. In addition, various support departments moved Also three times as large as its former home in the week leading up to the patient moves. at the Mitton Site, Bluewater Health’s new Dialysis Unit can now treat more patients, In July, Bluewater Health moved current saving the anxiety and discomfort of driving hospitalized patients within the new Norman to London for treatment. Building. They were joined by 54 patients from our Mitton Site, with the use of 9 patient

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 3 “Charlotte’s House” Celebrating our First Century of Health, Heritage and Community

In January 2011, Charlotte Eleanor Englehart CEEH of Bluewater Health’s development “My care at your Hospital (CEEH) of Bluewater Health celebrated over the years reflects commitment to the 100 years of providing quality, compassionate hospital’s continuing success, through an hospital was fantastic. care. Charlotte Eleanor Englehart, wife of Jacob enduring legacy of giving and local advocacy. The nurses were “Jake” Englehart, had bequeathed their home to In recognition of this historic milestone, the Town of Petrolia to be used as a hospital. wonderful and celebratory events have been scheduled “Charlotte’s House” opened with a staff throughout the year. I was well taken supported by two doctors and a capacity care of.” of 13 beds, governed by a Board of Trustees. In the years following 1911, Jake also donated funds for a maternity wing and an operating suite.

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 4 Enhancing Programs and Services

Bluewater Health has undergone many We began planning for our new “I have nothing but high changes in this reporting period. Some care program to shorten the time from are physical – the result of the largest suspicion to diagnosis and from assessment praise for the doctors reconstruction project in Sarnia-Lambton’s to treatment, as close to home as possible. and nurses who looked history. Others are due to changing trends Early steps included recruitment of a Patient in healthcare, and our endless pursuit of Navigator/Manager for the pending Cancer after me. The new quality and performance improvement. Care Diagnostic and Assessment Centre. This new role was designed to coordinate hospital is top-notch.” We have broadened our implementation timely care and provide patient and family of Releasing Time to Care© (RTC), an support, education and assistance as international quality improvement program. the patient moves through the cancer RTC is a patient-focused program that care system. helps clinical teams identify their vision for the provision of care on their unit and care We combined the surgical and medical critical processes that need improvement. care services in a new Intensive Care Unit, to more effectively provide life-sustaining After being chosen to participate, Bluewater interventions to an increasingly aging Health piloted the program on our Medicine population. Unit, where staff implemented best practices for shift handover, organized the unit to function The trend in healthcare is to provide this care more efficiently, improved patient satisfaction through an intensivist-led program for the and demonstrated a high degree of staff needs of all surgical, medical, Emergency engagement in testing and implementing Department, and primary care patients change to their work flow and environment. who become critically ill. The intensivist is a RTC expansion began in January 2011, with the specialist (in, for example , Medicine, Complex Continuing Care Unit. Anesthesia, or Emergency Medicine), with extra training in Critical Care Medicine. This The program will roll out to other inpatient approach has shown a 40% decrease in units over the next two years. mortality in the U.S.

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 5 Measuring Our Performance

“I honestly can say my hospital stay was great, no, excellent.”

Our efforts have resulted in measurable This means that beds are more readily available improvements in our performance. for patients requiring hospital care. Specifically, Bluewater Health has been In January 2011, the Honourable Deb Mathews, recognized by the Erie St. Clair Local Health Minister of Health and Long-Term Care (above), Integration Network (LHIN) and by the recognized Bluewater Health for significantly Minister of Health and Long-Term Care, reducing wait times for key healthcare services for the significant reductions made in our including hip and knee replacement surgery, ALC (Alternate Level of Care) rates. MRI and CT scans, and cataract . Since ALC patients no longer require the services 2005, Bluewater Health has reduced wait times of the hospital, but are waiting in a hospital for: hip replacement surgery by 77%; knee bed for another service or discharge location replacement by 63%; MRI scans by 48%, to become available. CT scans by 79% and cataract surgery by 91%. An average of 13.18% of inpatient acute To identify potential cases of colorectal cancer care beds were occupied by ALC patients earlier and save more lives, Cancer Care Ontario in December 2009 versus 5.54% in has urged improvement in colon cancer December 2010. screening. Bluewater Health has met and Improvements in our ALC rates have been exceeded this goal and is a provincial leader the result of hard work by the hospital team in colonoscopy wait times. and our partner, Community Care Access Centre, through better discharge planning.

