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building future for the

annual report 2010-2011


“ “ “

The Hospital for Sick Children engages the community in program development and evaluation. Clinical practice is evidence-based, and results in knowledge transfer and peer-reviewed publications and presenations.

There is strong leadership support for patient safety and quality. Accrediation Canada Report, October 2010


table of contents 4

letter from the leaders

6

building for the future

8

SickKids at a glance

16

finances

18

performance

20

family-centred care

24

research and learning

35

achievements 2010-2011

The complete SickKids annual report 2010-2011 is posted online at www.sickkids.ca/annualreport

The Hospital for Sick Children Annual Report 2010-2011

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letter from the leaders Dear Friends of SickKids, Constance Sugiyama Chair, Board of Trustees Mary Jo Haddad President and CEO

SickKids is a community of builders. We help our young patients and their families build and rebuild their health and their lives. Our world-renowned scientists build evidence to support new models of care and treatment protocols to benefit children in Canada and around the world. We build connections to our communities through our commitment to engagement, family-centred care, service excellence and philanthropy – critical pillars of SickKids’ success. And we continue to build and enhance the capability of our people, our infrastructure and our technology, and indeed the health-care system at large. Our commitment to building the leadership capability of our people is unwavering. SickKids relies on the strong foundation of our people, who create the vibrant environment that is so necessary to provide high-quality care, research and education. Our staff and volunteers are deeply committed to SickKids – we know this because our annual staff engagement survey continues to show scores that are higher than those of peer organizations. SickKids is a place where people want to be. Our physical infrastructure is undergoing a stunning transformation. Construction of our new Research & Learning Tower hit grade this year, and we look forward to the day when our scientists and researchers will reap the benefits of a shared investigative environment. We are also in the early stages of planning for our new Ambulatory Care Centre, which will enhance the patient experience by gathering all of our ambulatory clinics together, close to important diagnostic and treatment services.

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The Hospital for Sick Children Annual Report 2010-2011


SickKids is a community of builders. We help our young patients and their families build and rebuild their health and their lives.

Recognizing the important role that information management and technology (IMT) will play in enabling and supporting the SickKids strategic plan, we renewed our IMT strategic plan in 2010. Bold and far-ranging in scope, the plan will guide us as we grow our technological infrastructure to enhance high-quality patient care, and give our staff the tools to achieve high performance and enhance collaboration with our regional and international partners. In the thoughtful tradition of our founders, who saw the potential for a great hospital in a leaky house on Avenue Street, we continue to refurbish where we can and build where we must. The Cancer Centre and the Emergency Department are excellent examples of recent building projects that have enhanced the care we are able to provide to our patients and families.

Building for the future requires us to be innovative and responsive to the changes happening within the health-care system and our society as a whole. By being adaptable and flexible and keeping in mind our vision for healthier children and a better world, we will continue to build a system that provides the best care possible for the children and their families whom we so proudly serve. Please enjoy this report of our progress and performance. We look forward to continued collaboration and engagement with our partners in care, education and research and with the broader community at large. Constance Sugiyama Chair, Board of Trustees

Mary Jo Haddad President and CEO

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Infrastructure is a critical enabler to our success. Our award-winning solutions have addressed major challenges in health-care delivery.

Peter Sawras Director, Facilities Planning Jim Garner Executive Vice President, Corporate Services Daniela Crivianu-Gaita Vice President and Chief Information Officer


building for the future Welcome to the 2010-2011 Annual Report for The Hospital for Sick Children. In addition to the world-class care that we continue to provide at SickKids, this year we laid the groundwork for one of the most transformational developments in the 135-year history of our organization – a 21-storey beacon of research and learning excellence on the corner of Bay and Elm Streets. With completion of The Research & Learning Tower in 2013, our scientists and their teams will consolidate their work on one campus, with facilities to support the leading-edge discoveries that characterize research and learning at SickKids. Our staff are key to our success and we are proud to include just a few of the many heroes at SickKids in this report. They all demonstrate SickKids values of excellence, collaboration, integrity and innovation, and they inspire their colleagues to do a great job for children, families and co-workers – all in the spirit of building for the future. Please note, to save resources, both natural and fiscal, SickKids no longer prints its annual report. The report has been designed as an interactive experience that links readers to various pages on the SickKids website. For the full report, please see www.sickkids.ca/annualreport. Read more about a great year at SickKids and let us know your thoughts at annual.report@sickkids.ca.

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Leadership is nurtured and valued at SickKids. Meaningful collaboration and clarity of purpose have led to exceptional staff engagement and world-class results.

Wayne Arnold Manager, Research IT Munira Nanji Senior Manager, Clinical Program Anita Tancredi Medical Interpreter


SickKids at a glance Building for the

future

The future for SickKids includes The Research & Learning Tower, currently under construction, and an ambulatory building for which funding is being sought. The plan is to consolidate all

SickKids fosters and integrates the aspirations of a world-renowned paediatric hospital, a leading-edge research institute and an innovative learning institute. “Healthier Children. A Better World.� is the vision that unites the 9,600 people at SickKids whether they are doctors, nurses, scientists, trainees, support staff or volunteers. Innovation, integrity, excellence and collaboration are the values that guide the organization, where everyone is working towards the same strategic objectives.

ambulatory clinics and some diagnostic and interventional services under one roof, with

Providing high-quality patient care and treatment informed by world-leading research.

limited renovation of select areas of existing buildings. This will address such problems

Enabling a community of passionate and dedicated people to provide the best possible care.

as insufficient space and overcrowding and functional

Treating patients, families and each other with respect and understanding.

obsolescence. Also, it will expand diagnostic and

This is SickKids.

treatment spaces, and free up space for departments currently housed in leased space off campus. Demolition of outdated buildings will make room for further growth space.

