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Additional clinic space and third oncologist equal more cancer care in our region A crowd of staff, physicians, volunteers, donors and community members gathered at Belleville General Hospital (BGH) on December 12 to celebrate an expansion of cancer care in our region. The Dr. Douglas A. MacIntosh Cancer Clinic expanded to include 3,800 square feet of space in the Sills Wing at BGH. While the original clinic space on Hastings Level 3 is the centre for chemotherapy treatments, the extension to Sills 4 provides additional space for patient consultation, education and assessment.

Top: Dr. Roger Levesque, Medical Oncologist; Dr. Julie Bryson, Chief/Medical Director of Family Medicine; Dr. Negar Chooback, Medical Oncologist; Dr. Douglas A. MacIntosh, Founding (now retired) Medical Oncologist and namesake of the clinic; and Dr. Janarthanan Kankesan, Medical Oncologist.

“The number of patient visits to our oncology clinic has been steadily increasing each year,” said President and CEO Mary Clare Egberts. “While I wish we didn’t need to expand cancer care—the reality is—it’s needed. We are fortunate to have the physician and staff expertise and the volunteer support.”

“The intention is to bring cancer care close to home, to make it accessible for patients and prevent distance from being an obstacle to care,” said Dr. Roger Levesque, Medical Oncologist. He explained that in 2016, more than half of 4,500 chemotherapy and immunotherapy treatments given to more than 700 Quinte residents were administered outside of the area. He added that only half of 1,300 consultations in 2016 were done in Quinte. The extra space, along with the addition of a third medical oncologist – Dr. Negar Chooback – will allow QHC to care for more cancer patients, closer to home. During the event, special guest — former cancer patient Bob Leonard, shared stories about his treatment at QHC and offered his gratitude to every physician, nurse, pharmacist, technician and volunteer who played a role in his care. “I thank you all. I thank you all for my life.” Watch a 2.5 min video featuring cancer survivors Bob Leonard and Margie Burness.


Latest Kaizen event results in Health Records overhaul The processing of a health records chart – from start to finish – was taking an average 55 days. With the new process flow that was established during December’s Health Records Kaizen event, the goal for that figure will be closer to 5 days – which (when achieved) will challenge some of the top performing facilities in the province! “Charts were sitting idle 99.9% of the time,” said Rebekah Hyland, Health Records (ROI) staff member. The Kaizen participants identified more than 200 types of waste within their own processes, in others’ processes, and within the entire system. By determining a few major changes and many small ones, the Health Records team is making things better for themselves and QHC as a whole. One major change is the flow of the department. With the help of Hospitality Services, they cleaned up the department – bulky desks and shelves were removed, floors were waxed and walls were painted. And they changed the layout to reduce waste of motion and improve communication within the team. “I’ve been here 25 years and to see this happen is amazing,” said Anne Riganelli, Health Records Inpatient Coder. “The process flow makes sense now. It’s going the way the chart moves. Charts will no longer be held up at stations waiting.” Another major change is to no longer send old charts to the floors (on a trial basis). The file clerks would spend hours a day searching for old records to complete this task, just because that’s what’s always been done. In reality, those charts were only ever used 2 per cent of the time. During the trial, if a physician needs a chart, he or she can still call down to Health Records to request the record and the team will send it to the floor. Continued on page 6

A fantastic team of Health Records, IS and Registration staff worked with QHC’s improvement team to implement changes that make sense and will lead to a better Health Records department.

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Celebrating two fantastic organ donation successes! A group of staff, physicians and leaders gathered December 6th to receive the Provincial Conversion Rate Award from Trillium Gift of Life Network (TGLN). The award recognizes QHC for exceeding TGLN’s target of a 58 per cent conversion rate. And exceed we did – with an impressive 100 per cent! That means that in 2016/17, 100 per cent of potential donors referred by QHC went on to give the gift of life. In Ontario, there were 354 deceased organ donors last year, and three of those came from QHC. Keeping in mind that one organ donor can save up to eight lives, that’s a lot of lives saved. “Thanks go to our Emergency Department, Surgical team, ICU and everyone who helps family members come through this,” said Mary Clare Egberts, President & CEO. “The compassion, teamwork and dedication that go into this accomplishment are more evidence of QHC staff and physicians living our values. I’m so proud of our team.” Another point of pride for QHC is the selfless act of Vicky Jackson, Hospitality Services Representative (HSR). Vicky donated a portion of her liver to a complete stranger. She did it in memory of her loved one, Doug, who died of liver disease a day before Vicky had her appointment to start the process of donating her liver to him. “Doug was only in the hospital for 10 days – we didn’t know he was sick before that,” explained Vicky. “If I was going to donate part of my liver to Doug, why wouldn’t I do it for someone else?” Vicky’s altruism is truly rare. She donated through Toronto General Hospital’s Living Donor Liver Program, which, in its 17 years of existence, has only had 54 people ever anonymously donate a liver to someone in need. “The impact of Vicky’s donation is immeasurable,” said Karen Johnson, Director of Hospital Vicky Jackson, HSR, proudly holds her Hospital Hero award, while physicians Programs, TGLN. “Today nearly Dr. Sean Pritchett, Dr. Maria Theodorou and Dr. Mariam Harrison show their 1,600 Ontarians are waiting for a support for her selfless decision to donate part of her liver to a stranger. lifesaving organ transplant, and every three days someone will die waiting. You can register to give the gift of life today at www.BeADonor.ca and to provide hope to those on the waitlist.” To recognize Vicky’s selfless act, the Belleville General Hospital Foundation presented her with a Hospital Hero award. Yay Vicky!

