How Central West CCAC, Headwaters and Osler are taking patients from Hospital to Home

When patients return home from the hospital, they sometimes need a little bit of extra support. Osler is working with its partners at the Central West Community Care Access Centre (CCAC) and Headwaters Health Care Centre (Headwaters) – as well as the Ontario Telemedicine Network (OTN) and the Central West Local Health Integrated Network (LHIN) – to meet this need with Hospital to Home (H2H).

H2H is an innovative new model of care that is helping to improve clinical handoffs and information sharing when patients leave hospital and re-enter the community. This means that patients continue to receive short-term nursing care from the same team after they return home. H2H will initially support patients with cellulitis and urinary tract infections requiring short-term nursing interventions, later expanding to support those with more complex needs.

Last week, H2H launched at Brampton Civic Hospital. The program originally launched at Etobicoke General Hospital in December and then at Headwaters in January.

Once fully implemented, H2H will help prevent unnecessary hospital admissions, shorten the length of stay for admitted patients, provide greater continuity of care and ultimately, enhance the patient experience for those we serve.

As one of six integrated programs sponsored by the Ministry of Health and Long-Term Care’s new bundled funding model, H2H is an excellent example of how different organizations from across the continuum of care can work together to improve access to care that truly benefits patients. And it’s proving to be effective. Since November 2015, more than 135 patients have been enrolled in the program and dedicated H2H nurses have completed over 750 nursing visits in the community.

With each phase of the H2H rollout, the project team gathered feedback from staff and patients to help shape the program even further. Feedback to date has been very positive. Here’s what some H2H patients had to say:

  • I received outstanding care!”
  • My experience was fantastic. Each Nurse was extremely knowledgeable and they arrived in the timeframe as promised.”
  • “I really appreciate this program. You took the time to talk with my wife and comfort her when I did not know what to say to make her feel better.”
  • “You hired the best nurses for the job. They have all been wonderful!

This kind of patient experience is what we strive to achieve. That we are hearing such overwhelmingly positive feedback so early in the life of the program is a wonderful testament to the team’s commitment to providing patient-inspired care!

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Changing the face of Osler, one brick at a time

This week’s guest bloggers are Ann Ford, Joint VP, Facilities and Redevelopment and Ken Mayhew, President & CEO, Osler Foundation

We know that in health care, things are constantly changing – from adopting innovative clinical practices to using new digital technologies for patient care to upgrading the facilities that enable us to provide much needed programs and services to the community. Our ambitious redevelopment program continues to move forward and it’s changing the face of Osler.

Reaching another milestone at Etobicoke General

Excitement is building at Etobicoke General with the closure of the Request for Proposals (RFP) to design, build, finance, and maintain the hospital’s new four-storey wing. Over the next few months we’ll review the proposals before announcing the winning bid. Once a team has been selected, construction on the new facility is expected to begin in summer 2016.

As the winter months settle in, we won’t be slowing down. We’ve started an Early Works project to prepare the existing building for the new addition by replacing mechanical equipment, upgrading power systems and installing connection points that will link building systems between the two structures.

We’re also moving forward with plans to build a new Ancillary Services Building (ASB) that will be home to a number of outpatient programs and services. The ASB will allow us to bring much needed clinical services into the community, such as dialysis, and we plan to start construction in spring 2016.

Peel Memorial takes shape

It’s exciting to watch the progress at the new Peel Memorial. There is plenty going on outside the building as brickworks are nearing completion, the majority of the windows are now in place, and the metal siding that will cover the outside of the penthouses is ready to be installed. Meanwhile, work is proceeding on the building’s water lines, storm and sanitary connections to municipal services.

As the winter months approach, construction workers will finish all the jobs needed to make the structure weather-tight. Then, they will move inside where they’ll focus on the building’s mechanical and electrical systems, wall boarding, priming and painting, as well as the countless other tasks that will make this structure a wonderful health facility for this community.

Construction on the new Peel Memorial is on track to be completed by fall of 2016. Following a period of equipment installation, training and orientation we will be ready to open our doors in early 2017.

