Inventing the Future of Health Care
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SUNNYBROOK Inventing the Future of Health Care 2009 LEADING THROUGH Code STEMI: INNOVATION Saving Hearts Around the Clock BUILDING CANADA’S MOST COMPREHENSIVE Confronting BREAST CENTRE Everyday Tragedies in the TRAUMA ROOM The Holland Centre’s New UNDERSTANDING Model for Hip Anxiety Disorders and Knee Care SUNNYBROOK GOES GREEN ONE NIGHT LIVE™ Raises Funds for Women & Babies A HAVEN FOR VETERANS: The Dorothy Macham Home Dr. Sam Radhakrishnan, Schulich Heart Centre Interventional Cardiologist and Sunnybrook’s Physician Lead on the Code STEMI Project A Message from Board Chair David A. Leslie and President and CEO Barry A. McLellan It is our pleasure to share with you the fifth the future home of the Women & Babies edition of Sunnybrook Magazine. Program, including a state-of-the-art Neonatal Intensive Care Unit and expanded The theme for this year is Sunnybrook inno- capacity for labour and delivery. In addition, vation. Our stories reflect how the Hospital it will house Canada’s largest and most com- is making strides across the organization by prehensive Breast Centre, and new facilities developing innovative approaches to teach- for leading-edge research in cardiac imaging ing and research, ensuring the hospital has and intervention. a sustainable future and is accountable to the many communities we serve. Each ele- Sunnybrook’s vision is to invent the fu- ment contributes to quality patient care that ture of health care. In partnership with the is at the foundation of Sunnybrook; we are University of Toronto, Sunnybrook leads by there for our patients and their families when discovery, innovation, teaching and learn- it matters most. ing. At Sunnybrook, we are fortunate to have dedicated staff, physicians, volunteers and Within the pages of this publication, you students who are committed to the one mil- will read articles that reflect Sunnybrook’s lion patients who look to Sunnybrook each new four Strategic Priorities (Cancer, year for care and their extraordinary work is Heart and Stroke, High Risk Maternal and expressed within these pages. Newborn Health, and Major Trauma) and our seven programs: Brain Sciences; We would like to thank you for your support Holland Musculoskeletal (orthopaedic and and partnership as we continue to build our arthritic); Odette Cancer Centre; Schulich organization. As members of our commu- Heart Centre; Trauma, Emergency & Critical nity, you are an integral part of how we will Care; Veterans & Community and Women achieve success. & Babies. We are very proud of all our pro- grams, and how the organization is improving patient safety, becoming more accessible to Sincerely, the needs of elderly patients, and develop- ing a strategy for ambulatory care. Our sto- ries also demonstrate how Sunnybrook in- novation is significantly impacting patients’ David A. Leslie lives during and after their time with us. Chair, Board of Directors During this past year, we’ve made great prog- ress with our construction. Our Emergency Department is double the size of the old department and its many innovations, in- Barry A. McLellan cluding a new triage and minor treatment President & CEO area, will help to improve patient flow at the hospital. Our expanded M-Wing will be Contents in•no•va•tion Understanding Anxiety Disorders 32 Caring for Your Mind and Brain: The Brain Sciences Program 33 in-uh-vey-shuhn –noun Sunnybrook Welcomes Members of Provincial Parliament 1. Something new or different introduced 34 2. The act of innovating; introduction of new things At the Heart of the Matter: Katie Crozier Gives or methods Back to the Schulich Heart Centre EVAR Program 35 The Greening of Sunnybrook 36 Harry Taylor 37 A Message from Board Chair David A. Leslie and Making Sunnybrook More Accessible 37 President and CEO Barry A. McLellan 2 Sound Strategy and Financial Management Helps Caring for Vulnerable Babies and Their Families: Sunnybrook Invent the Future of Health Care 38 Sunnybrook’s Neonatal Intensive Care Unit 4 Sunnybrook One of The GTA’s Top Employers for 2009 39 One Night Live™ Concert Event a Great Success 5 Committed Donors Michael and Marilena Latifi see the Impact Code STEMI: Saving Hearts Around the Clock 6 of their Support for the Women & Babies Program 40 The Trauma, Emergency and Critical Care Program: The ABCs of Nursing 42 Interprofessional Team Confronts Everyday Tragedies 7 Sunnybrook’s Odette Cancer Centre Offers Less Invasive Provincial Colorectal Cancer Screening Progam Led by Sunnybrook Treatment Approaches for Men Diagnosed with Prostate Cancer 43 Scientist a Canadian First 8 Infection Reduction “In Hand” 44 Patient Safety Walk-Arounds Prompt Innovative Thinking and Change 9 Improving Access to Cutting-Edge Vascular Care 45 A Haven for Veterans and their Families: Anesthesiologist Leads Innovative Efforts in Pain Control 46 The Dorothy Macham Home 10 Veteran Profile: