2022-2023 ANNUAL REPORT TO THE COMMUNITY People First



Northumberland Hills Hospital is located on the traditional territory of the Mississauga Anishinaabeg in the territory covered by the Williams Treaty.
We acknowledge the long history of First Nations, Métis, and Inuit peoples in what is now called Ontario, and locally we recognize the proud heritage of Alderville First Nation.
We are committed to working in collaboration with the original stewards of the land on which NHH stands, with the knowledge that there is still more work to be done in advancing our organizational understanding of truth and reconciliation.
We are beginning to move towards what can only be hoped is an endemic phase of the pandemic, and with that, the beginning of our new normal
Since the pandemic began in March 2020, our optimism has been sustained by the hope and in the earliest unknowns of COVID a belief that we would eventually emerge and begin to shape a ‘new normal’ we could only dream of three years prior.
The concept of a ‘new normal’ is subjective in that it can be viewed in many different ways For Northumberland Hills Hospital (NHH), it is the growth of our services, which was and has always remained a key priority throughout the pandemic
NHH continues to find innovative ways to bring connected care close to home, create accessible care for patients and their families, maintain a responsive and healthy work environment for our hospital teams, and ensure that exceptional patient care, every time, for every person remains at the forefront of care These vital components are all part of NHH’s fourpoint Strategic Plan Framework which President and CEO Susan Walsh speaks more to on page 6 and have been a touchstone for us over the past year.
On a Board-level, we have grown to welcome new Community Members, Mike Cassaday, Leslie Orpana, and Lynda Sellar over the past year, who bring a wealth of knowledge and skills to NHH
As the hospital continues to expand along with our growing community, our Board is experiencing growth to help support and guide the many exciting changes planned in NHH’s future.
In recent months, we also had an opportunity to host a second Virtual Board Volunteer Open House, inviting expressions of interest from local individuals interested in volunteering with the Board as Community Members
Before I close, I would like to take this opportunity to say thank you to two very special people. First, Tom McLean, who will complete his tenure with the Board of Directors in June 2023. Previously a Vice Chair of the NHH Board, Chair of the Operations Committee and a member of the Executive Compensation Committee, Tom has most recently chaired the Board's Governance Committee, acted as Vice Chair of the Finance and Audit Committee, and served as a Director on the Committees responsible for Facilities and Campus Development, and the Executive and Performance Evaluation Committee
His contributions to the Board are numerous and we are grateful for Tom's many years of dedication to NHH.
Secondly, we are saying goodbye to Catharine Tozer, a longstanding member of the Board who completed her tenure last year and will conclude a final one-year term as a Community Member this June
We are elated to have had Catharine’s expertise and guidance for an additional year and thank her for many years of exceptional service.
I would like to thank Susan Thivierge, Executive Assistant, Susan Walsh, President and CEO, our Chief of Staff Dr Mukesh Bhargava, and the Senior Leadership Team for their support in the first year of my return as Board Chair I am equally grateful to the Board Directors and Community Members for their continued dedication and commitment to service excellence.
As we embark on a new year ahead, I would like to extend gratitude to the commitment shown by our volunteer partners at the NHH Auxiliary, Patient and Family Advisory Council (PFAC) and the NHH Foundation, who have recently launched the Exceptional Community, Exceptional Care campaign, the largest fundraising campaign in the organization’s history, and in the history of Northumberland County.
With a fundraising goal of $25 million, the campaign will help to fund the replacement of both the Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scanners, building and equipping a fourth Operating Room, creating a new Integrated Stroke Unit, expanding and centralizing the Intensive Care Unit (ICU) and redeveloping both the Pharmacy and Medical Device Reprocessing Department. See Wendy Ito, NHH Foundation Board Chair’s message on page 16 for more information.
To date, $18 million has been raised, including a $1 million contribution from the NHH Auxiliary
I look forward to the many changes and growth opportunities at NHH that will continue to benefit the community of west Northumberland County.
