Quality – Change Day

This week’s guest blogger is Dr. Naveed Mohammad, Vice-President Medical Affairs

Small changes can have big impact on patient care.

That’s the simple but powerful premise behind Change Day, a global movement designed to empower people in health care to make positive changes through pledges and actions to improve compassionate quality care. A pledge is something that you commit to doing, changing, or improving for yourself, your team, or patients.

AAEAAQAAAAAAAAmaAAAAJDNhZDY5NTVmLWFkZWMtNDRkYi04OGIwLWUwNTEwZjAwYzQzNQ.pngChange Day began as a grassroots push by a group of doctors in the UK in 2013 and has spread to 17 countries, including Canada where Change Day is now held in Saskatchewan, British Columbia, Alberta, and, new this year, Ontario.

The Change Day movement aligns perfectly with Osler’s Mission and Vision to deliver innovative, patient-inspired health care with compassion. And that’s why, when the opportunity arose to be part of the inaugural Change Day Ontario, we didn’t hesitate.

You’ve likely seen our Change Day Ontario posters around our hospitals or received emails and eblasts encouraging you to join Osler’s pledge: “To further improve patient safety by achieving its goal of 100 per cent compliance by staff and physicians in correctly validating patient/client identification prior to any treatment service or procedure.”

Osler’s pledge supports our Expect to Check Campaign and reinforces how critical it is to patient safety to correctly identify every patient, every time. At the end of October, our performance was at 85.5 per cent.

Many of you have already gone to the Change Day Ontario website to support Osler’s pledge and/or make your own personal pledge. Thank you for taking part! Your participation is further proof that Osler staff are passionate about safe, quality care for our patients. To see some of the pledges made by staff at Osler, with representation from ED, Acute Care, Mental Health, Emergency Medical Services, Seniors Care and more, click here.

The pledge period began on September 12 and officially ends tomorrow. The Change Day movement, however, like Osler’s commitment to compassionate quality care, has no end date but is an ongoing journey involving all of us.

 

 

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Caring for our community’s newest residents

This week’s guest blogger is Kiki Ferrari, Interim Executive Vice President, Clinical Services

New beginnings. We witness them daily on Osler’s Labour and Delivery (L&D) units at Brampton Civic and Etobicoke General Hospitals, where we delivered more than 7,700 babies in 2016-17. While that made Osler’s L&D the second busiest in Ontario, recent activities reveal that there’s a much bigger story behind that number.

Earlier this month, thanks to solid working relationships within Osler’s Women’s and Children’s services, we delivered 58 babies in 48 hours across Brampton Civic and Etobicoke General, marking an extraordinary couple of days on the L&D units!

The staff, physicians and volunteers in our post-partum, paediatric and obstetrical units work closely with those in our labour and delivery and neonatal intensive care units (NICU) on a regular basis to ensure that we can continue to meet the care needs of both expecting and new moms and their babies, even under the most challenging of circumstances.

When our teams spring into action you can clearly see they are an experienced and fine-tuned group with a deep commitment to deliver safe, high quality patient care. Thanks to their efforts, as well as those from all corners of Osler, every one of those moms and babies received the best possible care from admission to discharge. Meanwhile the care for those on other units within Women’s and Children’s services continued seamlessly and without disruption while a baby or two was born every hour for two days.

The benefit of Osler’s productive working relationships within Women’s and Children’s services goes beyond our walls. That was evident during Ontario’s NICU surge this summer, which still continues today, in the number of infants needing high-level intensive care.

More than 22 community hospitals in Ontario refer very sick babies to the Level III neonatal intensive care units at SickKids, Mount Sinai and Sunnybrook Health Sciences Centre.

Currently and throughout this summer’s intense NICU surge, Osler was pleased to be among Ontario’s hospitals to help ease the pressure on the Level III NICUs by supporting the flow of babies in and out of the three affected hospitals. Once stabilized, many of the sick infants were cared for in Brampton Civic’s NICU and Etobicoke General’s Special Care Nursery (SCN). Brampton’s NICU is one of the largest Level II NICUs of its kind in the province, and in 2018, Etobicoke General will open a NICU in its new patient tower, where premature babies can thrive and grow stronger close to home.

My sincerest thanks to all the staff, physicians and volunteers across Osler who continue to go above and beyond to help our community’s newest residents get their best start in life.

More than just a flu shot

Protecting ourselves, our colleagues and our patients against the flu is one of the most important ways we can ensure staff and patients stay safe and healthy during the flu season. This year’s flu campaign, “More Than Just a Flu Shot”, reinforces how every one of us has an important role to play in protecting the safety of staff and patients at Osler.

While I got my flu shot, I chatted with Kim Steeves, Occupational Health Nurse at Osler, about why it’s important to get vaccinated.

 

 

Giving thanks

One of the Thanksgiving traditions I love most has nothing to do with turkey or pumpkin pie. Instead, it’s the opportunity to pause, reflect and give thanks for the many people in my life – my family, friends, and colleagues.

Over the Thanksgiving weekend Osler’s Emergency Departments and Urgent Care Centre delivered care to an astounding 2,414 patients – with Monday as the busiest day with 872 visits. To put this in perspective, in my former life with the Vancouver Island Health Authority, we saw that number of people in a day – though spread across 12 acute care hospital sites!

In addition, this activity was taking place while Brampton Civic hovered on the verge of Code Gridlock. That means as many of us were sitting down at our Thanksgiving tables or enjoying holiday weekend activities, some of our colleagues were busy caring for patients in our hospitals. While many were providing direct care to patients and families, others were supporting their colleagues in so many ways, such as registering patients, cleaning rooms, portering patients, conducting diagnostic tests, answering incoming calls, responding to questions from patients and families, and so much more, so that we can be here to care for our community.