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Hospital activity

Patients

10/11

09/10

08/09

07/08

06/07

276

275

275

266

266

Admissions

14,590

14,187

13,808

13,245

13,057

Patient Days

100,595

100,342

100,332

97,021

97,196

6.9

7.1

7.3

7.4

7.3

Inpatient

6,506

6,248

6,238

5,965

5,984

Day Surgery

4,953

5,092

5,146

4,848

4,618

11,459

11,340

11,384

10,813

10,602

57,561

57,710

54,580

51,771

48,675

Inpatient Activity Avg # of Patients a day

Avg Length of Stay (days) Operating Room Cases

Total Operating Room Cases Ambulatory Activity Emergency Clinics

217,707

215,211

202,649

195,079

192,365

Total Ambulatory Activity

275,268

272,921

257,229

246,850

241,040

Staff, trainees, volunteers on March 31, 2011 Non-Research Staff (excluding Fellows & Students) Management & Support

2,147

Health-Care Professionals

2,909

Scientists

11

Total Non-Research Staff

5,067

Active & Associate Physicians

638

Research Staff (excluding Fellows & Students)

1,039

Residents, Fellows & Students Research Fellows & Students

639

Non-Research Fellows & Students

213

Medical Affairs Residents & Fellows

625

Total Residents, Fellows & Students

1,477

Volunteers Women’s Auxiliary Other

215 1,162

Total Volunteers

1,377

Total

9,598

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The Hospital for Sick Children Annual Report 2010-2011


Key financial overview

Fiscal Years Ended March 31 (in thousands of dollars)

2011

2010

2009

2008

2007

Revenue

698,647

682,293

654,088

624,975

590,203

Expenses

67,486

674,619

660,074

627,618

593,509

Excess (deficiency) of revenue over expenses before investment income (loss)

1,161

7,674

(5,986)

(2,643)

(3,306)

Investment income (loss)

5,770

33,895

(13,790)

1,476

4,412

Excess (deficiency) of revenue over expenses

6,931

41,569

(19,776)

(1,167)

1,106

Assets

939,872

901,677

675,030

611,609

592,174

Liabilities

867,283

836,499

651,046

567,849

557,599

72,589

65,178

23,984

43,760

34,575

Statement of Operations

Balance Sheet

Equity

SickKids shows steady growth in revenue and research funding, matching the continually increased activity in patient care, research and learning. Revenue (excluding investment income) ($ millions)

Investment Income/(Loss) ($ millions)

06/07

06/07

07/08

586 617

08/09

654

09/10

682

10/11

699

4.4

07/08

1.4

08/09

(14)

09/10 10/11

34 6

External Research Awards (millions) 06/07

141

07/08

137

08/09

141

09/10

151

10/11

154

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2010-2011 SickKids’ Sources of Operational Funding ($640.8 million)

Patient & Other 8%

Commercial Services 2%

SickKids Foundation 9%

Research Grants 14%

Ministry of Health 67%

2010-2011 SickKids’ Sources of Capital Funding ($93.2 million)

Research Grants 33%

Long Term Debt (Supported by SickKids Foundation) 36%

SickKids Foundation 2% Depreciation 27%

Ministry of Health 2%

2010-2011 SickKids’ Sources of Research Funding ($167.8 million)

Total Infrastructure Grants 13%

Total Personnel Awards 6% Indirect Cost Recovery 5% Industry Sponsored Research & Commercialization 5% SickKids Foundation 21%

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The Hospital for Sick Children Annual Report 2010-2011

Research Operating Grants 42%

Trust Fund & Investment Income 5% Commercial Services 3%


SickKids International

SickKids International collaborates with national and global partners to improve the health of children worldwide through the advancement of child health education, and clinical and research initiatives. Our purpose is to provide a single point of coordination for key programs, policies, and external relations relevant to international health. 2010-2011 highlights: • Marked the first anniversary of its partnership with Hamad Medical Corporation in Qatar. • Celebrated with partners from Holland Bloorview Kids Rehabilitation Hospital the successful move of 12 chronically ventilated patients to renovated paediatric quarters in Doha, Qatar.

• Welcomed 250 attendees to the fifth annual Global Child Health Day. The event focused on challenges in the realm of paediatric care, the strategies to address them, and how Canada can work towards becoming a recognized leader in the context of global child health. • With the the hospital’s RN Council, celebrated the importance of nursing by hosting the second annual “Breakfast with SickKids Nurses Engaged in International Work.” The event welcomed over 75 attendees and was sponsored jointly by the International Nursing Interest Group and the Pediatric Nurses Interest Group. • Coordinated visits for 29 international Herbie Fund patients from Vietnam, Philippines, Bangladesh, Mongolia, Angola, Botswana, Ethiopia, Ghana, Tanzania, Trinidad, El Salvador, Kosovo, Bolivia, Guyana and Peru.

• Hosted 28 international learners from Australia, Belgium, China, Hong Kong, India, Israel, Italy, Japan, Korea, Latvia, Norway, Pakistan, Qatar, Saudi Arabia, Scotland, Singapore, Sweden, Switzerland and Syria who discovered new methods, theories and techniques through observation and practice at SickKids. • Completed the first year of three for the CIDA grant to train paediatric nurses in Ghana. • Co-sponsored the Global Congress on Sickle Cell Disease (Accra, Ghana), the first and largest conference of its kind. • Completed a needs assessment and hosted a planning meeting for the Caribbean-SickKids Paediatric Oncology Initiative. • Facilitated 25 teaching and training sessions in Ethiopia through the No Boundaries Team to increase institutional capacity in the surgical care of children through knowledge and skills transfer.

