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Moving one step closer to a new hospital in Prince Edward County!

Monica Alyea, President of the PECMH Foundation, addresses a large crowd at Prince Edward Community Centre on January 24. She and other planning partners conveyed their commitment to the redevelopment of PECMH as we proceed with next steps.

The Ontario government has given the green light to a key step in the construction of a new hospital in Picton. Local MPPs Todd Smith and Lou Rinaldi joined project partners on January 24 to announce the approval of the Pre-Capital Submission for the Prince Edward County Memorial Hospital Redevelopment. The approval allows QHC to move to the next stage in the process required by the Ministry of Health and Long Term Care to build a new hospital. The next stage includes an evaluation of the current site, investigation of site options, a high-level space plan and a cost estimate. It’s expected to take six months to complete the proposal. “Building a new hospital in Picton is our number one priority,” said Doug McGregor, Board Chair, QHC. “By building a new hospital in Picton, we’ll be able to meet the primary health needs of this community close to home.” “This message today is a fantastic achievement,” said Dr. Donald Koval, Prince Edward Family Health Team. “I am extremely pleased that the combined hard work of our committee comprised of members of PEFHT, PECM Foundation, QHC, the SE LHIN, as well as our municipal government and Prince Edward County Mayor Robert Quaiff, has paid off. And we are all pleased that the Ministry of Health recognizes the absolute necessity of redeveloping Prince Edward County Memorial Hospital. I am optimistic that we are now moving in a positive direction that will continue to gain momentum and support as we proceed.” As the redevelopment project progresses, the PECMH Foundation and Auxiliary are devoted to raising funds. “We’re committed to provide the leadership to raise the community’s share of the costs for the new hospital,” said Monica Alyea, President, PECMH Foundation. “Knowing where you want to be is the first step to getting there. So let’s get on with the rest of the Ministry’s required steps! We believe the community is ready.”

Huge improvements to patient discharge on BGH Q4 and Q5 The discharge process has improved incredibly on BGH Quinte 4 and Quinte 5 since the units participated in a Kaizen event last month. It used to take an average 220 minutes from the time a physician determined a patient was ready to be discharged to the time the patient left the unit. This is now averaging 77 minutes! One of the major barriers to getting patients discharged promptly was a lack of communication between physicians and nurses. Previously, when a Kim Quinn, RN, and Kelly Pound, Patient Care Lead, stand before Quinte physician determined that a patient 5’s huddle board, where all discharge measurements are tracked for staff could be discharged, it took an average to see. of 70 minutes for their nurse to be notified. Now, as soon as a physician decides a patient will be discharged, they press the bedside call bell and flip a flag on the patient’s door, notifying the nurse to come to the room and start getting the patient ready while the physician completes their work. What used to average 70 minutes is now averaging one minute! Before the Kaizen event, it was a common occurrence for patients to be discharged, yet still occupying an inpatient bed for hours while they wait for a family member to pick them up. This left new patients waiting for those beds. Now, the Patient Care Lead is proactively calling the families of patients who are predicted to be discharged the next day, making sure they are aware of the expected discharge and ensuring that someone will be available to pick up the patient. For patients who are not able to be picked up right away, Quinte 5 is trialing a Discharge Lounge in its sunroom. Criteria were created to determine which patients can be transferred to the lounge (ie. patients who can ambulate and toilet themselves, patients without droplet precautions, patients whose ride will be arriving within three hours, etc.) Patients are out of Meditech and considered discharged once they’re in the lounge, but are checked on periodically by a PSW and volunteers to make sure they’re content. A helpful tool called “Your Ticket To Discharge” has been posted in patient rooms and includes tick boxes that can be checked off as patients take steps to prepare for discharge (ie. Do you have your medications? Are your belongings packed? Will you have help when you go home?) “All of these changes are really having a huge impact on patient discharge,” said Kim Quinn, RN and Grassroots Transformation coach on Q5. “Training staff on the changes is going very well because everyone has a say and can come up with ideas. It’s a collaborative approach. And every day at huddle we talk about our measurements and they can see for themselves the improvements these changes are making.”

