Surgical Safety Checklist (SSCL)

Agenda Item 1.3.2

Board Report

From CMH President & CEO

May & June 2014

This report provides a brief update on some key activities within CMH as an FYI to the board. While it is organized against our strategic themes, it may include strategic, corporate and other projects as necessary.

CMH’s Pathology team sustains their cancer reporting rates

·  Last year, we celebrated our pathologists’ success in completing and reporting the diagnosis for colorectal cancer within 10 days, 100% of the time.

·  In March 2013, our hospital was one of six in Ontario to achieve this awesome rate. This is truly exceptional because the benchmark set out by Cancer Care Ontario is to complete the diagnosis for colorectal cancer and report it within 10 days, 80% of the time.

·  We were curious and followed up with the Pathology team a year later to see if they were still sustaining this amazing effort.

·  I’m pleased to report that not only are they diagnosing colorectal cancers, they are diagnosing ALL cancers – like kidney, breast and others – within Cancer Care Ontario’s benchmarks, 100% of the time.

Staff informed of strategic planning efforts

·  In June, staff, physicians and volunteers were informed of the strategic planning that is underway. Leveraging the expertise of the Hay Group, a draft plan will be offered to the Board of Directors by June 25.

·  Building on 2011-14 plan, the new plan will maintain the same values, mission and vision. Also, the current strategic directions of unparalleled focus on quality, strength through people and driving value and affordability will continue to guide our initiatives. They were also told there was a possibility for another strategic direction, which they will be apprised of once approved by the Board of Directors.

·  Staff was given a high level description of a strategic planning meeting that was held on May 28 by regional partners and a diverse group of internal CMH stakeholders.

·  The discussion was energetic and positive. It was framed in the notion that we are in the enviable position of having a new building on the horizon, with a real opportunity to determine our future given the health care system is changing.

Sue Robertson, interim VP, Clinical Programs & Chief Nursing Executive

·  On Monday, June 2, Sue Robertson joined our senior leadership team as the interim VP, Clinical Programs & Chief Nursing Executive. She assumed Susan Gregoroff’s entire portfolio while she is away on medical leave, except for Mental Health, which will be supported by Mike Prociw.

·  Throughout her career, Sue enjoyed a wide range of experiences in education, research and management. She is a graduate of both the Toronto General Hospital School of Nursing and McMaster University where she earned her bachelor of arts. In addition she holds a master manager leadership certificate from the Laurier School of Business.

·  Her areas of interest are patient safety and quality, enhancing professional practice and quality of work life.

·  Prior to joining Grand River Hospital (GRH) in 1996 she was a division nurse manager at the Henderson site of what then was known as the Hamilton Civic Hospital.

·  At GRH, she worked through a number of progressive roles from clinical specialist and program administrator for chronic care and rehab to Director of Cancer Centre Development and Director of Regional Cancer Planning. In 2006, she held the position of acting VP, Clinical Programs and Chief Nursing Executive, before being appointed to the role in 2008.

·  Sue retired from Grand River Hospital in 2013, after serving more than 40 years in health care, half of which in an executive capacity.

Ambassador Program launched

·  On Monday, May 12 the CMHVA launched its Ambassador program with 14 eager volunteers, who signed up to make a real difference to our patients and visitors.

·  The goal of the program is to improve the experience of patients and visitors when they arrive to our hospital.

·  Stationed by the hospital’s Main Entrance, they will become the face of the organization, greeting people as they come in, providing directions and encouraging the use of hand sanitizers.

·  These volunteers will also be an important source of information once the CRP is underway.

·  At the time of the launch, Ambassadors are covering most of the times that traditionally make visiting hours, morning through evening. The goal is to expand to two volunteers per shift, ensuring someone is always present to greet our visitors.

Rehab Awards of Excellence presented to Charlie Bauman, Sue Fink, Loretta McCormick and Nisha Walibhai

·  On May 1, the Waterloo Wellington LHIN celebrated individual and team achievements at the Rehab Awards of Excellence Ceremony.

·  This ceremony was held at St. Joseph’s Health Centre in Guelph.

·  Physiotherapist Sue Fink and Nurse Practitioner Loretta McCormick, from the COPD program received awards in recognition of their contributions to the Waterloo Wellington Rehabilitative Care System.