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Corporate Ventures

SickKids Corporate Ventures is our gateway to unique and extraordinary intellectual capital. Our primary focus is to facilitate the transfer of knowledge and technology developed by SickKids physicians, scientists and professionals into products and programs that result in social and economic benefit. SickKids Corporate Ventures reported the following results in 2010-2011: 35 invention disclosures 34 patent applications 183 patents issued 2 spin-out companies 99 active licenses $3.8 million in licensing revenue

Association of University Technology Managers (AUTM) Survey Results 2010 AUTM is an international group whose core purpose is to support and advance academic technology transfer globally. The rankings below include Canadian organizations only.

1 1 6 6 3 3

National rankings in licensing revenue show SickKids as First among research hospitals in licensing revenue

1 6

National rankings in license and option agreements show SickKids as

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Third in licenses and options executed

The Hospital for Sick Children Annual Report 2010-2011

3

Sixth among academic institutions in licensing revenue


SickKids Foundation

Established in 1972, SickKids Foundation is the primary fundraising organization for The Hospital for Sick Children. Philanthropy is a critical source of funding for SickKids and in recent years, donations have accounted for about 10 per cent of overall funding support. For the fiscal year ending March 31, 2011, the Foundation made an investment of $57.9 million in research, learning and care at SickKids – the largest ever. Next to government, SickKids Foundation is the largest funder of child health research, learning and care in Canada.

Fiscal years ended March 31, 2011 (millions of dollars)

2011

2010

2009

2008

2007

107

88

89

98

81

Total Grants & Charitable Activity

62

53

65

67

77

Fundraising & Administrating Expenses

28

28

34

33

27

Total Assets

734

670

489

563

558

Total Endowments

611

585

413

490

502

Assets Gross Fundraising Program Revenue and Net Lottery Revenue

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We guide and maintain the financial health of SickKids so other staff can focus on research and patient health.

Denise Arsenault Vice President, Finance, and CFO Susan Malench Finance Director, Research Operations Sandra Bradshaw Director of Finance, Patient Care


finances Building for the

future

SickKids has developed its own enterprise project management system, known as iProject. The system addresses the stewardship

Staff members who play a role in the administration of funds at SickKids ensure that proper processes and procedures are followed in financial transactions, in everything from the purchase of office equipment, to accounting for government grants and monies received from private donors through the SickKids Foundation. We are committed to operational efficiency, transparency and accountability.

of public funds and confirms SickKids’ commitment to acountability and transparency.

Supporting evidence-based decisions to enhance our financial health.

iProject provides all staff with a ready-to-use roadmap to

Conducting business under the principles of fiscal prudence and accountability.

manage projects; promotes increased efficiency; supports

Acting with integrity and good judgment when allocating resources.

improved and consistent reporting; registers all projects

This is SickKids.

and tracks larger ones (including completion and success rates); enables timely identification of projects requiring intervention at a senior

See our full annual report online at sickkids.ca/annualreport and link to Audited Financial Statements and Financial Overview

level; and tracks resource allocation (human resources and financial resources) within and among different areas of the organization.

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At SickKids, performance is about people and outcomes. Measuring, monitoring and managing performance is fundamental to SickKids’ success.

Rick Wray Director, Quality and Risk Management Irene Blais Director, Decision Support Jeff Mainland Vice President, Strategy, Performance & Communications


performance Building for the

future

The Emergency Department at SickKids is a top performer. More than 57,000 patients sought the help of the department in 2010-2011, and by the end of December figures showed that more than 90 per cent of people who were

Achieving high performance is an organization-wide priority at SickKids. This is accomplished through empowered people, a commitment to world-class quality care, research and learning, and fiscal responsibility. Everyone who works at SickKids is encouraged to find innovative solutions to everyday challenges. This spirit of engagement and creativity nurtures an environment that focuses on the needs of our patients and their families. The results are evident to those who monitor our performance, including Accreditation Canada which surveyed SickKids in 2010 and gave us a perfect score across 91 governance standards.

surveyed were satisfied with the service they received. An impressive 38.7 per cent ranked their satisfaction level as “excellent,” a 45 per

Developing innovative solutions to improve health outcomes and the patient care experience for children and families, and providing staff with the tools and equipment to do their jobs successfully.

cent increase over last year. The other positive responses ranked satisfaction with the

Understanding the only way to improve is by constant measuring, monitoring, benchmarking and stretch goal-setting.

Emergency Department as “good” or “very good.” The stellar results are attributed

Embracing the transparency and accountability that is our duty and responsibility as a publicly funded organization.

to the department’s focus on keeping families informed

This is SickKids.

throughout their visit and to managing the experience from their point of view.

See our full annual report online at sickkids.ca/annualreport and link to SickKids Scorecard, Patient Safety Indicators and Quality Improvement Plan

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SickKids is a leader in inter-professional practice and the delivery of family-centred care.