I am delighted to mark through our Annual Report to the Community yet another remarkable year of growth, innovation and success Community hospitals are, at their best, just what our name says we are… we are about community. Taking care of our own, to the extent that we are able, and when we are not, doing our utmost to ensure people are taken care of.
It takes many people, with a broad mix of skills, working together across many partners, to make a community hospital strong, and we are most fortunate to have a truly special mix here at NHH
From caring and compassionate front-line staff, physicians and midwives, dedicated back-of-the house supports (those less seen at the bedside, but absolutely as critical to quality care), and, of course, the high number of selfless volunteers and donors whose commitment is evident throughout our services, Northumberland Hills Hospital (NHH) has all the above. We have much to be grateful for as an organization, in what we have, where we have come from and what we are growing
Accountability to the community served is one of the primary reasons for publications like this one. Reporting to our community on the public dollars received and spent to provide the services we exist to deliver is critical, but care, we know, is measured in much more personal moments
This Report highlights just a few of the many instances of care delivered in 2022-2023, and some of the many caring and committed people who labour to provide it.
When I reflect on the year just passed, I feel so much pride and have many fond recollections. Three highlights stand out the most
One of the highlights of this year’s achievements is the successful award of Accreditation with Exemplary Standing we obtained from Accreditation Canada in the fall of 2022. This is the highest-possible achievement in a rigorous continuous quality improvement process we opt in to on a regular basis and it was very meaningful as a leader and a member of this community. This Accreditation not only serves as a testament to the dedication and expertise of our team, but also provides assurance to our community that we consistently deliver exceptional quality and service My thanks to every member of the team for securing this result We know that quality is a journey that never stops but this was a welcome opportunity to recognize all the hard work done to get to where we are today.
The second highlight for me this past year has been the slow, steady wind down of COVID restrictions, evidenced most recently by the March 2023 closure of the Cough, Cold and COVID Assessment Centre outside the NHH Emergency Department. A prime example of strength in teamwork if I’ve ever seen one, that small Centre reinvented itself on multiple occasions to meet the ever-changing needs of this community, demonstrating nimbleness and commitment to customer service that earned, quite rightly, much appreciation Thanks to every member of the Assessment Centre team, our PFAC, who helped guide our COVID response, and all those elsewhere in the hospital who were called on to support the Centre’s activities indirectly through a very prolonged pandemic.
Finally, I want to recognize the strategic planning process I had the privilege of being part of with our Board Director Pam Went and an interdisciplinary Strategic Planning Collaborative Action Team (SPCAT). While COVID-19 and other pressures were very much on the minds of every member of our team, this small team was hard at work preparing a roadmap to meet NHH’s future needs. Done in collaboration with community partners through the Ontario Health Team of Northumberland, we logged more than 500 touchpoints with local residents, patients, health-care providers and partners before arriving at a new shared purpose, “People First” and four proposed strategic priorities to focus on in the coming years We validated and refined these priorities into the four-point Strategic Plan Framework that is guiding us today.
This planning and consultation has been key to the preparations now in progress for growth in a number of our core services, arguably the most material growth since NHH’s doors opened in the fall of 2003 at 1000 DePalma Drive
Likewise, to our generous donors, championed by the outstanding NHH Foundation, thank you for continuing to step up to our priority needs, set out in this Report on pages 16-19 My thanks as well to our outstanding volunteers, including our Auxiliary, PFAC, and our Board Directors and Community Members.
Exciting things are happening here, as we prepare for our 20th anniversary this fall, and we are more committed than ever to ensuring it is a welcoming, caring environment for all.
I hope this message finds you well. As we navigate the recovery phase of the pandemic, I wanted to take this opportunity to express my gratitude and appreciation to NHH's medical staff and entire team for their unwavering dedication and resilience. Together, we have overcome numerous challenges and made significant progress in providing exceptional healthcare to our community
The return of in-person events and healthcare services marks a palpable shift in our environment. We can now reflect on the past year, when it seemed uncertain whether we could sustain all our services. Despite facing staffing gaps and increased workloads, we managed to persevere. I want to acknowledge the tremendous efforts made by every member of the NHH team.