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BGH Emergency Department sets an ambitious goal

Heather Campbell, Program Director of Emergency, lays out the ED Improvement Plan for staff during a daily huddle. The green tickets behind Heather are called “Opportunity Tickets.” ED staff can submit ideas for change and the department/hospital as a whole works toward implementing them. Thirty tickets were submitted in the first week!

The Belleville General Hospital Emergency Department has set its sights on an ambitious goal. “Our aim is that in two years, our Emergency Department will be one of the top five EDs in the province,” said Heather Campbell, Program Director of Emergency. The BGH ED has developed an Improvement Plan to help achieve this goal. “We have had such a massive amount of change in our department,” said Heather. “We decided we needed to lay out a plan, along with key primary drivers and action items.” The primary drivers include: improved staff/physician morale and engagement; improved processes; stable, knowledgeable, engaged leadership; and stable trained human resources. The measures that will determine whether the ED is meeting its goal of becoming top five include: Left Without Being Seen (LWBS) rates; Physician Initial Assessment (PIA) times; ED wait times; and unfilled vacancies. “We’ve never had such a strong focus on the ED,” said Beverly Shepherd, RN. “We are driving change from the bottom up. This plan includes nurses, physicians, HSRs, volunteers, everyone who touches the ED.”

Upcoming Grassroots Transformation Kaizen Events   

March 20-23 — Fragmented Medical Records April 24-27 — Q4/Q5 Standard Work (Zone Lead, Patient Care Lead, Patient Flow Coordinator) June 19-22 — Emergency Department Physician Standard Work

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Crea ng comfort – A er cha ng with RN Bev Shepherd (right) about how uncomfortable the blue metal wheelchairs are for pa ents, Drew Brown, Belleville General Hospital Founda on Execu ve Director (le ), and the rest of the Founda on, wanted to do something. “If we’re interested in the quality of people’s care, we have to be concerned about them from the minute they walk in the door,” said Drew. Anne Krock, Hospitality Manager, put the BGH Founda on in touch with the wheelchair supplier and Drew got approval from the Senior Leadership Team to spend $8,000 on 30 cushions. Within three weeks, the cushions were on the chairs and pa ents, who can spend long periods of me in these chairs, were much more comfortable. “The Founda on is just a minor player in this,” said Drew. “Bev, Anne, Senior Leadership, Finance… everyone involved was living the values of this organiza on. It was team work from start to finish and it makes me proud to be in a place like this.” #WeAllProvideCare

#4MyT Team #QHCV Values #Imagine eItsYou #RespectE Everyone #WeAllProv videCare #AlwaysStrive eToImprove #TakeOw wnership

Your team deserves some recogniƟon! We want to highlight th he great care, acts of kindness and support ou ur staff provides to our teams. Whether you con nsider your team to be your direct coworkers, your y department, your hospital, or your pa entts, we want to hear how your team is living our values! v Share stories of people going above and d beyond the call of duty, or simply explain why yo ou are proud to be part of your team.

Gra tude for great care – “I want to thank the Emergency Department nurses and Dr. Rice for their a en on, care, and treatment of my son at Prince Edward County Memorial Hospital. I cannot say enough about how great they are! BEST hospital ever!”

Anyone can share – staff ff, pa ents, physicians, volunteers etc. Just conttact Carly Baxter at ext. 2677, cbaxter@qhc.on.cca. Or feel free to snap a photo and send a line orr two. You may just see someone on your team featured f in Vital Signs, the Weekly Bulle n, on our website, or social media. Don’t forget to follow f QHC on Facebook and Twi er @QuinteHeealth as we celebrate our teams!

(Pictured: Dr. Rice)

Helping others overcome struggles – The team on Quinte 7, BGH, took me to answer ques ons about the Neonatal Abs nence Syndrome (NAS) program. The interviewer, Jessica Leeder (pictured in the centre), is a freelance writer with Today’s Parent magazine. The team interviewed: Tracey Giles, Professional Prac ce Specialist; Manager Shelley Kay; Registered Nurse Nicole Callaghan; and Darlene Stuckless, Social Worker – spoke with passion and pride about their collabora ve efforts to benefit pa ent care for both the ‘moms and babes,’ and reflected on their own learning throughout this improvement journey. “I cannot stress enough the benefits (albeit qualita ve) that we have seen from this program,” said Shelley Kay, Manager. “We focus so much some mes as health care facili es on data that has numbers a ached that we forget that some mes our greatest successes are not in dollars or days, but instead the rela onships that are built and the trust and bonds we create between our community and the health care workers who want to help.”