A strong show of community support

The community is playing an important role in our redevelopment projects. This past weekend, Canadian country stars Blue Rodeo and fiddling sensation Natalie MacMaster performed for a sold out crowd in support of Osler Foundation. The $610,000 raised, which was matched by Orlando Corporation’s generous $15 Million Matching Challenge, resulted in a $1.2 million contribution to redevelopment projects and the latest generation of medical technology and diagnostic equipment needs across all three sites.

If you missed the excitement on Saturday night, check out our photo gallery!

Seven reasons why you need a flu vaccine

This week’s guest blog is from Joanne Flewwelling, Executive Vice President, Clinical Services and Chief Nursing Executive

We can’t deny it any longer. The summer is over and fall is here. Even though I’m breaking out my cold weather wardrobe, I’m keeping one short sleeved shirt in the back of my closet for a specific purpose: getting vaccinated against the flu.

Vaccination is a personal choice. There are many reasons why I choose to get vaccinated and just as many reasons why others may not, but it’s difficult to argue with statistics. Receiving the flu vaccine helps to eliminate 30,000 visits to the emergency department, avoid 1,000 hospitalizations and prevent 300 deaths in Ontario. I encourage you to do your part in supporting a healthy community at work, at home and beyond.

Here are seven more reasons why it’s important for you to get vaccinated against the flu:

7ReasonsFluShot

There are many ways for you to get vaccinated against the flu. Visit a public health clinic in your community (Peel Region or City of Toronto), see your pharmacist at participating a pharmacy (like Shoppers Drug Mart and Rexall), or make an appointment to see your family doctor.

The Ministry of Health and Long-Term Care also offers plenty of online resources to help you decide to get the flu vaccine.

We all have friends or family members are more at risk of complications from the flu, especially children and seniors. Let’s do our part in keeping our community healthy during flu season by getting vaccinated!

First Impressions: What We Learned in India

This week’s guest blog is from Dr. Naveed Mohammad, VP Medical Affairs and Co-Lead of Osler’s Global Health Program

Earlier this year, I was fortunate to be part of a five-member clinical team that travelled to Punjab, India as part of Osler’s Global Health Program. During the 12 days we were on the ground, we were able to see how health care is delivered first hand.

The health care system in India is one of contrasts, where state-of-the-art, for-profit hospitals exist alongside charitable hospitals and access to care is largely based on what patients can afford. Amid this disparity we couldn’t deny the obvious common thread: regardless of where treatment was provided – be it in a high-tech hospital at the centre of a bustling city or a small clinic in a rural village – the patient is always at the heart of their care.

Families are part of the care team and from admission to discharge, they are always present to support the comfort needs of patients. Patient rooms are often equipped with a bed for the patient and a cot for a family member.  At Osler, we are already exploring ways we can enhance the patient experience through family presence initiatives.

Patient care is a family affair – Families are part of the care team and from admission to discharge, they are always present to support the comfort needs of patients. Patient rooms are often equipped with a bed for the patient and a cot for a family member. At Osler, we are already exploring ways we can enhance the patient experience through family presence initiatives.

Improving the patient experience - It’s natural for patients to have a lot of questions and concerns when navigating the health care system. All of the hospitals we visited in India had help desks to assist patients as they navigate the facility. At one hospital, once a patient sees a specialist, they had a patient counsellor who could provide further information about their care and answer follow-up questions.  We were inspired by this approach to care and came away with new ideas for how we can implement similar programs in some of our busiest departments. Osler is already setting the stage to launch our own patient concierge program in the ED.

Improving the patient experience – It’s natural for patients to have a lot of questions and concerns when navigating the health care system. All of the hospitals we visited in India had help desks to assist patients as they navigate the facility. At one hospital, once a patient sees a specialist, they had a patient counsellor who could provide further information about their care and answer follow-up questions. We were inspired by this approach to care and came away with new ideas for how we can implement similar programs in some of our busiest departments. Osler is already setting the stage to launch our own patient concierge program in the ED.

Revolving door approach to outpatient care -  Where do you go when you need a referral to a specialist? In Canada, our health care journey begins with our family physician. The weak primary care system in India has resulted in a stronger outpatient department (OPD) model, which also reduces the demand on their emergency department services.  Many of these interactions happen on an outpatient basis. Facilities are designed so patients can receive same-day care from a specialist and consult with multiple specialists providers under the same roof on the same day. This speedy approach to care virtually eliminates wait times that are so common in Canada.