Margaret Keatings Chief, Interprofessional Practice and Chief Nurse Executive Karima Karmali Director, Family Care Portfolio Dr. Upton Allen Chief, Division of Infectious Diseases


familycentred care Building for the

future

By the end of childhood, an estimated 40 per cent of Canadian children are dealing with obesity, asthma, injury, behavioural problems

As an innovator in child health, SickKids has made great strides in developing a philosophy of child and family-centred care whereby the child and family are at the very core of everything we do. Over the last several years, efforts have continued to focus on advancing child and family-centred care within the context of our interprofessional practice model.

or learning difficulties, which can affect them for the rest of their lives. In a project known as TARGetKids!, researchers will identify which childhood conditions are associated

We have created the new portfolio of “Excellence and Innovation in Child and Family Centred Care.” This will bring discrete family-centred care efforts and experts together and integrate a family-centred approach into research, education, and practice. At the same time, SickKids will be recognized worldwide as a leader and innovator in child and family-centred care.

with the most common adult diseases – heart attacks, strokes, diabetes and cancer – and how such diseases can

Implementing innovative practices and processes to ensure patient safety, equitable access and timely care.

be prevented at an early age. The project is a collaboration among several research

Enhancing health outcomes by building strong relationships with patients and families based on understanding and respect.

institutes and community clinics. About 3,500 children took part this year; more will

Providing comfort and care to support physical, social, emotional, learning and developmental needs.

be added in coming years.

This is SickKids.

See our full annual report online at sickkids.ca/annualreport and link to Visiting SickKids and Programs and Services

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Clinical Care in Good Hands

For over 135 years, excellence in clinical care has been at the heart of SickKids. We provide care to more than 275,000 patients each year. For some, it is as simple as a quick trip to Emergency. For others, SickKids is almost home and will be for many years. No matter how our patients and their families come into contact with us, we strive to ensure that each experience is positive, respectful and effective. We believe the best health outcomes are achieved when healthcare professionals work together with patients and their families. This forms the basis for our practice of family-centred care. Family-centred care involves everyone at SickKids, ranging from bedside treatment to care throughout the hospital, in clinics, in play rooms, in committees and in the community. It is carried out by our inter-professional teams, in close collaboration with patients and their families.

Marilyn Monk, Executive Vice President, Clinical (centre), with Karen Kinnear, Executive Director, Labatt Family Heart Centre & Critical Care Services (right), and Wanda Schoonheyt, Executive Director, Paediatric Programs & Transplantation. Missing from the photo is a fourth member of the clinical leadership team, Judy Van Clieaf, Executive Director, Cancer Care & Specialized Programs.

With volumes in emergency, ambulatory and inpatient departments rising and the need for tertiary and quaternary care increasing, SickKids is creating an integrated clinical structure to strategically plan and allocate resources across programs. This structure will enable SickKids to continue to deliver the world-class quality care that it is so well known for.

Child and Family-Centred Care Accomplishments Development of Interprofessional Practice (IPP) Model & Framework

Introduction of Family Legal Health program

Family Communication Boards in all patient care settings.

Diversity and Cultural Competence Initiatives

Family representation on key hospital committees

Extensive involvement of the Children’s Council in development of important hospital initiatives

Family participation in patient care rounds

Re-design of the Family-Centred Care Advisory Council

Inter-professional Practice and Child and Family-Centred Care educational initiatives

Interprofessional Practice Symposiums

Introduction of Team Capacity Building Program (funded Health Force Ontario)

Knowledge translation activities

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Quality and Safety – Our Top Priorities

Each and every day, staff strive to ensure that quality and patient safety are top priorities at SickKids.

tools of continuous improvement; encouraging accountability and transparency; and systems thinking.

In 2010-2011 we released our ninth Annual Blueprint for Patient Safety. The guiding principles that have underpinned each of the SickKids Blueprints include: the important role played by leadership in creating and supporting a culture of safety; ensuring our care is evidence-based; fostering interprofessional practice and teamwork; applying

Other dimensions of quality, such as access, efficiency, effectiveness and equity are equally important as we advance our strategic objective to lead in world-class quality and service. Some of our key quality and safety achievements in 2010-11 are included below. For a full overview of our performance, visit www.sickkids.ca/performance.

Key Achievements 2010-2011: Key Performance Indicator Emergency Department Patient Satisfactiona Surgical Out-of-Window Wait Timesb Safe Surgery Checklist Compliance (%)c MRI Wait Times - weeksd Overage Ambulatory Visitse Medication Reconciliationf

April 2010 March 2011 84.9 % 91.4 % (Q3 YTD) 31.8 % 21.5 % 75.3% 90.6% 11.58 8.8 5.5 % 5.2 % 78 % 82 %

% change 7.6 % - 32.4 % 16.9% - 24 % -6% 5%

a Emergency Department Patient Satisfaction - Percentage of Emergency Department survey responses with a score of 3 (good), 4 (very good), or 5 (excellent). b Surgical Out-of-Window Wait Times - The percentage of surgical cases completed outside of nationally accepted timelines. c Safe Surgery Checklist Compliance – to come. d MRI Wait Times – weeks - Appointment wait times in weeks for MRI patients requiring general anaesthesia. e Overage Ambulatory Visits - Percentage of ambulatory visits (clinics and daycare) for patients 18 years of age and older. f Medication Reconciliation - a formal process in which home medications and current medications are used to create a complete medication history for the patient and ultimately reconciled to admission, transfer, discharge medication orders.

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Scientists make important discoveries that improve the overall health outcomes of children. Quality educational opportunities prepare the next generation of leaders.