My thanks to the staff, physicians and volunteers who sacrificed time with friends and family this holiday weekend so that others could spend time with theirs. But my thanks to the Osler team goes so much deeper than that.

Flu season hasn’t even arrived yet, and already we’re experiencing higher than normal patient volumes in our Emergency Departments and Urgent Care Centre. It seems Code Gridlock is becoming the norm, rather than the exception. From my perspective, this is when you all truly shine.

Delivering safe, quality care is not easy when dealing with patient volumes that exceed all expectations, yet I have watched you time and again come together as a unified team to do whatever is needed so we can continue to treat everyone who comes through our doors.

Thank you all for the dedication and commitment you have to patients each and every day, for the knowledge you share with one another to inspire new thinking and new ways of doing things, and for the ways you support one another and patients even under the most challenging of circumstances.

What you do matters. What we do together makes a difference. You make me incredibly proud to be a part of the Osler family.

Getting to the heart of patient experience

At Osler, how patients experience their care is more than just the quality of their actual care but how they are greeted, talked to, their ability to find and access various services, how engaged they and their family are in their care and decisions-related to their care. This week, I had the privilege to get out on a unit with Mary Jane, our Chief Patient Experience Officer, and one of our physiotherapists to talk about patient experience, what it means and how we all play a role in delivering patient-inspired care.

Seeing Osler through a different lens

From the first moment I walked through Osler’s doors 10 years ago, I knew there was something very special about this organization. Something told me this is a place where I can grow and learn as a health care leader, where ideas to improve health care are encouraged and acted upon, where individuals value and respect the contributions of one another, and where people are truly committed to making a difference in the lives of patients and families.

My instincts were right. Osler is all these things . . . and so much more.

During the past 10 months, I had the privilege of seeing Osler through a very different lens in my role as interim President and CEO, and it was an incredibly rewarding journey. Here is what I saw:

  • A caring, compassionate and solutions-oriented team of staff, physicians and volunteers who stepped up to the plate every time our patient volumes exceeded expectations to make sure that every single patient who came through our doors received the care they needed. The seven leading practices we achieved through Accreditation, are largely due to the efforts of our dedicated frontline teams.
  • An exceptional team of volunteers who help in so many ways at Osler to support patients and families and contribute to the patient experience. So often they were the first faces I saw whenever I visited any of our sites, and they played an instrumental role in the successful staff and public tours of Peel Memorial prior to its opening.
  • An incredible response from our community, staff, physicians and volunteers in support of Brampton Civic, Etobicoke General, and Peel Memorial, marking a year of unprecedented giving. Having had the opportunity to meet and thank so many of our donors in person, I was touched by the many heartwarming stories people shared of their personal experiences with Osler and their reasons for giving.
  • A talented team of clinical and non-clinical leaders, who worked tirelessly to support their teams while addressing unprecedented patient volumes at Brampton Civic and Etobicoke General, preparing for Accreditation and the opening of Peel Memorial Centre for Integrated Health and Wellness, and planning for the expansion and redevelopment of Etobicoke General.

Our accomplishments were many over the past year, as highlighted in the 2016-17 annual report, but it’s the people who were behind those achievements that really struck a chord with me this year. You are the ones who make this place tick. We may all contribute to fulfilling our Vision in different ways, but it is the coming together of our collective efforts that makes what we do possible.

I felt incredibly supported throughout my interim role as President and CEO and can’t thank you enough for everything you have done over the past ten months to help position Osler so strongly for the future. I look forward to continuing to support this great organization in my role as Senior Strategic Advisor, working closely with our new President and CEO, Dr. Brendan Carr, and all of you, as we start thinking about the longer-term strategic priorities that will set a course for our future. We’re in great hands. Let the next chapter begin!

Osler recognized as a leader in organ and tissue donation

A few weeks ago, I watched a tear-jerking CBC News story about a bride who met the man who received her late son’s heart at her wedding. It was a beautiful story that really drove home the heart (pun intended) of organ and tissue donation and why we work so hard to raise awareness. Simply put: It saves lives.

I’m so proud of our team because our staff gets it. Earlier this summer, Osler was recognized with a Hospital Achievement – Provincial Conversion Rate Award from Trillium Gift of Life Network (TGLN).

This achievement is thanks to the effort and dedication of our staff and physicians, the compassion of patients and families, and a valued partnership with TGLN. In fact, our own Dr. Alexandra McMillan has been a strong advocate for organ donation and is one of only three physicians in Ontario to receive the TGLN’s Hospital Donation Champion Award.

But what has all of this hard work translated into?  Five years ago, we recorded a mere five donations. A record 22 organ donations from Osler patients in 2016 helped save no fewer than 61 lives.

Let that sink in for a minute.  That’s 61 mothers, fathers, sons, daughters, friends, and grandparents who got a new lease on life. Let me give you a sense of how those lives were saved:

  • 4 heart recipients
  • 10 lung recipients
  • 12 liver recipients
  • 30 kidney recipients
  • 3 kidney/pancreas recipients
  • 2 pancreas islet cell recipients.

And let’s not forget the expansive network of people affected by these 61 lives, plus the families of the organ donor that fulfilled the donors’ last wishes. That’s powerful stuff.

The truth is, we all have the power to be champions for organ and tissue donation. Research suggests that as many as 15 per cent of Ontarians mistakenly believe they are already registered, when in fact, they are not.

Today there are more than 1,500 men, women and children in Ontario waiting for a life-saving organ transplant. Osler is proud to be among Ontario’s leading hospitals working to reduce that wait. Please join me in our advocacy efforts by registering as a donor today. Who knows? You could end up saving someone’s life someday – or a registered donor could save yours.