Friday May 4, 2018
10:00 a.m. – noon
BMO Institute for Learning
3550 Pharmacy Ave, Scarborough, ON M1W 3Z3
Presented by the Joint Centres for Transformative Health Care Innovation
No registration required
No cost to attend
The Joint Centres is a partnership between six large community hospitals focused on collaboration and sharing to improve quality, safety and performance in health care.
The Joint Centres comprise Mackenzie Health, Markham Stouffville Hospital, Michael Garron Hospital, North York General Hospital, Southlake Regional Health Centre and St. Joseph's Health Centre Toronto. The goals are to:
Advanced Clinical Transformation – One Record Seamless Patient CareOur new electronic medical record will be the most integrated documentation system possible, incorporating evidence-based guidelines and best clinical practice. Benefits include improvements in the flow of information, greater security, enhanced communication between patients and care providers, and seamless access to patient health records with the goal to achieve EMRAM level 7.
It Takes Two: A Bold Campaign for Positive Patient IdentificationMackenzie Health’s commitment to providing excellent quality care- every patient, every time- was the stimulus for the It Takes Two campaign. Through bold and engaging tools including a flash mob, song, game shows and elevator wraps, the campaign boldly reinforces there is nothing more foundational to safe, quality care than positive patient identification. Markham Stouffville Hospital
Emergency Department Aftercare Instructions at Your FingertipsMarkham Stouffville Hospital has improved the patient experience in the Emergency Department by piloting Dash MD, a free mobile application that provides patients with aftercare instructions and other tools to help them manage their care.
Crowdsourcing Ideas to Accelerate InnovationTo solve some of the toughest challenges healthcare providers face, Markham Stouffville Hospital piloted an innovative technology platform, Colleaga, that helps capture ideas from staff and physicians across the hospital and connects front-line staff to subject matter experts all around the world. Michael Garron Hospital
Patient Flow Prediction Tool: Enabling Clinical Leaders to Optimize Resources in the Recovery RoomThe patient flow management platform is a technology enabled tool that supports managers in predicting and visualizing patient volumes. Managers can strategically plan resources faster and more effectively to avoid bottlenecks that may lead to costly service delays, cancellations and sub-optimal experiences for patients and providers.
Determining the Feasibility of a Hospital-based Deprescribing Program for Seniors: A Pilot StudyA deprescribing program was implemented to reduce polypharmacy in seniors and healthcare costs. Qualified pilot study patients each had an average of 2.5 medications stopped; 75% of in-hospital recommendations were adhered to at three month follow up. Pharmaceutical cost savings support a business model for a sustainable program. North York General Hospital
Going Beyond Traditional ThinkingNorth York General Hospital is using design thinking, human-centred design and human factors to solve our hospital’s complex challenges. These new mental models are enabling us to go above and beyond to provide the best possible patient and family-centred care.
Hybrid Quality Boards: The Good, The Real and The SaferNorth York General Hospital’s Quality Improvement Office has transformed and modernized paper quality boards into a hybrid electronic model, incorporating best practices and lessons learned from previous designs and staff feedback. Today’s innovative model empowers and engages staff, patients and families to discuss and implement safety strategies in real time. Southlake Regional Health Centre
Eliminating Never EventsSouthlake has evolved its approach to learning from patient safety incidents by expanding the Quality Care Committee’s role to also consider near misses and share what was learned across the hospital. In addition to incorporating CPSI’s list of Never Events in this model, it includes “Always Events”, “Current Events”, and “Learning Events”.
The Ultimate Patient Experience - Creating a Preoperative Clinic PassportIn response to feedback from patients and volunteers, Southlake’s surgical team implemented a Preoperative Clinic Passport to better inform patients of the steps they can expect during their clinic visit and to offer an opportunity to provide feedback. We are collecting valuable information from the Passport to improve patient satisfaction. St. Joseph’s Health Centre Toronto
CPE Discharge Process ChecklistAn innovative new discharge process is helping prevent patients across Canada from becoming sick with a super bug. The St. Joe’s-born idea has resulted in a new tool that multidisciplinary teams use so that rooms and sinks are thoroughly cleaned and disinfected. This is keeping patients safe and reducing the spread of hospital-acquired infections.
SupertrackAmbulatory patients (both minor and complex) are experiencing decreased wait times and more streamlined care in the Emergency Department, thanks to an innovative model at St. Joe’s. Supertrack is combining nurse and physician assessments, expediting the provision of minor tests/procedures and X-rays and sending patients home within two hours.
Medication Service Delivery Model TransformationMackenzie Health has implemented a standardized medication administration model supported by a very unique medication distribution system that would enable nurses to spend less time on medication-related tasks and more time with their patients. Automation and technology are leveraged as an enabler to achieve medication safety and efficiencies for our patients, with the ultimate goal of increasing nurses and pharmacists' time at the patient bedside.
Patient Satisfaction - Real Time Results for Real Time ImprovementsIn an effort to continue to measure and understand the patient and family experience and identify potential opportunities to improve those experiences, patients will receive an automated discharge phone call within 48 hours after they have been discharged. Information gathered from these calls is made available to the teams on a daily basis. This real time feedback can then be used to inform decisions and track progress of new and existing initiatives aimed at improving the patient experience. Markham Stouffville Hospital
NICU ConnectMarkham Stouffville Hospital is using technology to connect the NICU care team to families during daily rounds. This helps address patient issues and concerns on an on-going basis and keeps families informed of the patient's condition.