Dr. Janet Rossant Chief of Research Dr. Colin Macarthur Associate Chief, Clinical Research Dr. Susan Tallett Chief of Education


research and learning Building for the

future

Simulation education is an important part of on-the-job training at SickKids. The Learning Institute’s Simulation Centre is equipped with sophisticated simulators that can be programmed to react to medication, including

SickKids is a teaching and research hospital affiliated with the University of Toronto. Physicians and scientists at SickKids hold appointments at U of T and contribute to the high academic standards that U of T is known for. Determined in their pursuit of new discoveries, our scientists are constantly finding new and better ways to improve child health, serving children in Canada and throughout the world. This emphasis on knowledge translation is supported by the SickKids Learning Institute whose members help to transform scientific results from the lab bench into practical application at the bedside.

the type of drug and the dose given. An instructor can reproduce various patient scenarios from basic

Combining innovative world-class scientific research and discovery to prevent disease, find cures and transform children’s health.

to life-threatening critical situations. The patient simulators are life-sized, computerized models with

Translating ideas into treatments and sharing knowledge to benefit all children, in an environment characterized by ongoing professional development and constant learning.

realistic anatomy and clinical functions – they can cry, blink and breathe, and have

Sustaining a rich and diverse environment where curiosity is valued, respected and rewarded.

audible heart sounds and a palpable pulse. Imitating

This is SickKids.

patient conditions, they allow hospital staff and trainees to practice medical interventions in a safe learning environment.

See our full annual report online at sickkids.ca/annualreport and link to Research Institute and Learning Institute

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Research Institute

The SickKids Research Institute is the largest child health research institute in Canada and a centre for excellence and innovation that places SickKids on the world stage of health-care expertise. Researchers from around the world are drawn to SickKids to help understand and prevent disease, find cures and transform children’s health.

for Canadian Institutes of Health Research grant funding. The Canadian Institutes of Health Research (CIHR) is Canada’s largest health research granting agency. In 2010-11, SickKids’ success rate in competing for CIHR funding was 28 per cent (37 of 133 grants submitted were funded) comparing favourably to the national success rate of 19 per cent.

Research grants: There were 2,285 funded research projects underway at SickKids in 2010-11, which is up 13.6 per cent from 2009-10. This represents $70.5 million in operating grant funding that our researchers have successfully competed for. Our scientists have succeeded in securing an additional $22.5 million in infrastructure grant funding in 2010-11.

A further 166 research projects funded through contracts with industry were also underway in 2010-11.

A key indicator of the excellence of SickKids researchers is how they compare to the national average when competing

In 2010-11 there were also 2,763 active clinical protocols – some of these clinical research projects have been funded through grants or industry and hence are a subset of the numbers above. Other active clinical protocols are smaller research investigations, which are not externally funded.

During 2010-2011 The Research Institute was home to 2,548 staff and trainees Scientists, Associate scientists, Emeritus scientists (all of whom spend more than 50 per cent of their time on research)

231

Project investigators (spend less than 50 per cent of their time on research)

307

Grant-funded staff

803

Operations and administrative staff

162

Trainees

26

Research fellows

277

Graduate students

540

Research summer students

228

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The Hospital for Sick Children Annual Report 2010-2011


SickKids Research Institute funding

Agency

$ Funding

Agency

$ Funding

SickKids Foundation

35,792,139

March of Dimes Birth Defects Foundation

398,487

Canadian Institutes of Health Research

31,852,511

Brain Tumor Society

396,610

Canada Foundation for Innovation

8,315,383

Abbott Laboratories Limited

358,164

Ontario Ministry of Research and Innovation

7,396,249

Kidney Foundation of Canada

353,671

Genome Canada

7,211,125

University of Toronto

349,080

Commercial Services at SickKids

5,511,308

PrioNet Canada

348,188

National Institutes of Health

5,113,203

Revenue From Research Facilities At SickKids

345,262

Interest Income, Pooled Funds

4,805,791

Innogenetics NV

338,553

Canada Research Chairs Secretariat Federal Indirect Cost Program

4,542,250

Crohn's & Colitis Foundation of Canada

308,516

Physicians' Services Incorporated Foundation

307,675

Canada Research Chairs Secretariat CRC Program

3,594,176

Susan G. Komen for the Cure

289,430

Ontario Institute for Cancer Research

3,184,871

Ovation Pharmaceuticals, Inc.

268,605

Canadian Cancer Society

2,644,144

United States Department of Education

258,022

Heart & Stroke Foundation Ontario

2,175,717

Ontario Neurotrauma Foundation

238,616

J.P. Bickell Foundation

1,919,528

Hoffmann-La Roche Inc.

227,819

Cystic Fibrosis Canada

1,592,261

Ontario HIV Treatment Network

219,240

Multiple Sclerosis Scientific Research Foundation

Ontario Mental Health Foundation

216,047

1,358,278

MaRS Discovery District

204,051

Estate Bequest and Other Endowment Income

996,316

University Of Michigan

202,037

Ontario Ministry of Health & Long Term Care

920,424

McLaughlin Centre for Molecular Medicine

199,104

Luminex Molecular Diagnostics Inc.

891,062

Paediatric Consultants

195,919

Natural Sciences and Engineering Research Council of Canada

866,218

Baxter Healthcare Corporation

193,542

Bayer Inc.

181,797

Fondation Leducq

837,980

Celera

175,157

Boston Scientific

792,318

Wellcome Trust

172,885

J.R. Robertson Estate

771,434

Pediatric Brain Tumor Foundation of the United States

172,791

701,162

British Columbia Research Institute for Children's & Women's Health Centre H.E. Sellers Foundation

171,014

University Health Network

569,864

Heart & Stroke Foundation Canada

165,315

Duchesnay Inc

543,378

BioMarin Pharmaceutical Inc.

162,530

NeuroDevNet

523,808

Ottawa-Carleton District School Board

156,280

Myriad Genetics Inc.

517,248

Stem Cell Network

155,745

Multiple Sclerosis Society of Canada

488,904

Ontario Student Oppurtunity Trust Fund

459,422

Ontario Research and Development Challenge Fund

153,610

Cystic Fibrosis Foundation Therapeutics, Inc.