While it is true that wait times in healthcare remain high, it is important to remember that many people are working to improve this The increasing reliance on technology has also made the system more vulnerable to cyberattacks We must remain vigilant in safeguarding our systems and patient information.
Amidst these challenges and changes, I am immensely proud to see Team Northumberland grow stronger and more antifragile. Your open-mindedness, innovation, and motivation to tackle new problems and seize new opportunities have been truly inspiring. Over the past year, we have achieved several noteworthy accomplishments.
We established a care pathway for acute stroke patients, enabling clot removal procedures. We now have a respirologist available for in-person consultations, as well as rheumatologists and geneticists for virtual consults through the Ontario Telemedicine Network (OTN)
Our collaboration with the College of Physicians & Surgeons of Ontario has facilitated valuable care rounds, fostering learning through reflection and discussion.
However, we still face ongoing challenges The Hospitalist Service, the Obstetrics-Gynecology team and our Mental Health teams require further growth and stabilization. Additionally, our surgeons are actively seeking a replacement, and efforts are underway to add a fourth operating room, bringing more services closer to home
Recruitment continues to pose difficulties for our interdisciplinary team colleagues, and it is crucial that we support each other in attracting and retaining talented individuals
I am deeply grateful and honoured to have your trust and confidence as your Chief of Staff. As we embark on the journey of recovery from the pandemic, let us embrace collaboration with unwavering determination.
Together, let us explore every opportunity and idea that can lead to improved healthcare outcomes for our patients
Thank you once again for your extraordinary commitment and tireless efforts. Your dedication makes a significant difference in the lives of those we serve. I am proud to be part of this remarkable team, and I look forward to our continued success as we shape the future of healthcare together
Dr. Mukesh Bhargava Medical Affairs
Dr. Kathleen Barnard-Thompson Maternal Child Care
Dr. Paul Ketov Emergency Medicine
Dr. Jeffrey Knackstedt Family Medicine
Dr. Behtash Saeidi ICU/ Internal Medicine
Dr. Rajinder Momi Mental Health
Dr. Katie O'Reilly Laboratory
Dr. Paul Marrocco Diagnostic Imaging
Dr. Andrew Stratford Surgery
Virtual PACE Talks continued with Northumberland PACE partners
April 2022
Universal masking continues at NHH
Strategic Planning process enters validation phase
August 2022
Ontario delivers over $1 million in funding for NHH
M-HEART services expands in Brighton
2022 Health Professions Scholarships announced
Changes to NHH's Visiting Guidelines as COVID pandemic continues
In step with NHH's new Shared Purpose, 'People First,' the Equity, Diversity, Inclusion and Advisory Committee (EDIAC) remains committed to listening, learning, and advocating for the delivery of safe, equitable care for all at our hospital.
Here's how we celebrated diversity and inclusion at NHH over the past year.
NHH finished the 2022-2023 fiscal year on March 31, 2023, in a balanced position It was a year of recovery and sustained high volumes
Emergency Department (ED) visits, admissions, and Community Mental Health visits all experienced notable volume increases
On top of this, an arbitration award and notification led to an unexpected $1.6 million in compensation expense with no dedicated funding to offset this unplanned expense. Revenues increased in the year as a result of an increase in growth funding, premiums paid for increased surgical volumes, increased incremental bed funding and funding for pandemic related expenses.
The global pandemic and recovery efforts continued to have a notable impact on hospital operations for the fiscal year There were sustained high volumes in our ED and a significant rebound in surgical volumes Ongoing health human resource shortages continued to make staffing the hospital to meet these elevated volumes challenging at times.