Pet ImpactMarkham Stouffville Hospital research has shown that sharing life with companion animals has health benefits including lower blood pressure and healthier lifestyle choices, and can provide healthcare professionals with insights that can improve patient care. Michael Garron Hospital (formerly Toronto East General Hospital)
The Memory Care Unit - A New Approach to Dementia Care DeliveryThe Memory Care Unit (MCU) is a unique, person-centered approach to redirect responsive behaviours, improve outcomes and optimize function for dementia patients. An innovative and cost-effective care model, the MCU has enhanced caregiver provision time by embedding care delivery (charting/delivering medications) in the common area with patients, providing specialized and ongoing training in dementia care for all staff, and collaborating with partners like Behaviour Supports Ontario to build capacity. The model has successfully improved early identification and redirection of responsive behaviours, significantly reduced falls with injuries, increased assimilation rates back into a non-secure area and reduced length of stay.
Hospital-based Paediatric Dental Surgery Program for Underserviced ChildrenA program to enhance access for children who require general anaesthetic for advanced surgical dental issues, the Paediatric Dental Surgery Program provides access to the hospital's operating room for community-based dental surgeons, enabling them to perform needed procedures on a cost recovery basis in an OR setting where the cost is covered by OHIP. Dental surgeons selected must donate time to the Children in Need of Treatment program offered in the community through schools and public health. The program promotes access for children who would not otherwise be able to afford major dental surgery and influences community-based activity to enhance the overall health of the community North York General Hospital
Preparing for the Holidays: How Predictive Analytics Informed ED Volumes and Admissions for Resource PlanningUsing analytics, NYGH leveraged 10 years of ED visits data and develop a model that projected the number the ED volumes and more importantly, the # of admissions into the hospital. The predictive model was used to prepare the organization during planning discussions well ahead of the holiday season. The model was able to anticipate days of high and low utilization months before the holidays. Lessons learned over each year were applied to model to enhance predictions for the upcoming period.
Supportive Cardiology Clinic: An Integrated Approach to Introduce Early Palliative Care to Patients and Families Living with Advanced Heart FailureThe Supportive Cardiology Clinic is an innovative inter-professional clinic embedded in the Heart Function Clinic that provides an added layer of support to patients and families receiving routine cardiac care at NYGH. A supportive care nurse practitioner and palliative care physician see patients with advanced CHF who would benefit from early palliative care involvement. Southlake Regional Health Centre
Creating the Ultimate Patient Experience: Reducing Emergency Wait TimesThree key practices in Southlake's Emergency Department have reduced physician initial assessment times to the shortest in the province: getting rid of the waiting room; introducing physician navigators; and scheduling physicians around patients.
Collaborative Care for Patients with Complex NeedsA Proof of Concept for an electronic collaborative action plan for frequent healthcare users with complex needs was completed. This electronic health plan enables the healthcare team (10 healthcare service providers to date) to instantaneously access Coordinated Care Plans for their patients with the most current information and action plan which is transforming patient care into collaborative care. St. Joseph’s Health Centre Toronto
Preliminary Medication Discharge SummariesSt. Joseph’s Health Centre recently implemented an interdisciplinary initiative to improve the accuracy and timeliness of communication to primary care providers and pharmacies who share in the care of our mental health and addictions patients. This commitment to communication has resulted in improved transitions from hospital to community, safer patient care and a stronger relationship between St. Joseph’s Health Centre and our community partners.
Patient Education VideosPatients and families play a critical role in creating a safer healthcare system. St. Joseph’s Health Centre has partnered with patients and designers to develop three animated videos that are empowering patients and families to play a greater role in their own safety. These videos, shown to patients on their bedside monitors, discuss practical strategies and have improved awareness around how patients and families can prevent falls, pressure ulcers and medication errors.
Spread Best Practice - Reducing C.difficile InfectionsHospital acquired infections, including C. difficile, impose a significant strain on the recovery of patients and on resources within the health care system. Notably, C. difficile is recognized to be a heavy environmental contaminant and measures must be taken to mitigate transmission of disease via healthcare worker hands, shared equipment, and the hospital environment. As the lead site for the C. difficile Spread Initiative, Michael Garron Hospital has been collaborating with the Joint Centres hospitals since 2014 to develop and improve C. difficile control measures. Together, the Joint Centres hospitals are sharing best practices and identifying emerging practices to assist in the reduction of the burden of C. difficile in health care.
Reducing Caesarian Section Rates - Spread ProjectThe Joint Centres are spreading Markham Stouffville Hospital’s strategy to reduce the rate of C-sections through patient/client education and awareness, a tracking and reporting process, and change in unit policy.
Spreading Choosing Wisely: Improving Patient Care by Reducing Unnecessary CareChoosing Wisely Canada is a campaign to help clinicians and patients engage in conversations about unnecessary tests and treatments. Since 2014, North York General Hospital has been working to implement Choosing Wisely Canada recommendations and spread its success to the Joint Centres Hospitals. Significant reductions in unnecessary testing have been demonstrated at North York General Hospital and Michael Garron Hospital. Moving forward, efforts will be focused on supporting the implementation of Choosing Wisely campaigns and recommendations across participating Joint Centres sites.
Workplace Violence Prevention - Spread ProjectThe Joint Centres are collaborating on a spread project focused on prevention of violence in the workplace that is being co-led by Michael Garron Hospital and Southlake Regional Health Centre. The project will build on strategies developed by all hospitals to create safe and secure workplaces that help achieve the objective of zero tolerance for violence. Leading practices will be identified and developed into a “spread playbook” that can be shared and adapted by each hospital in areas such as risk assessment, training, flagging, reporting and leadership and staff engagement.top