– Grateful parent of pa ent #ImagineItsYou

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Joy ride – Margie Burness, Administra ve Assistant, gives the royal wave while she fulfills her dream of driving the ride‐on auto scrubber at BGH. Knowing how desperately Margie wanted to take a joy ride, Dan Cole, FSR, gave her the opportunity to cross it off her bucket list (don’t worry folks, he walked beside her the en re me). “Who says you can’t have fun at work?!” said Margie. #4MyTeam

Heart healthy treats — TTMH Auxiliary volunteers shared the love on Valen n ne's Day by providing heart healthy snacks for staff and physicians in the cafeteria! #4MyTeam

The team has been nominated for an award of excellence through the Canadian College of Health Care Leaders! To find out more about the NAS program, visit #RespectEveryone

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Stroke survivor ‘pays it forward’ by helping other stroke patients Todd Crouchman, 48, feels lucky to be alive after suffering a stroke in January 2016. He spent six months recovering at Quinte Health Care – first in the ICU and Quinte 5, then in Rehab, where he regained his speech and mobility. In appreciation of the exceptional care he received at QHC, Todd is now helping stroke survivors on the Sills 3 Inpatient Rehab unit. “Going Stroke survivors Todd Crouchman and Beverley McKerracher bond over their through what I went through, how health experiences during a weekly stroke support group on BGH Sills 3. do I give back?” asks Todd. “The nurses and therapists were amazing. If I can make another patient’s stay easier to get through, I’m happy.” Each Thursday, Todd visits a few patients in their rooms and in the dining area on the Rehab unit. He also participates in a support group for stroke patients. “It’s easy for me to talk to the patients because I already know exactly what they’re going through. It’s also therapeutic for me,” said Todd who admits he gets choked up sometimes reliving his own experience. Todd and the patients discuss many topics – anything from how they felt when they first realized they’d had a stroke, to rehab struggles, to feelings of lost independence and depression. He reassures patients that it will get easier. “It all just takes time. The more you work at it with rehab, the better it gets. All the struggles going on internally, you learn to deal with. I look at what I’ve achieved and realize how lucky I am. You just have to remember, at the end of the day, you’re still alive.” Beverley McKerracher, a support group participant, appreciates having someone to talk to who’s been through a similar situation. “All the people you visit who have had strokes, you have no idea what it’s actually like until it happens to you.” Melissa Roblin, Stroke Resource Nurse, and Kathleen Rochester, Occupational Therapist, were running the stroke support group for a few months before Todd joined but say patients are more engaged now that they can speak to someone who has recovered. “It felt scripted before, like we were trying to pull information from patients,” said Melissa. “Now there is more discussion and they’re talking about what they want rather than what we bring up. To see someone who has recovered is powerful for them.” The support group is also a great resource to family members of patients, who are also welcome to join. “It takes a village,” said Todd. “I have so much support it’s impossible for me to fail. I owe the hospital so much. I love everything about this floor. They’re not my nurses, they’re my friends.”

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Local home builder to dig in, in support of TMH Dave and Sarah McDonald, owners of McDonald Homes, are taking being charitable to a whole new level. McDonald Homes will be building a house on land donated by the City of Quinte West, which will then be sold on the open market and proceeds donated to Trenton Memorial Hospital Foundation. McDonald Homes, a proud member of the Quinte Home Builders Association, is the fourth home builder to take part in a HomeBuild for Healthcare project since (L-R): Tony Engelsdorfer, Quinte Homebuilders; Mike Cowan, OurTMH and realtor; Gerald Draaistra, Home Build Campaign; Sarah and Dave McDonald, McDonald Homes; 1989. Phil Wild, TMH Foundation; Mary Clare-Egberts, QHC President & CEO; Jim Alyea, Deputy Mayor of Quinte West.