·  Charlie Bauman and Nish Walibhai were recognized for ‘Collaboration’ as part of the Stroke Implementation Task Force.

Dr. John Yang – nominated for a SAGE award

·  On April 25, the SAGE – Service Awards for Geriatric Excellence – were presented to celebrate those who are passionate and committed to improving the quality of life of seniors.

·  Dr. John Yang was nominated for the Executive/Senior Leadership category. This category is to applaud those who lead innovative programs that improves care for the elderly; utilizes best practices and demonstrates leadership and an inspiring vision of how care for the elderly can be improved.

Congratulations – Marilyn Parkinson Crump

·  The City of Cambridge honoured past VA president, Marilyn Parkinson-Crump on Wednesday, June 11 by inducting her into the City of Cambridge Hall of Fame under the Education and Community Volunteer category.

·  Both a dedicated teacher and tireless volunteer, Marilyn is well entrenched in numourous community groups, touching on all aspects of life, from the arts to sports to education to the spiritual. In health care, she was past presidentof the VA between 2005 – 2008 and presently works in the gift shop.

WOW Cambridge & ICCAIR Awards for Krista Heap and Rose Riggan

·  Our featured ICCAIRAward recipients for March are Krista Heap and Rose Riggan. Both were cited from a grateful new parent about the professional and caring service they provided his wife while she was in delivery at our hospital.

·  This person was so impressed with Krista and Rose, he nominated them for the Cambridge Chamber of Commerce’s WOW Cambridge Award, which they also won!

·  The WOW Cambridge award recognizes individuals, who have gone above and beyond, providing extraordinary service in everyday situations.

·  This is the second time a CMH staff was honoured with a WOW. Cheryl Vandervalk was recognized in 2012.

Microbiology changes service providers

·  After undergoing an RFP process, CMH switched its microbiology provider from Grand River Hospital (GRH) to Lifelabs on June 14.

·  This change will bring about the same services at a lower cost. Lifelabs is a large medical laboratory service provider that can offer specialized clinical laboratory testing, hospital services and clinical case studies among other things

·  The transition took place on Friday, June 13. It is expected to have its labs fully integrated with CMH’s electronic records by September 2014.

Brand New Tim Hortons opens June 2

·  On June 2, the Tim Hortons opened in a new location, where the hospital’s Riverview Café used to reside in B Wing, level 1.

·  Modern and expanded, the new restaurant will now be able to offer all menu selections, which is something they were unable to do because of space restrictions in their old location.

·  There were a few bumps the week before, when the restaurant did a ‘soft launch’ to help orient and train staff in their new location. Two days into their opening, a plumbing problem occurred resulting in its closure for two days.

·  So far so good and the service is smoother and faster than in its previous, cramped space.

A sign of things to come: Minister Matthews visits CMH

·  On July 28, 2011, the Honourable Deb Matthews announced that our hospital redevelopment project was ‘green lighted.’

·  She returned to us exactly 1000 days later on April 23 to unveil a Government of Ontario sign describing the redevelopment project. The sign is situated at the front of the hospital near the entrance that will eventually become our main entrance once the build begins.

·  Her visit also coincided with the closing of the “Request for Proposals” (RFP) process. Five companies had until April 23 to submit their proposals to build CMH’s new hospital.

·  To quote Minister Matthews in her remarks, “Today marks a very important milestone that should make it very clear that this project is moving forward.”

Innovation at work – ECG goes paperless May 6

·  On Tuesday May 6, the ECG department went paperless.

·  The department launched a new Electronic ECG format using iECG, a Phillips software solution that captures ECGs electronically and transfers them to Meditech PCI for viewing.

·  Meditech is CMH’s electronic patient record, where physicians and clinicians share clinical information about a patient’s care.

·  The benefit is that all ECGs performed with this system will be available immediately as a “preliminary scan” pending final reporting by an Internist/Cardiologist.

·  Pending ECGs will have a software generated interpretation that will be reviewed and validated by the reading physician.

·  The benefit of going paperless, not only saves on paper, but also storage costs, which is at a premium in the hospital.

·  Given the reports are now viewable on Meditech, physicians who are part of the ClinicalConnect system can also view their patient’s records outside of CMH and in their office or another healthcare facility.

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