Even in the backdrop of an increase in the number of funded beds, bed occupancy remained high. NHH ended the year operating 7 per cent above this increased funded capacity. Patients awaiting placement in other care settings remain an ongoing contributor to high occupancy rates. However, this is not the entire story. Alternative Level of Care (ALC) patients, many of whom are waiting for placement in long-term care (LTC), represented a smaller number of inpatients at NHH in 2022-2023 than in prior years Sustained high occupancy was also driven by an increase in acuity of patients Patients came to the NHH sicker than in prior years
NHH celebrated one year of its new shared Clinical Information System (CIS) in December 2022 With more experience with the new system, NHH continued to develop ways to optimize the value of this significant investment A key part part of NHH’s Strategic Plan Framework, the CIS is a vital system that allows NHH and all our Central East hospital partners to drive improvements in experience, efficiency, and outcomes.
Looking forward to 2023-2024, NHH is in a strong position to lean into growth. Planned significant investments in capital and infrastructure combined with ongoing collaboration with our community partners will ensure the hospital is able to successfully meet the growing needs of the community while maintaining quality care and experience for staff and patients
By the time you read this report, I will have completed my two-year term as Chair of NHH Foundation’s Board of Directors. As I look back, I am amazed by the generosity shown by our community, grateful to the leaders who have continued to work to advance our mission, and impressed at what we have collectively accomplished.
My time as Chair can fairly be described as abnormal – in fact, it wasn’t until the spring of 2023 I had the opportunity to Chair my first in-person Board meeting at the hospital as opposed to virtually or offsite Still, over this abnormal time, our team and our community persisted in its support of our hospital and in the 2022-2023 fiscal year, raised more than $53 million to support the purchase of critical medical equipment and technology at NHH. This is an incredible accomplishment, and we have you, our community, to thank.
Last year, we were pleased to have the opportunity to gather with our community with the return of our in-person fundraisers. This included both Wine & Ale, which sold out in record time and raised more than $25,000, and our annual Gala, which had the most platinum sponsors to date and raised $220,000 We also introduced a new initiative, Lemon-Aid for NHH, which saw the young and young-at-heart across our community host lemonade stands to collectively raise more than $6,400 – seeing our youth not only involved, but excited to help, was truly inspiring!
Members of our community also stepped up to host and attend third-party events, including the Northumberland Father Daughter Ball, which raised more than $24,000 and the annual Family Christmas at the Spry Family Christmas Tree Farm, which raised more than $30,400. No matter how you supported our hospital last year – thank you.
It has been an honour to serve as Chair and to k l id f ll d di d B d l d I’d like to thank my fellow Board and Committ for the time and effort they have selflessly give
In addition to our volunteers, I have also had the privilege of working alongside the talented Foundation staff team. This small team has adapted quickly to a number of changes in recent years, all while maintaining a positive attitude, and I thank them for their creativity, and dedication
I also share kudos to the NHH team Thank you to all those who keep our hospital operating and ready to help our community, no matter the circumstances – from the leadership, to frontlines, and those supporting behind the scenes.
Finally, I’d like to shine a light on our Exceptional Community, Exceptional Care Campaign Cabinet, led by Chair Hank Vandermeer. This group of community leaders has taken on the tremendous task of raising $25 million to support our hospital and has been working behind the scenes for three years now. With 72 per cent of our goal raised prior to our spring 2023 launch, we have made incredible strides and I thank them all for their continued commitment as we work to reach our goal
We know the needs ahead of us are great, and we will continue to need the support of our community to ensure we all have access to high-quality, modern care, close to home.