441,832

Solving Kids' Cancer

151,831

b.r.a.i.n.CHILD

435,010

Other

22,014,494

Grand Total

167,815,403

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Personnel awards to senior scientific staff

Canada Research Chairs Tier I 2002-2015

Dr. David Bazett-Jones

Genetics & Genome Biology

2005-2012

Dr. Gabrielle Boulianne

Developmental & Stem Cell Biology

2001-2014

Dr. Mark Henkelman

Physiology & Experimental Medicine

2006-2013

Dr. Lynne Howell

Molecular Structure & Function

2002-2016

Dr. David Kaplan

Cell Biology

2004-2011

Dr. Amira Klip

Cell Biology

2005-2012

Dr. Freda Miller

Developmental & Stem Cell Biology

2005-2012

Dr. Michael Moran *

Molecular Structure & Function

2001-2014

Dr. Martin Post

Physiology & Experimental Medicine

2001-2014

Dr. Brian Robinson

Genetics & Genome Biology

2005-2012

Dr. Norman Rosenblum

Developmental & Stem Cell Biology

2004-2011

Dr. Daniela Rotin

Cell Biology

2004-2018

Dr. Michael Salter

Neurosciences & Mental Health

2001-2014

Dr. Philip Sherman

Cell Biology

2006-2012

Dr. Rosemary Tannock *

Neurosciences & Mental Health

2005-2012

Dr. William Trimble

Cell Biology

2005-2012

Dr. Shoshana Wodak

Molecular Structure & Function

* nominated by the McLaughlin Centre for Molecular Medicine

Canada Research Chairs Tier II 2001-2010

Dr. Benjamin Alman

Developmental & Stem Cell Biology

2007-2012

Dr. Brian Ciruna

Developmental & Stem Cell Biology

2006-2011

Dr. Andrea Kassner *

Physiology & Experimental Medicine

2006-2011

Dr. Berge Minassian

Genetics & Genome Biology

2001-2011

Dr. Regis Pomes

Molecular Structure & Function

2004-2014

Dr. Lisa Robinson

Cell Biology

2006-2011

Dr. Simon Sharpe

Molecular Structure & Function

* nominated by the University of Toronto

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The Hospital for Sick Children Annual Report 2010-2011


Personnel awards to senior scientific staff

Canada Research Chairs Tier II 2002-2012

Dr. Brian Feldman

Child Health Evaluative Sciences

2003-2013

Dr. Meredith Irwin

Cell Biology

2002-2012

Dr. Andrew Paterson

Genetics & Genome Biology

2002-2012

Dr. Lu-Yang Wang

Neurosciences & Mental Health

2004-2013

Dr. Sheena Josselyn

Neurosciences & Mental Health

2004-2013

Dr. Paul Frankland

Neurosciences & Mental Health

Canadian Institutes of Health Research (CIHR)

New Investigator Award 2006-2011 Dr.Yigal Dror 2006-2011 Dr. John Parkinson 2007-2012 Dr. John Rubinstein 2009-2014 Dr. Padmaja Subbarao 2009-2014 Dr. Lillian Sung 2010-2015 Dr. Uri Tabori

Cell Biology Molecular Structure & Function Molecular Structure & Function Physiology & Experimental Medicine Child Health Evaluative Sciences Genetics & Genome Biology

Clinician Scientist Award 2010-2013

Dr. Michael Taylor

Developmental & Stem Cell Biology

CIHR/Canadian Association of Gastroenterology/Crohn’s and Colitis Foundation of Canada

Transition Award 2008-2012 Dr. Aleixo Muise

Cell Biology

CIHR Institute of Gender and Health/Ontario Women’s Council

Mid-Career Award 2005-2010 Dr. Gail McVey

Child Health Evaluative Sciences

CIHR Rx&D Collaborative Research Program

GSK/CIHR Research Chair in Genetics & Genomics 2008-2013 Dr. Stephen Scherer

Genetics & Genome Biology

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Personnel Awards to Senior Scientific Staff

Heart & Stroke Foundation Ontario

Clinician Scientist Awards 2007-2010 Dr. Rand Askalan 2007-2010 Dr. Mary Ann Opavsky

Neurosciences & Mental Health Cell Biology

Ontario Institute for Cancer Research

New Investigator Award 2009-2015 Dr. Brian Nieman

Physiology & Experimental Medicine

Investigator Award 2010-2016 Dr. Bret Pearson

Developmental & Stem Cell Biology

Ontario Mental Health Foundation

New Investigator Award 2010-2013 Dr. Jennifer Crosbie

Neurosciences & Mental Health

Intermediate Research Fellowship 2009-2012 Dr. Isabela Granic

Child Health Evaluative Sciences

Ontario Ministry of Health and Long-Term Care

Career Scientist Award 2005-2010 Dr. Christopher Parshuram 2009-2011 Dr. Jennifer Stinson

Child Health Evaluative Sciences Child Health Evaluative Sciences

The American Society of Nephrology

Norman Siegel Research Scholar 2009-2011 Dr. Christoph Licht

Cell Biology

The Arthritis Society

Investigator Award 2007-2012 Dr. Rae Yeung

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The Hospital for Sick Children Annual Report 2010-2011

Cell Biology


Learning Institute

Science produces new knowledge at an exponential rate. More and more, patients suffer complex conditions that require the expertise and management of multiple healthcare providers. Patients deserve, and caregivers want to provide, care based on today’s knowledge. We need to develop innovative ways of bringing new knowledge to practitioners and teams so that they may, in turn, provide the best care for sick children.