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Grateful for the help – The BGH Auxiliary used the proceeds of the HELPP lo ery – to the tune of $5,721—to fund three Meedical Day Clinic (MDC) pa ent treatment chairs that recline and provide comfort and safety while pa ents receive their (some mes 8‐hour long) meedical treatments. "Reloca ng the MDC to the Sills 4 space has madee a tremendous difference to our pa ents and staff,” said Kris na Cruess, Manaager. “The addi onal equipment was necessary to ensure the new Med dical Day Clinic would have the capacity to meet the needs of the pa ents it serves. s We are extremely grateful to the BGHA for suppor ng this purchasee, which has made a difference to our pa ents and staff. We sincerely thank all the volunteers who devote their me and efforts to suppor ng pa en nts and services at QHC's Belleville General Hospital." (Pictured from le : Leah Johnson, President, BGHA A; Dana McQuillan, RPN; Candice Blizzard, RPN; Ammanda Oneil‐Dumoulin,, RPN)

#WeAllHelpProvideCare #ImagineItsYou Go‐ge ers – “Recently a local Trenton area nursing home contacted us about a QHC wheelchair that had been found on their premises. Our Physiotherapist (Ma Koornneef) and Occupa onal Therapist (Rachel Vanderleeuw) working at TMH decided to drive over on their lunch break and retrieve the chair. I wanted to extend my thanks to them for living the QHC value of “Take Ownership.” Ma and Rachel have an excellent a tude and are a posi ve presence every day.” – Derk Damron, Manager, Rehabilita on

#4MyyTeam

#TakeOwnership Excep onal care – “My father has been both an inpa ent and now more recently a regular outpa ent at the Prince Edward County Memorial Hospital. I truly would like to extend thanks on behalf of myself and my family. The con nuous care and concern the en re team has shown toward my father has been excep onal. The en re team does whatever they can to make his treatment easier. Today I spoke with Nancy Andrews about some possibili es with his care and she was so very suppor ve and willing to go the extra mile to inves gate. Nurses and teams like these give me peace of mind when I am not able to be with my parents. Again I will never be able to thank them enough.” – Leanne Hammond (Pictured from le : Lisa Mowbray, Manager Pa ent Services; pa ent George Kent; and Nancy Andrews, Pa ent Care Lead, 2S Inpa ent Unit)

Helping those in need – When Heather Sharpe, Hospitality Services Team Lead, asked the midnight crew what she could do for them for Christmas, they said they didn’t want gi s but wanted to somehow support the Grace Inn Homeless Shelter in Belleville. Members of the HSR team sold 50/50 ckets for mul ple weeks and, in the end, raised $850 for the shelter!

Christmas spirit – Belleville General Hospital got in the Christmas spirit thanks to laboratory staff members Barb Terry and Cheryl Wemp, who organized a gingerbread house contest. A total of 17 houses were entered from all areas of the hospital – even some pa ents got in on the fun! All week, staff, pa ents and visitors had the chance to check out the magnificent crea ons and vote for their favourite. The fragrant smell of gingerbread was a nice holiday touch throughout our hallways. Thanks Cheryl and Barb for bringing us Christmas cheer!

#4MyTeam #RespectEveryone

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Who inspires you? Anyone can share in celebra ng our teams – staff, pa ents, phyysicians and volunteers. Contact Carly Baxter at ext. 2677, cbaxter@qhc.on.ca.