Murray Westgate 47 Schulich Scientist Develops a Method of Access Through Dense Artery Blockage 11 Life in the Balance 12 On the cover The Holland Centre’s New Model of Hip and Dr. Sam Radhakrishnan is photographed in Sunnybrook’s Imaging Research Knee Care Fulfilling Patients’ Needs 13 Centre for Cardiac Intervention (IRCCI), a state-of-the-art imaging centre that brings together the latest in innovative imaging technology with the best minds Sunnybrook to Build New Breast Centre 14 in clinical care and research. Uniquely designed to combine multiple medical imaging modalities, it is a Canadian first. The Code STEMI story is on page 6. Sunnybrook: An Elder-Friendly Hospital 16 Groundbreaking “eSheet” Web Technology to Benefit Patients and Staff 17 Editor: Christine Henry Interprofessional IPPOD Team Works to Prevent Delirium in Older Patients 18 Writers: Nadia Norcia Radovini, Natalie Chung-Sayers, Laura Bristow, Laurie Legere, Sandeep Deol, Christine Henry, Teams From Across the Hospital Act to Improve Patient Flow 19 Craig DuHamel, Sally Fur, Jim Oldfield, Megan Easton, Angela Bianchi, Susan Pedwell, Laura Pratt, Nekeisha Mohammed, The Sunnybrook Veterans Centre 20 Bill Saunders, Alisa Kim Sunnybrook Partners with Telus 21 Published by: The Communications & Stakeholder Relations Predicting a Healthy Pregnancy 22 Department (Public Affairs) at Sunnybrook Health Sciences Centre Benefits of New Therapy for Acute Lung Injuries 23 Photography: Media Source Construction Projects at Sunnybrook 24 (Doug Nicholson, Dale Roddick, Randy Bulmer) Partners in Veterans Care 26 Art Direction and Design: Media Source (Andrea Dixon) Veteran Profile: Clifford Guest 27 All Correspondence: Sunnybrook’s Early Fetal Ultrasound Service Sunnybrook Health Sciences Centre Detects Potential Prenatal Problems 28 2075 Bayview Avenue, Room D100 Sceening for Osteoporosis 29 Toronto, ON M4N 3M5 [email protected] An Increased Focus on Patient Safety 30 www.sunnybrook.ca Sunnybrook’s Double “Win” of Expertise in Infectious Diseases, and Infection Prevention and Control 31 © 2009 Sunnybrook Health Sciences Centre Sunnybrook Magazine 2009 3 Caring for Vulnerable Babies and Their Families: Sunnybrook’s Neonatal Intensive Care Unit Amy is now a thriving eight- year-old who plays piano and dances competitively, but her parents have never forgotten the care she received as a baby Amy Evanoff, NICU graduate, with her parents Dianne and Graham fter Amy Evanoff was born at just 26 for high-risk infants who have a serious ill- Reilly to this day. “Their continuing gratitude weeks gestation, her mother, Dianne ness and/or who are born extremely prema- makes me realize that every little thing we do A Evanoff, kept a diary of the key ture, and it will soon have expanded capacity for these families means something,” says events in her daughter’s life in Sunnybrook’s (see sidebar). “We care for the smallest and Reilly. “We have such an important job.” ME Neonatal Intensive Care Unit (NICU). There the sickest babies,” says Maureen Reilly, a were many small triumphs to record dur- NICU respiratory therapist. She remembers ing Amy’s almost two-month stay, but the the day when Amy was stable enough to be events of March 8, 2001 stood out from all held. “The first time a mom or dad holds a the rest. baby always strikes me, because it’s such a lovely moment.” The Move to Bayview “1:30: I was ready,” Evanoff wrote on the long-awaited day when she was finally able While some babies stay only a few days in to hold Amy in her arms – three weeks after the NICU, others such as Amy live there for Sunnybrook will soon have expanded her birth. “Graham was there with the cam- several months. The NICU team helps fami- capacity to care for some of Ontario’s era in hand. I held that baby from 1:45 to lies stay optimistic with holiday parties, cel- most high-risk pregnancies and 3:30.” Looking back now, she says that day ebrations on Mother’s Day and Father’s Day, critically ill newborns. The new home will live in her memory forever. and special acknowledgment for milestones of the Women & Babies Program is such as the “Kilo Club,” when babies reach When Evanoff, a Toronto-area teacher, went the one-kilogram mark. “These parents trust currently under construction with into labour more than three months before us with their babies’ lives,” says Reilly, “and a scheduled occupancy date of fall her due date, she was airlifted to McMaster we often develop a special bond.” 2010. There will be a state-of-the-art, Children’s Hospital in Hamilton, Ontario. family-centred Neonatal Intensive Amy was transferred to Sunnybrook’s Level Amy is now a thriving eight-year-old who Care Unit (NICU) with 48 beds, up III neonatal nursery two days after she was plays piano and dances competitively, but from the current 41. Each baby will born, weighing in at less than two pounds. her parents have never forgotten the care have his or her own room in the unit, she received as a baby.