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 6 Highlights of Our Achievements

patients and families while in the hospital. “The care I received Feedback was received from staff, physicians, volunteers, patients, families and other key was the very best groups through an online survey and focus in every way.” group sessions. The development of a Patient Declaration of Values is one requirement under the Excellent Care for All Act. For more details, visit Bluewater Health completed work on our first www.bluewaterhealth.ca and click on Patient & annual Quality Improvement Plan (QIP), a Visitor Information/Patient Declaration of Values. requirement for all as part of the new Excellent Care for All Act (ECFAA). Developed in collaboration with medical and clinical leaders and endorsed by the Board of Directors, the QIP identifies key priorities aimed at improving quality, performance and public accountability. The goal of the QIP is to make Bluewater Health more safe, effective, accessible and patient- centered. Specific improvement targets for Bluewater Health accepted $8.65 million in 2011-2012 are aimed at hand hygiene, infection Post-Construction Operating Plan (PCOP) funding prevention and control, falls prevention, wait from the Ministry of Health and Long-Term Care, times for emergency and cancer surgery, patient plus $2.3 million in trailing costs to cover the outcomes, patient satisfaction and financial operational costs of the Mitton Site to the end of health. The plan contains specific indicators 2011. This is the first year’s increase in a three-year and targets for improvements, and outlines growth plan. The injection of PCOP funding will how these targets will be achieved. To view make it possible to expand services by up to Bluewater Health’s Quality Improvement Plan, 57 new beds depending upon the future growth visit www.bluewaterhealth.ca and click on in demand across health-related services. Performance/Quality Improvement Plan. In 2010/2011, Bluewater Health achieved an operating surplus (an excess of revenue over expenses) in its healthcare activities of slightly over $300,000.

Bluewater Health began seeking public input on a Patient Declaration of Values – a document that describes the values that are most important to

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 7 “I commend the staff for the excellent service. This is excellent healthcare.”

In the quest for continuous improvement, Bluewater Health was honoured with the Bluewater Health conducted an Employee Environmental Award by the Sarnia-Lambton Engagement survey in late 2009. The results Chamber of Commerce at its Outstanding identified areas of opportunity related to Business Achievement Awards in March 2011. the work environment at Bluewater Health. The award recognizes an organization or Leaders prioritized these areas in terms of business whose primary mandate is not impact and resources, and identified environmentally based, but through its departmental “Champions” to work on actions, has made a significant contribution solutions and plan implementation. Work is to the environmental health of its place underway, with the next survey scheduled of business and the greater community. for the end of 2011. We have enabled greener hospital practices throughout the organization by Tied to employee satisfaction, Bluewater implementing leading-edge technologies, Health launched a new recognition program, green thinking and innovation. These include called the Bridging Excellence Awards, with the creation of healing gardens; use of natural the first recipients being named in May light; an ongoing energy conservation 2011 at the annual recognition ceremony. awareness program; environmentally The Bridging Excellence Awards honour responsible purchasing; and work towards individuals and teams for their contribution, Leadership in Energy & Environmental dedication and commitment to excellence Design certification. in their role at Bluewater Health.

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 8 The Foundations of Our Success

Bluewater Health Foundation In November 2010, we unveiled the donor wall, “I am very happy proudly located inside the front door of the 2010/2011 was an extremely rewarding year for Norman Site, to recognize the financial gifts and proud to have the Bluewater Health Foundation. In the months of all our supporters over the years. Each year, a hospital like the leading up to the opening of our new hospital, we will update the wall with new donors and we were able to show our donors the progress donor levels reached. And in February 2011, one we have now.” being made, through “Construction Tours” of we announced the grand-prize winners of the the new building. Changes were evident, week Dream Home Lottery, a group of 11 co-workers by week. from Sarnia Insulation Supply. Then in June 2010, we opened our doors to We also transferred an additional $13 million the public. More than 5,000 staff, neighbours to Bluewater Health that had been held in and community members walked our halls trust from the Growing Expectations, Project to see the new Emergency Department, Lambton Hospitals and State of the Heart Diagnostic Imaging, and Ambulatory Care campaigns over the years. The funds have been areas, and witness the culmination of years of used for the building project and to purchase planning and millions of dollars in gifts from state-of-the-art equipment, technology and people and businesses in our community. supplies that will enhance patient care and It was also an opportunity to release “A comfort. Commemorative History of Bluewater Health,” We are humbled by the opportunity to play an award-winning history book that highlights a role in the healthcare of Sarnia-Lambton the rich legacy of Bluewater Health. Our thanks residents and know that it would be impossible go to Vic Dudek who volunteered his time without the steadfast financial support of this to write the book and to our sponsor for this wonderful community. project, Hogan Pharmacy, who have a long legacy with our hospitals. Copies are available at Liz Kenny, Executive Director our hospital gift shops in Sarnia (poppies) and Gord Bristo, President, Board of Directors Petrolia (Charlotte’s Boutique) with proceeds toward purchasing much-needed equipment.