McHappy Day
Wine & Ale
Guests once again gathered in-person for Gala 2022 - A Black Tie Evening, which raised over $220,000 to help purchase priority medical equipment and technology at NHH Thank you to everyone who had a hand in this achievement – from volunteers to staff, sponsors, online auction donors, and guests – the list goes on. The Foundation has now hosted 20 in-person galas, and never ceases to be amazed by how so many come together to make these events possible
NHH Foundation was the recipient of the annual McHappy Day® fundraiser, which took place May 11, 2022 at the McDonald’s® restaurants in both Cobourg and Port Hope Together, the customers staff, and community volunteers at these west Northumberland locations helped to raise $15,205 to support the Maternal Child Care program 2022 marked NHH Foundation’s most successful Wine & Ale in the Park to date, with more than $25,000 raised This annual fundraiser returned to an inperson format for the first time since 2019 and was once again presented by Tony Pulla, RE/MAX Lakeshore Realty IncTo keep pace with advances in technology; use better data to support accurate diagnosis, recommended treatment, and patient education; raise the bar to align with best practice standards; and incorporate cost-saving changes, we will:
Replace both our Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scanners
Redevelop the Pharmacy
Change the delivery of healthcare with the newly implemented integrated Clinical Information System
NHH Foundation is undertaking the largest campaign in the history of Northumberland County, with a goal of raising $25 million. By investing in the priorities below, we will ensure we can continue to attract and retain talented physicians and clinical professionals to our community, and keep high-quality, best-in-class healthcare close to home
Visit
With a growing and aging population, the demands placed on NHH are increasing as the needs of our community are changing To help our hospital prepare for this growth and continue to offer the best possible modern care, close to home, we will:
Build and equip a 4th Operating Room
Create an Integrated Stroke Unit
Expand and centralize the Intensive Care Unit (ICU)
Every year, we invest in medical equipment and technology that is fundamental in ensuring we can continue to offer the best care possible to our community These continuous investments will remain a priority for the duration of our campaign, and strategic projects will be funded that will support growth and the future expansion of services at NHH Specifically, we will:
Redevelop the Medical Device Reprocessing Department
Replace and renew critical medical equipment (i.e. surgical scopes, hospital beds, IV poles, and more)
Pictured above: Kamryn, RPN; Paula, RN; and Devon, RNUnder the strong leadership of Campaign Chair, Hank Vandermeer, the Exceptional Community, Exceptional Care Campaign Cabinet is filled with dedicated community leaders who understand the important role our hospital plays in our community This group is actively engaged in supporting our campaign's success
Our Goal:
What a year this has been!
Every member of the Auxiliary has experienced the full gamut of emotions brought forth by the ever-changing landscape of COVID-19.
But here we are, working with our ‘new normal’ and slowly but surely rebuilding our team’s membership and activities and becoming stronger in the process
We are now almost back to full coverage in our various departments although we are still looking for new recruits to replace those volunteers who have retired since 2020.
If you or anyone you know of is interested, please get in touch with us at 905-372-6811 ext 4629 or visit the Volunteers section on nhh.ca
Meanwhile we have several things to celebrate. We have continued support from our Interim Volunteer Manager, Keri Campbell. Thank you, Keri, for all you do.
We finally found the perfect person for the position of Vice Chair of Business Services
Rick Riley is doing a wonderful job guiding our retail outlets: The Little Treasure Shop at the hospital and our thrift shop Petticoat Lane (generally known as The Lane!) on Munroe Street in Cobourg. They are both go sales. But we are still in nee
We are more than delighted and very proud to have been able to make our promised $1 million contribution towards the hospital's new Clinical Information System It took us five years but we did it and we are very proud
Finally, we are busy planning the Auxiliary’s 100th anniversary celebration in November. It will be a splendid affair, which every single one of our amazing volunteers thoroughly deserves
We still have challenges and we are not quite up to our usual standards in fundraising but we are getting there and are determined to meet our financial commitment to Northumberland Hills Hospital this coming year
We’ll let you know next year!
Ex-officiomembers,appointedbyvirtueoftheiroffice
Dr MukeshBhargava,ChiefofStaff
KateZimmerman,VicePresident,IntegratedCareandChiefNursingExecutive
SelenaForsyth,President,NHHAuxiliary
WendyIto,NHHFoundationBoardChair
Dr PavelKetov,VicePresident,MedicalStaffAssociation
Dr JudeObomighie,President,MedicalStaffAssociation
SusanWalsh,PresidentandCEO
Direct community participation in the governance of NHH and succession planning for the Board is further supported by Community Members who serve on specific Board committees
Interested in opportunities for Board service?
Find the Expressions of Interest form and answers to Frequently Asked Questions, including information on the NHH Board, biographies of current Board and Community members, policies, and meeting materials, at nhh.ca.