That is what is behind the Learning Institute’s very broad mandate. The Learning Institute embraces all educational endeavours, connects people and looks for ways to help them provide the best possible care for children.

Learning is a vast enterprise at SickKids. It includes the formal training of the next generation of child health providers and researchers – people who will develop new treatments that make lives better, healthier and longer. It also includes the professional development of clinical and administrative staff, and the education of patients and families.

The programs and services of the Learning Institute support the educational activities at SickKids. They include:

Across this rich and diverse community, the Learning Institute supports improvement and innovation in the way we learn together. By building an infrastructure to extend and share our learning resources, the Learning Institute will optimize learning and promote effective, efficient practice. We want to make sure that important new learning is applied in the care of children.

SickKids has a long history of education. The Learning Institute was introduced in 2007 to support and advance all educational endeavours for staff, trainees, patients and families.

• AboutKidsHealth • Conference Management Service • Education Evaluation and Assessment Program • eLearning Program • Hospital Library and Archives • Interprofessional Certification and Education (ICE) • Interprofessional Education • Knowledge Translation • Research • Simulation Program • Staff Continuing Professional Development Fund

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Learning Institute

Highlights of the activities supported by the Learning Institute in 2010-2011 included: • 1.5 million visits to the patient and family education site AboutKidsHealth.ca. In a typical month, visitors to the site come from more 180 different countries and 500 Canadian cities.

• SickKids is home to the largest, most comprehensive paediatric medical and surgical training program in Canada. During the 2010/2011 academic year, there were more than 800 residents and 425 fellows at SickKids.

• 24,550 visitors to the Reading Room. The Reading Room, a partnership with the Toronto District School Board, the Toronto Public Library and SickKids, supports curriculum for students from grade K to 12 and provides access to materials critical to success at school.

• Continuing professional development (CPD) opportunities, organized by the Learning Institute’s Conference Management Service, were delivered to more than 1,105 learners. Many other CPD opportunities were provided across the organization, for example, in Management and Leadership Development, Project Management, Information Technology, Quality and Risk Management, and Occupational Health and Safety.

• 14,207 visits to the AboutKidsHealth Family Resource Centre, which provides a range of information resources and services for patients and families.

• The Simulation Program supported over 2,700 participants through opportunities for individual skill acquisition and team training.

• 37,400 visits to the Hospital Library to access print and electronic resources. More than 80,000 PDF copies of journal articles were downloaded to support clinical, education and research activities.

• SickKids launched the inaugural offering of the Knowledge Translation Professional Certificate (KTPC™) accredited by the University of Toronto, Office of Continuing Education and Professional Development, in January 2011. Hosted by the Learning Institute, KTPC is a five-day professional development course and the only program of its kind in North America.

• Students and academic trainees from a number of disciplines ranging from medicine to nursing to laboratory medicine are eager to learn at SickKids. In 2010-2011 these programs saw the following attendance in student days: - Audiology - Child Life - Department of Paediatric Laboratory Medicine - Dietetics - General Radiology - Nursing - Occupational Therapy - Perfusion - Pharmacy - Physiotherapy - Respiratory Therapy - Speech Language Pathology - Social Work

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175 days 978 days 1,609 days 850 days 424 days 10,666 days 354 days 70 days 1,642 days 350 days 812 days 75 days 1,586 days

The Hospital for Sick Children Annual Report 2010-2011


Research & Learning Tower

On May 4, 2010, SickKids began the largest construction project of its history. The groundbreaking of The Research & Learning Tower, scheduled to open in 2013, marked the beginning of a journey that will take SickKids to a new level – 21 storeys above ground. The $400-million project is financed by donations to SickKids Foundation’s Research & Learning Tower capital campaign and by Canada Foundation for Innovation. Before the building started going up, the construction crew had to drill into the ground where the earth is solid and lay a foundation that will support the height and heavy structure of the new building. To create this deep foundation, they installed cement caissons, resembling large underground columns. On July 23, 2010, the seventieth and final caisson was put in place. Imagine: Each caisson is 20 metres deep. If all the caissons were lined up in a row, the total distance would be 1.4 km. If this were a horizontal tunnel, it could run from the 555 University Ave. entrance of SickKids all the way to Union Station. From May 2010 through January 2011 the construction crew completed excavation, displacing approximately 39,000 cubic metres of dirt, enough to fill over 15 Olympic-sized swimming pools. Through to the week of March 15, the three underground parking levels were completed. By spring, construction reached ground level and continues upward – a sight to see for all those who walk, drive or cycle past the corner of Bay and Elm Streets. The Tower will continue to climb until it is 120 metres high.

Construction of The Research & Learning Tower at Bay and Elm Streets.

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Research & Learning Tower

The interior of the Tower has been designed to encourage collaborative research among scientists working on related issues and located in one of seven “neighbourhoods.� Inspired by a cutting-edge research theme, each neighbourhood will occupy two to three floors that are characterized by open spaces that are conducive to interaction and collaboration.

The Tower will bring together researchers from different scientific disciplines and a variety of clinical perspectives, to accelerate discoveries and articulate new knowledge for the benefit of child health. The Tower, a gateway to the Toronto Discovery District, will physically connect SickKids science, discovery and learning activities to its clinical operations.

The neighbourhoods are:

The fundraising campaign cabinet for the Tower is chaired by Tim Hockey, Group Head, Canadian Banking and Insurance, and President and CEO, TD Canada Trust. Honorary Chairs are Arthur and Sonia Labatt. See membership of the cabinet on the campaign website at sickkidsfoundation.com/bepartofit.