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Continued from page 2— Health Records Kaizen

This changed the system from a “push” to a “pull,” freeing up the file clerks’ valuable time for another big change – scanning of inpatient records! Many other hospitals started scanning inpatient records years ago; we just haven’t had the resources available to build it into the process, and keep up with the incoming workflow. The overhaul of the department is creating the efficiencies needed to catch up to other hospitals. Scanning of charts is beneficial because: 

It allows physicians to complete charts remotely

It ensures documentation is available at all areas for patient care – within 24 hours of discharge

Coding resources at other sites can provide additional help during times of peak demand

Lawrie Ackerman — wellness champion at PECMH Wellness is the name of the game at Prince Edward County Memorial Hospital and Lawrie Ackerman, Administrative Assistant, is the one leading the charge. Lawrie goes above and beyond to make wellness easy at PECMH. She organizes pedometer challenges, health workshops, and sets up fitness classes where the owner of a local fitness studio comes to the PECMH wellness room 2-3 times per week to get hospital staff sweating. Staff members have noticed changes to their health – one staff member reports improving her strength and bone density. And some staff have enjoyed the activities so much that they’ve come back to participate even after they’ve retired!

“Lawrie has been an instrumental support in engaging PECMH staff, Foundation staff, and PEC Family Health  It protects BGH from the risk of “missing charts” by Team staff in wellness activities,” said Lisa Mowbray, Hospital Site Lead/Manager of Patient Services. “We creating a “one-way” valve at the Health Records all lead busy lives both professionally and personally. door Sometimes we forget to look after ourselves, so these initiatives emphasize exactly that – we need to look Once physicians are educated and everyone is after ourselves in order to look after others.” comfortable with the new scanning process, paper charts will no longer be needed after discharge – Hospital, Foundation and Family Health Team staff saving the need for lots of storage space. The have also been engaged in the ParticipACTION 150 basement is already very full! Playlist. Throughout 2017, groups have joined together to partake in physical activities that they “I’m thrilled with the end result and very proud of the may not have otherwise tried. So far, they’ve tried Tai staff,” said Sherry Mifsud, Manager of Health Records. Chi, paddle boarding, horseback riding, line dancing, pickleball and many more. “They jumped in and all contributed. They came up with a good plan and layout that includes all members of the team. A big thank you to Gail Portt, Lisa Tuck, Sue Kimball and Marnie House for both attending the Kaizen and also working in the department all week.” “It’s been exciting to see the smiles and exhaustion on your faces each day,” Mary Clare Egberts said to the participants. “You had the opportunity to take hold and accomplish something really great, and you did. This is an amazing output. Great work team!”

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At the November QHC Board of Directors meeting, Vice Chair Stuart Wright acknowledged Lawrie Ackerman for her commitment to workplace wellness at PECMH.


Clean Hands Save Lives -Submitted by Lori Pike, Infection Prevention and Control

In 2002, the World Health Organization (WHO) started a global challenge to improve patient safety. The challenge, “Clean Care is Safer Care,� targeted improved Hand Hygiene in health care as the key element and visible goal. It was through this challenge that alcohol-based hand rubs, were introduced as an effective method to clean hands when they are not visibly soiled and when soap and water is not readily available. The Infection Prevention and Control (IPAC) team at QHC remains committed to supporting staff to meet this challenge by having alcoholbased hand rub available throughout the organization and at the point of care, as one strategy to meet the WHO challenge. We remind staff to practice the 4 Moments of Hand Hygiene to stop the chain of transmission to protect themselves and each patient in their care. The team also provides education to staff to incorporate Hand Hygiene as part of Routine Practices in assessing risk of exposure prior to patient encounters.

4 Moments For Hand Hygiene

The IPAC team is required to report Hand Hygiene compliance. Hand Hygiene performance by all staff on inpatient units is reported to managers and directors each month, to the QHC Board of Directors quarterly and to the Ministry of Health annually. In order to do this, we must consistently audit Hand Hygiene performance by all staff on inpatient units. In April of this year, IPAC introduced the Speedy Audit electronic tool as another strategy to make Hand Hygiene auditing easier for staff. The team has now set goals to assist nursing units to achieve Hand Hygiene performance success of 85% before patient contact and 90% after patient contact, as set by the Board of Directors. In collaboration with nursing units, IPAC will help to identify additional strategies to consistently complete Hand Hygiene audits weekly and achieve the rates expected by the Board. Each month, the Infection Control team will recognize a patient care area that has been successful in improving their Hand Hygiene performance.

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Oh what fun this festive season! We were very fortunate to have some special visitors at two of our hospitals in December. The Belleville Police Association came to BGH with a sack full of stuffed toys and toured the hospital, handing them out to the girls and boys! Kids and adults alike were enamored with Santa and his elves. The Belleville Senators also brought some excitement to BGH and TMH. They met some of their biggest fans, handed out swag, raffled off signed jerseys and offered up tickets to an upcoming game. Thanks Belleville Police Association and Belleville Senators for the holiday joy!

QHC Vital Signs Newsletter, December 2017: Published by QHC Communications Department Editor: Carly Baxter (613) 969-7400 ext. 2677, cbaxter@qhc.on.ca

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December 2017 Vital Signs  
December 2017 Vital Signs