BEING BETTER TOGETHER OUR JOINT COMMUNITY REPORT 2013-14 BY THE TABLE OF NUMBERS CONTENTS 1.6 M 61,054 675,708 8,805 04 Highlights 12 Seniors’ Health Total Patient Visits Inpatient Admissions Outpatient Visits - Births Joint message from our Chief Donor Spotlight Ambulatory Care 05 Nursing Executive & Chief of Staff 14 Emergency Care Joint Message from Hospital 260,405 27.5% 66,206 662,764 06 15 & Foundation Number of Emergency ED Wait Time Reduction Surgical Procedures Diagnostic Services Women’s & Children’s Health Financial Highlights – Department Visits (Excludes Lab) 08 16 Trillium Health Partners Foundation Chronic Disease Management Financials – $34.4 M 1 127 58,000 10 18 Trillium Health Partners Funds Raised by Amalgamated Community Fundraising Total Number Trillium Health Partners Strong Foundation Events of Donations Foundation 60% 214,663 2000+ 54 Admissions Avoided for Number of Hours Students Training in Number of College, Patients Seen in Cardiac Contributed by Our Hospital University and Training DART (Direct Accelerated Volunteers Institution Affiliations Response Team) Pilot 11,545 TEAM MEMBERS Visit www.trilliumgiving.ca to learn more about the tremendous support 8,185 1,138 2,222 our community continues to show our Staff Medical & Professional Volunteers Staff (Physicians, hospital and ways to give. Dentists, Midwives) 2 OUR JOINT COMMUNITY REPORT 2013-14 A MESSAGE TO OUR COMMUNITY Delivering an exceptional patient experience and the highest a formal peer review program within the radiology department HIGHLIGHTS quality of care is at the core of what we do day-in-and-day-out. We • Participating in many advisory councils where workplace and are fortunate to have an incredibly talented and dedicated staff at practice issues are addressed New BRACHYTHERAPY PROGRAM intro- First-ever DEVELOPING AND SUSTAINING Trillium Health Partners, who are passionate about delivering the • Volunteering personal time to fundraise for new programs best possible care for our patients and families. • Pursuing their own professional development through post- duced specialized radiation treatment to treat LEADERSHIP PROGRAM launched as part of graduate and specialized studies outside the hospital Our interprofessional team focuses on the delivery of quality • Mentoring and supervising medical clerks and learners from a patients faster and closer to home at the Carlo the hospital’s candidacy for RNAO’s Best Prac- care each day. While our allied health professionals, nurses and variety of health care disciplines tice Spotlight Organization (BPSO) designation - physicians provide exceptional treatment directly to patients, they Fidani Peel Regional Cancer Centre at Trillium • Leading and participating on committees to standardize clinical do much more “behind the scenes”: Health Partners. with generous support from TD Financial Group practice across all sites, oversee the quality of care, and improve • Collaborating in interprofessional teams to coordinate the best clinical practices and efficiency. through the TD Grants in Medical Excellence. care for patients New state-of-the-art NEONATAL INTENSIVE Our staff have been recognized nationally and internationally as • Implementing best practices across the hospital, working leaders, teachers and clinicians. Our committed staff members CARE UNIT opened at our Mississauga Hospital In February, Trillium Health Partners launched toward designations such as the RNAO’s Best Practice Spotlight are the driving force behind the accomplishments in this Organization and the World Health Organization’s Baby Friendly site, supported by a $1.5 million gift from Peter the INSTITUTE FOR BETTER HEALTH, year’s community report. On a daily basis they bring to life our Hospital Initiative commitment to excellence and being Better Together. Gilgan, local businessman and philanthropist. to guide clinical and applied research through • Tracking our measures of quality and driving improvements; program Research Chairs and transformative this past year, we conducted a proactive external review of CT and TRILLIUM HEALTH PARTNERS FOUN- mammogram scans once the hospital identified a performance partnerships. DATION RAISED $34.4 MILLION in cash and issue with a radiologist. Physicians and staff worked tirelessly to ensure patients received the care and information they needed Dr. Dante Morra Kathryn Hayward-Murray pledges for capital redevelopment, equipment and The REGIONAL NEPHROLOGY CLINIC throughout this process. While challenging for all involved, we take Chief of Staff Chief Nursing Executive & these instances as opportunities for improvement. As a result of research priorities across the hospital. opened its doors with a simple and convenient SVP, Patient Care Services this issue, we are strengthening quality assurance by implementing referral process that supports early detection REDUCED EMERGENCY DEPARTMENT and prevention, with $1 million in support from WAIT TIMES for admitted patients by 28%. Trillium Health Partners Foundation. REDUCED WAIT TIMES for cancer, cataract, On October 15th, 2013, patients