Molecules, Therapies & Infectious Disease Cancer, Stem Cells & Regenerative Medicine Genetics & Genomics in Child Health Patients, Populations & Policy Organ Systems & Disease Brain & Behaviour and Clinical Research Centre The Tower will provide important new learning and teaching facilities for SickKids Learning Institute, including a 250-seat lecture theatre, flexible learning spaces and display areas. The Learning Concourse will include state-of-the-art web and teleconferencing technology.

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The Hospital for Sick Children Annual Report 2010-2011

For more information about the campaign, please visit the above link. Watch our webcam as the Tower continues to grow.


achievements achievements 2010-2011 2010-2011 Cultural competence

Asthma

Karen Fleming uses new multilingual kiosk at SickKids.

Dr. Wendy Ungar and team: Financial barriers may increase emergency room visits for kids with asthma.

Cochlear implants

Hockey

Ontario provides funding for more cochlear implants for the benefit of children.

He scores! SickKids wins! Stephen Harper gives patients air hockey table.

Generosity

CafĂŠ scientifique

Garron Family gives transformational gift for cancer care, research and education.

SickKids hosts lively discussion about science, research and medicine.

Day 1 of The Tower

Leader

Construction of The Research & Learning Tower starts.

Mary Jo Haddad, President and CEO, receives Order of Canada.

Success

Diabetes

SickKids shines in Canadian Institutes of Health Research competition.

Dr. Michael Dosch co-author of study on dietary changes that may prevent autoimmunity.

Qatar

Motherisk

Chronically ventilated children moved to new site.

Dr. Gideon Koren, founder of Motherisk, celebrates program’s 25th anniversary.


achievements 2010-2011 Performance

Cancer

SickKids is inducted into the Palladium Balanced Scorecard Hall of Fame.

Dr. David Kaplan and colleagues find new twist on drug screening to treat common childhood cancer.

Surgery

Innovation

Dr. James Wright, Surgeon in Chief, is named head of national organization of surgeons.

SickKids innovations including system devised by Loreto Lecce and team are recognized at Ontario Health Innovation Expo.

Education

Information technology

SickKids invites kids of all ages to a “Science Rendezvous.”

Daniela Crivianu-Gaita and her team win award for smartest IT application.

Clinical research

Schizophrenia

Dr. Padmaja Subbarao gives MPP Reza Moridi a tour of the Physiological Research Unit.

A new approach to schizophrenia could lead to new treatments.

Pain

Top nurse

Dr. Anna Taddio: Finding ways to minimize immunization pain in children.

Canada’s highest nursing honour goes to SickKids Trustee Gail Donner.

Talent

Making a difference

Dr. Paul Nathan among SickKids researchers receiving Early Researcher Award.

Constance Sugiyama, Chair of Board of Trustees, receives “World of Difference” award.


Rhymes

Stomach flu

Father creates a rhyme book for families in Neonatal Intensive Care Unit.

Dr. Stephen Friedman and team find that use of anti-vomiting drug for stomach flu could save millions.

Pioneer

Killam Prize

Remembering Dr. Robert Salter.

Dr. Mark Henkelman receives 2010 Killam Prize in health sciences.

Genome consortium

Rheumatology

Dr. David Malkin and team make giant strides in childhood disease research.

Rheumatology celebrates 25 years – Dr. Bonnie Cameron was one of program’s first students.

Medical complexities

Medical & Academic Affairs

Dr. Eyal Cohen and team focus on medical complexity and efficiencies in health-care delivery.

Dr. Stanley Zlotkin appointed Vice-President, Medical & Academic Affairs

Autism

Heart surgery

Autism research team, co-led by Dr. Stephen Scherer, receives more than $9 million.

Dr. Brian McCrindle and team examine procedures for congenital heart disease surgery.

Obesity

Paediatrics

Dr. Zdenka Pausova, co-principal investigator of study on abdominal obesity linked to mom’s smoking while pregnant.

Dr. Denis Daneman, Paediatrician-in-Chief, receives lifetime achievement award.


achievements 2010-2011 National advocacy

First Lady of Mexico

Mary Jo Haddad, President and CEO, serves as editor-in-chief of Healthcare Quarterly, addressing urgent issues in child health.

Licenciada Margarita Zavala visits SickKids.

Ghana

Slippery DNA

SickKids and the University of Ghana train urgently needed paediatric nurses in Ghana.

Dr. Christopher E. Pearson and his team make discovery about mutations.

David Foster in town

We tweet

Transplant patients meet famous producer.

SickKids joins the world of Twitter.

Nursing Excellence Our nurses receive accolades.


How Are We Doing? SickKids is committed to continuous learning and quality improvement. We use various methods to understand a family’s experiences – what worked and what didn’t – and welcome comments that help us improve our performance.

“My family was impressed at the level of professionalism exhibited by all the staff and the tremendous standard of care my daughter received.” “Service, care, everything. Thank you.” “Nursing staff was incredibly efficient, competent and professional. We were extremely impressed with the quality of communications between the doctors and nurses and the interdisciplinary teams.” “Everything was done just right. Thank you very much for all your help. I cannot speak highly enough of SickKids Hospital. You made a very scary time in our lives a fantastic experience for my daughter and I.”

“The level of expertise and knowledge always impresses us. SickKids is a fantastic facility.” “Everything from the facility to explanations was completely geared to children. Outstanding. Thank you.” “I cannot say enough good things about the treatment and service SickKids provided our family. We are very fortunate to have a hospital like SickKids! Thank you. “The absolutely positive and heartfelt care and concern shown by everyone in the building – orderlies, transport, volunteers, nurses, support staff. It was overwhelming!”

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The Hospital for Sick Children (SickKids)