With pandemic restrictions relaxing and in-person meetings resuming throughout the hospital, NHH’s busy Patient and Family Advisory Council (PFAC) is continuing to grow
After three years of virtual meetings, PFAC came together for the first time in the spring of 2023 for an extended and in-person—meeting. The gathering was the first opportunity many of NHH’s newer PFAC partners had to be in the same room with one another and with their respective ‘buddies,’ the program leaders aligned with their particular area of interest and experience
The meeting provided the volunteers an opportunity to share first-hand the depth and breadth of involvement of PFAC partners throughout the hospital, and to explore areas for growth and opportunity as we emerge from the pandemic, including an increase in the cadence of full Council meetings from quarterly to six times a year, over and above individual and working group activities
Also welcomed at the spring meeting was the Council's inaugural PFAC Chair, Bonnie McKee, who formally assumed the role in May 2023.
Active throughout the hospital, PFAC partners work alongside staff, physicians and midwives through a mix of virtual and in-person opportunities, including:
Quality and Practice Committee (QPC) meetings; departmental assignments (e.g. recruitment participation with HR); Best Practice Working Group tables (Senior Care, Skin Health); and special projects (such as the 2022-2023 co-design of our interim patient experience survey, and participation on the Integrated Stroke Working Group and the Palliative Care Strategy Working Group)
In addition to the above, many ad hoc requests for PFAC input have been warmly welcomed over the past year as well, via email, phone or virtual consultations, and NHH is grateful for the value this collective experience, from both patient and caregiver perspectives, brings to continuous quality improvement and operations at NHH
Thanks go out to volunteer Donna Tinsdale Henderson, who completed her service as a PFAC volunteer on the Cancer and Supportive Care program this past year. Looking to the year ahead, the team is looking forward to continued growth, the development of NHH’s first Experience Framework and the presentation (at the June 2023 Annual Meeting) of NHH’s first Experience Partner Award for Exceptional Service.
For more on PFAC, including biographies of all members, please see the PFAC page at nhh.ca. Interested in joining this unique volunteer team? Know someone in the community who may find PFAC of interest? Find answers to frequently asked questions and the Expression of Interest form on the same page! New partners are most welcome
January 2023
30 Years
Dr James Nearing
25 Years
Dr Tapas Bannerjee
Dr. Michael Bayer
Laura Hamilton
Rhonda Purdy
Brandy Robertson-Purdy
20 Years
Tracy Bagshaw
Wendy Bridgman
Vicki Burnham
Tamara Ferguson
John Hobart
Keith LeRoux
Tina Marsh
Tara McKerroll
Penny Muzzell id
15 Years
Kathleen Beitle
Karen Calberry
Andrea Campbell
Rachel Chard
Annette Cornelius-McNeil
Jeannie Forsyth
Jennifer Gillard
Shelly Ham
Dr. Asiya Hameed
Erin Hart-Thompson
Lisa Hathaway
Brenda Heenan
James Heffernan
Nicole Howes
Susan Jenereaul
Pamela Knott
Sarah Krabi
Tim Mills
Dr Philip Narini
Dr Joe Parravano
Dr. Erin Pepper
Jamie Reynolds
Krystle Rypstra
Sarah Selvig
Shanene Studzinski
Erica Symons
12 Years
Erin Croteau
Taryn Woolsey
10 Years
Dr Kaes Al-Ali
Steve Akil
Penny Baird
Katelyn Beatty
Susan Behan
Dr. Mukesh Bhargava
Ashley Cadenhead
Hubert Campbell
Dr. Frances Crawford
Judy Delaney
Nicole Del Vecchio
Sarah Dolsen
Elaine Howarth
Cheryl Kenniphaas
Bobbi-Lee Lawrence
Kim Lee
Dr Jeffrey MacPherson
Nichol Moore
Krista Mountenay
Stephanie Schuur
Dr Anuja Sharma
Mackenzie Tamlin
Christy Theofylatos
Paula Traini
Christine Westbrook
Jenna Wilson
Coldest Night of the Year
February 25, 2023