We Couldn’t Have Done It Without You 3,161 gifts were made to Bluewater Health Foundation in 2010/2011.

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 9 CEEH Foundation The CEEH Foundation has been actively “We are very lucky participating in the anniversary celebration A small group of dedicated and hard-working committee, and plans to host the final event, to have such an volunteers on the Charlotte Eleanor Englehart with proceeds directed to laboratory equipment. Hospital (CEEH) Foundation Board of Directors excellent hospital.” concluded the campaign to raise $655,000 for While the CEEH Foundation currently has no the Pat Mailloux Eye Centre and is grateful for major capital campaign underway, it continues the community’s generosity. The eye centre’s to be involved in physician recruiting, the dedicated staff and volunteers have reduced Central Lambton Family Health Team located wait times in the area for cataract surgery by on site, the many in-memorium donations, 699 days, or 91%, from 2005 to November 2010. as well as encouraging estate donations, such as A donor wall has been installed, to recognize the one that started it all. the generous gifts from community residents Owen Byers, Chair, Board of Directors and businesses. In celebration of CEEH of Bluewater Health’s 100th anniversary, Bluewater Health Foundation built the 2011 Dream Home in Petrolia. As such, $100,000 of the proceeds from the Dream Home Lottery was allocated for the purchase of colonoscopy equipment, cautery equipment and two fluid pressure mattresses for the hospital.

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 10 Financial Statement

Revenue

Erie St. Clair Local Health Integration Network / $134,177,931 74.87% Ministry of Health and Long-Term Care

OHIP $19,245,434 10.74%

Patient Billing $5,222,141 2.91%

Deferred Grants $10,985,577 6.13%

Administered Programs $3,720,468 2.08%

Other $5,852,269 3.27%

Total Revenue $179,203,820

Expenses

Salaries & Benefits $105,629,206 58.24%

Medical Staff Remuneration $19,221,304 10.60%

Medical & Surgical Supplies $7,332,735 4.04%

Drugs $5,466,136 3.01%

Amortization $15,804,296 8.71%

Administered Programs $3,787,097 2.09%

Other $24,138,156 13.31%

Total Expenses $181,378,930

For full financial statements, visit our web site at www.bluewaterhealth.ca. Click on Performance/Financial Statements.

We Create Exemplary Healthcare Experiences for Patients and Families Every Time 11 Did You Know

April 1, 2010 – March 31, 2011 Bluewater Health, with locations in Sarnia and For more information Petrolia, is a 326-bed community hospital that cares for the residents of Sarnia – Lambton. about Bluewater Health, visit Hospitalizations 11,205 With close to 2,500 staff, Professional Staff www.bluewaterhealth.ca and volunteers, Bluewater Health provides an array of specialized acute, complex Emergency Visits 82,567 continuing care, allied health and ambulatory care services. State-of-the-art facilities, which Surgeries 11,179 opened in 2010, contribute to Bluewater Health’s Mission: We create exemplary healthcare experiences Staff, Physicians & Volunteers 2,500 for patients and families every time. This report is but a brief synopsis of the MRIs 6,925 incredible work of the entire Bluewater Health family. To list all of our achievements would require many more pages. It Babies Born 967 does, however, represent the breadth % of our commitment to this community, Construction Completed 96 today and for generations to come.

Bluewater Health Bluewater Health Charlotte Eleanor Englehart Norman Site Mitton Site Hospital of Bluewater Health 89 Norman Street 220 N. Mitton Street 450 Blanche Street Sarnia, Ontario Sarnia, Ontario Petrolia, Ontario N7T 6S3 N7T 6H6 N0N 1R0 Tel: (519) 464-4400 Tel: (519) 464-4400 Tel: (519) 882-4325

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