Revolving door approach to outpatient care – Where do you go when you need a referral to a specialist? In Canada, our health care journey begins with our family physician. The weak primary care system in India has resulted in a stronger outpatient department (OPD) model, which also reduces the demand on their emergency department services. Many of these interactions happen on an outpatient basis. Facilities are designed so patients can receive same-day care from a specialist and consult with multiple specialists providers under the same roof on the same day. This speedy approach to care virtually eliminates wait times that are so common in Canada.

Mission accomplished

We travelled to India in search of partnership opportunities, and we found them. After a careful review Osler has chosen to work with two hospitals in the Ludhiana district where we will focus on service delivery, training/education and research, as well as a multi-national hospital chain on research.

  • Shaheed Kartar Singh Sarabha Ayurvedic Medical College & Hospital is a charitable hospital that serves a rural population while acting as a teaching centre for nursing students from 25 neighbouring villages. Partnering with this organization will enable us to assist with the development of health care infrastructure in this community through screening, education and outreach camps and sharing our best practices.
  • Dayanand Medical College & Hospital is a recognized health care leader in Punjab and tertiary care teaching hospital. Partnering with this organization will provide us with a unique opportunity to potentially support training in emergency medicine, critical care and psychiatry and to research the epidemiology of chronic disease in Punjab and within our local Central West region. There is also potential to provide continuity of care and share medical records for Osler patients travelling to this part of India.
  • Apollo Hospitals is an internationally accredited organization with over 50 hospitals across India. Partnering with this organization will provide us an opportunity to conduct research to understand various aspects of health and wellness, and disease progression and treatment for individuals of South Asian descent. There is also an opportunity to provide continuity of care and share medical records for Osler patients travelling to India.

Right now, we’re working to finalize Memorandums of Understanding with each hospital to define the specific initiatives Osler will support. A funding structure is also being developed with Osler Foundation to engage our community. Once these pieces are in place, the team will host a follow-up information session in the fall to provide details of our first official mission slated for early 2016 and how staff can apply.

These are exciting times at Osler and I look forward to the next phase of our Global Health Program!

Inspired care leads to inspired giving

How do you say ‘thank you’ to someone who has provided you with exceptional care during your most vulnerable moments? Sometimes words and gestures just aren’t enough. That is why Osler Foundation provides many opportunities for patients and families to show their gratitude.

One example is the new Grateful Patient program, which offers patients a special way to say thank you, through their donation, to someone who has made a difference in their care. Each honouree is presented with a special heart-shaped pin and receives a personalized message of thanks telling them of the donation.

One of the best parts of my job as CEO is getting to share the stories of the incredible care our patients receive at Osler. Two such experiences inspired patients to acknowledge their care providers with a Grateful Patient pin:

  • Warren Topey came to Etobicoke General for urgent surgery. Thanks to the “understanding, compassion and skill” shown by Dr. John Morrell, he is once again able to live a full life. Warren was able to say a personal ‘thank you’ through a Grateful Patient gift in honour Dr. Morrell.
  • Surinder Gill came to Brampton Civic for a routine test when she learned she needed immediate surgery to remove her enlarged appendix, which had a cancerous tumour that was previously undiscovered. The expertise of Dr. Kashif Irshad saved her life and making a Grateful Patient gift in his honour was her way of saying ‘thanks.’

There are other ways to show your support for Osler, like participating in our signature events. Mark your calendars as this summer promises to be one of the most exciting ever for Osler Foundation!

Osler Open: Etobicoke Invitational
The Summit Golf & Country Club – September 14, 2015

One of our most popular events, the Osler Open: Etobicoke Invitational helps drive home support for the redevelopment of Etobicoke General.

Walk ‘n’ Roll for Healthy Kids
Etobicoke General – September 19, 2015

New this year, our inaugural Walk ‘n Roll for Healthy Kids is a 5km walk along the Humber River that will raise funds for children’s services Etobicoke General.

All funds raised at these events will be generously matched as part of our $15M Matching Challenge. It’s an extra incentive to get out and get involved – we hope to see you there!

Community Engagement, Three Ways

At Osler, we’re always looking for new ways to engage with the communities we serve. Over the next four weeks, we’re inviting people living in the communities we serve to connect with us during three exciting events.