with complex care hip and knee surgeries, CT and MRI scans by 20%. needs began enrolling in the EAST MISSIS- OPENED 23 NEW BEDS at Credit Valley SAUGA HEALTH LINK. Early outcomes suggest Hospital site to serve more patients faster. more timely access to a home visit and post-dis- charge visit with the family physician and improved Trillium Health Partners entered into an communication. unprecedented partnership - the MEDICAL PSYCHIATRY ALLIANCE - with The Centre MISSISSAUGA ACADEMY OF MEDICINE Class for Addiction and Mental Health, The Hospital of 2015 completes third-year clerkships with 53 for Sick Children, University of Toronto and the medical clerks gaining real world experience Ministry of Health and Long-Term Care, secur- under the guidance of Trillium Health Partners ing $60 million to support mental health pro- physicians, nurses and allied health professionals. grams in the hospital and community. OUR JOINT COMMUNITY REPORT 2013-14 5 EMERGENCY CARE Innovation begins the moment we stop thinking, “this is the way it’s always been done” and start thinking, “what’s the best way to do this from a patient’s perspective?” Programs like Cardiac DART prove that we can find simple, effective new ways to do more with what we have to improve patient flow from the emergency departments to across all of our sites. INNOVATING FOR SUSTAINABLE ACCESS TO QUALITY HEALTH CARE Faster Access for Cardiac Patients Getting Ambulances Back on the Road Trillium Health Partners’ ground-breaking Cardiac DART – Direct Off-loading patients in a safe and timely manner is a high priority Accelerated Response Team – is helping patients with chest for all emergency departments so that ambulances can return pains see a cardiologist faster. to the road and be available to pick up the next potential patient In most emergency departments (EDs), when a patient comes in need of emergent care. In the summer of 2013, as the first in with chest pain, he or she is checked by the ED team to rule phase of a partnership between the ED & Urgent Care Program out any immediate threat and is then admitted to hospital – after and Peel Paramedic Services, nursing and clerical staff at the a significant wait – for testing and consultation with a cardiac Credit Valley Hospital site initiated a pilot improvement project specialist. In our emergency departments, once an immediate with the aim of reducing ambulance time off-loads. In August threat is ruled out, patients with chest pains are referred to the 2013, we experienced a 50% improvement compared to the Cardiac DART, comprised of a specialized nurse practitioner and previous month with regards to off-load times. Not only has the cardiologist. Patients are assessed, given access to specialized project sustained itself beyond the pilot phase, the next phase cardiac testing, including cardiac catheterization, on an will be initiated at the Mississauga Hospital site utilizing a similar outpatient basis, so they do not need to spend unnecessary time approach. The province is eager to see the output of this work in the hospital where typically, they would have to be admitted. and transfer the lessons learned from the THP methodology to Through the advanced assessment of the cardiologist and nurse other organizations in the province. practitioner and the use of appropriate cardiac diagnostics, patients are able to receive appropriate and timely care and treatment. The Cardiac DART team is also seeking out and adapting the latest IN PARTNERSHIP WITH medical research to speed up and improve patient treatment, for PEEL REGIONAL PARAMEDIC example, utilizing a relatively new diagnostic blood test that gives faster results. SERVICES, WE IMPROVED One of the unique aspects of this program is the role of the nurse AMBULANCE OFF-LOAD TIMES BY practitioner who is available to follow up with patients at home to answer questions and ensure medications are working well, FOUNDATION SUPPORT rather than the patient having to wait for an appointment with the The front door to health care for many, the emergency department is a critical part of any community. Our physician. “Once these two ‘angels’ were in charge of the situation,” says 50% Emergency and Urgent Care Program is an invaluable part of our community. In 2013-14, our community rallied AT CREDIT VALLEY HOSPITAL to support the upcoming redevelopment of the emergency department at our Credit Valley Hospital site. More one patient whose husband was treated through the DART at Queensway Health Centre, “We felt we were in good hands and SITE, RETURNING AMBULANCES than $1.8 million was raised through more than 28 community fundraising events and a further $2.9 million were able to relax for the first time in days.” was raised through our Laugh Out Loud gala featuring Martin Short and Gerry Dee. More than 1,000 people TO THE ROAD IN A SAFE AND The DART approach has reduced admissions for patients with filled the room to show support for the hospital and a special $1million gift was announced by RBC Foundation chest pains by 25% and halved the wait time to see a specialist. TIMELY MANNER.