McDonald Homes, with the help of other local trades and suppliers who are getting in the charitable spirit, will construct a 1500 sq. ft. home at 145 Bay St. in Trenton. All funds raised will be used in the purchase of priority medical equipment that is not funded by the government. “We are all very excited about this project,” said Phil Wild, Chair of the Trenton Memorial Hospital Foundation. “It’s the fourth of its kind for our hospital and we are very pleased to be working with McDonald Homes. Over $2 million in new critically-needed equipment is required for TMH this year, in all clinical areas of the hospital. This will be a tremendous help to us.” “Sarah and I, along with all our family, staff, and partners, are all very proud to be supporting this worthwhile project and contributing to the overall health care of our community,” said Dave McDonald.

QHC Health Notes — Healing at home QHC Health Notes features articles written by QHC professionals on topics they know best! This article, by Christine Wilkinson, Director of Medicine, was published in the Belleville Intelligencer Feb. 15. Q: My mother was in the hospital for a couple of weeks but was sent home before she fully recovered. Isn’t the hospital the best place for her to be if she’s still not feeling 100%? A: I understand your concern for your mother’s well-being. People often think of hospitals as the safest place to be and this is true when someone requires acute care. However, once acute care is no longer required, staying in hospital can pose a risk and coming home may be just what the doctor ordered. Continued Page 8

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Although hospitals are diligent about effectively cleaning patient areas and prioritizing hand hygiene, there is still a risk of healthcare-associated infections. These are infections that patients may contract while in hospital – such as VRE, MRSA or C. difficile. More than 200,000 patients acquire infections every year while receiving healthcare in Canada; more than 8,000 of these patients die as a result. While the home isn’t free of infection-causing microorganisms, they are far less prevalent at home. Continued from page 7

Sleep is very important for recovery. It is the body’s time to rebuild, restore, and rejuvenate. The hospital environment is not conducive to restorative sleep. Constant interruptions, noises, light and restrictive beds can slow down the recovery process. Being at home, in one’s own bed, is ideal. Spending extended periods of time in a strange environment, without your support system, can be a challenge to recovery as well. Being among loved ones and having regular, positive interactions with family and friends can be an incredible motivator during the recovery process. Being in hospital provides little opportunity to move about. Lack of regular physical activity during a hospital stay increases the risk of bone fractures, stiffened joints, and muscle deterioration. So now that we’ve established why hospitals can inhibit a full recovery, let’s discuss community supports that are available for those healing at home. The South East Community Care Access Centre (CCAC) offers health care or personal support for those needing help getting back on track after an illness, injury or hospital stay. South East CCAC Care Coordinators can visit patients and their families at home and come up with a care plan to meet their needs. This may include regular visits from a nurse, occupational therapist, or social worker. Or it could even be as simple as coordinating helpful home care services like assistance with bathing and dressing, meal delivery, transportation services and other activities of daily living. To learn more call 613-966-3530. If you are looking for specific resources and programs in your area, is a helpful one-stop-shop, providing accurate and current information about a wide-range of community and health resources to help you find what you need. There are many resources available in the community to assist with healing at home, and to help seniors keep living independently at home. Don’t hesitate to use these resources to the fullest.

Dietitians Day

March 15, 2017, marks the 8th anniversary of Dietitians Day, Registered Dietitians (L-R) Samantha Cohen, Sarah which spotlights the profession and reminds us that dietitians are the smart choice for advice on proper eating, Hayes, Sheena Mayer, Carolyn Corbin and Sue good nutrition and healthy living. QHC currently employs Desjardins. Absent: Jill Goddard-Hill and Gail seven registered dietitians who work in either an inpatient or Anderson outpatient capacity and use their specialized knowledge and skills in food and nutrition to improve the health of patients/ clients. Dietitians Day also raises the profile of dietitians and helps attract others to this worthy, satisfying and respected profession. Check out their BGH huddle board for tips on this month’s theme “Take the Fight out of Food!”

QHC VITAL SIGNS NEWSLETTER February 2017 Published by QHC Communications Department Editor: Carly Baxter (613) 969-7400, ext. 2677

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