Telephone Town Hall
Monday, May 25, 2015 from 7:00 p.m. to 7:45 p.m.

We are hosting our fifth Telephone Town Hall together with our partners.

Events like this help local residents, like you, better understand what each organization does and how we work together to provide health care services in the community. It also gives you a chance to ask questions and offer feedback about your experiences with the health care system in our region.

I invite you to help shape the future of health care in our region by joining the call. We will reach out to thousands of randomly selected households across the region and invite them to join the conversation. Anyone can participate – including staff, physicians and volunteers – simply email your name and phone number to teletownhall@williamoslerhs.ca by May 25 at 4:00 p.m. to register.

We look forward to speaking with you!

Osler Outpatient App Launch with celebrity guest Amber Mac
Tuesday, May 26 from 2 p.m. to 3 p.m., Brampton Civic Atrium

It’s ‘appening again! Osler is launching a new Android app that is set to help patients take charge of their health from hospital to home with their phone.

Celebrate with us as we launch this new app, Osler Outpatient, which was designed and built by Engage, the group of students from the University of Toronto who won our second national student app contest. Give our newest app a try and learn more about how it will help patients and families at Osler.

We’re kicking this launch into high gear as we welcome Amber Mac, tech expert and co-host of BNN’s App Central, as MC and keynote speaker.

It promises to be an exciting event and I look forward to seeing you there!

Osler Annual General Meeting
Monday, June 22, Etobicoke General

Mark your calendars for Osler’s Annual General Meeting (AGM). It’s our chance to celebrate another extraordinary year, recognize some exciting redevelopment and partnership milestones, and hear from dignitaries and special guests about the exciting future for health care in our community. Events on the day will begin at 3 p.m. at Etobicoke General Hospital.

The AGM will be followed by a reception where the entire Osler community can take time to reflect on past achievements and look forward to an exciting future!

New funding will help Etobicoke General will bring care closer to home

Etobicoke General Hospital is busy on the best of days and when special guests stop by, the pace picks up even more.

On Monday the Honourable Eric Hoskins, Ontario Minister of Health and Long-Term Care, visited Etobicoke General with local MPPs Yvan Baker (MPP Etobicoke-Centre) and Peter Milczyn (MPP Etobicoke-Lakeshore) to make an important announcement about expanded health care services in our community.

Osler will receive funding for a new satellite dialysis centre at Etobicoke General. This means great things for the community. Not only will Osler be able to offer access to 36 new dialysis stations for life-sustaining treatments and patient training for at-home dialysis, it will also enable us to provide care closer to home for patients living with Chronic Kidney Disease (CKD).

While the satellite dialysis centre will be operated at Etobicoke General, it will be jointly used by Osler and our partners at Humber River Hospital. This new partnership will help put people and patients first while relieving pressure on existing kidney care programs at Osler and Humber River Hospital.

We heard first-hand how this announcement will change the way we provide access to care for patients like Robert Johnstone, who travels from his home in Etobicoke to Brampton Civic Hospital three times a week for dialysis. By receiving treatment closer to home, Robert and his wife Linda will spend significantly less time travelling between appointments, experience less stress and have a better quality of life.

Osler is the Regional CKD Program for the Central West Local Health Integration Network (LHIN), one of 26 Regional CKD programs in Ontario. With more than 72,000 visits to Osler’s renal clinic in 2013-14 alone, we are one of the fastest growing regional programs and this distinction, coupled with new funding from the province, reinforces our position as a health care leader for kidney care in Ontario.

The satellite dialysis centre will occupy 27,000 square feet of a new Ancillary Services Building, which is the part of first phase of the renewal and expansion of Etobicoke General. While the opening of the facility is still a few years away, this commitment from the province is a clear indication of its continued support that will help shape the future of the hospital and the community it serves.

While it may not feel like spring just yet, we welcomed it with open arms at our Holi Gala on Friday evening in support of Osler Foundation. All 750 guests enjoyed spectacular musical and dance performances, feasted on flavourful Indian dishes, and rubbed elbows with special guests. Thanks to you we raised more than $160,000, which will be generously matched dollar-for-dollar by Orlando Corporation as part of its $15 Million Matching Challenge to support the redevelopment projects at Osler’s three hospitals.

Relive the excitement, or see it for the first time, by checking out our photo gallery from Friday night!