Community Hospitals Week | Thursday, April 20, 2017 |
Community Hospital Week is April 24-28 Access to excellent health care is a crucial component of any community, and in Toronto your hospitals do an impressive job of providing the best care, close to home. But it wouldn’t be possible without generous support from donors like you. While the cost of hospital operations is funded by the Ontario government, helping to create access to some of the best health care in the world, the province asks the community to participate by supporting equipment needs and a portion of capital renovations. Many people don’t know that the government only covers a hospital’s operating expenses, leaving the costs of new medical equipment and building for the hospital to cover — and that’s why your donations are so critical. The support happens in a number of different ways. Gala dinners, planned giving, golf tournaments, corporate grants, raffles, silent auctions, and individual monthly and annual gifts are just a few ways hospital foundations work with the public to raise funds to support health care in your community. Donating locally allows donors to feel connected to the community and see firsthand how their giving makes an impact. On any given day, you can walk into your local hospital and see a
number of items made possible by local support. The wheelchairs in the corner of the lobby were paid for by donor dollars. That blanket you received in the Emergency Room was warmed by a piece of equipment made possible by donations. The incubator that keeps an infant safe and healthy — a donor contributed to that too. Unlike large research hospitals, community hospitals offer a wide range of medical programs and services to provide patient care close to home. Gifts to your local community hospital won’t go to large initiatives like cancer research; instead your donation will make a difference in the individualized care provided by health care specialists in your hospital, close to home. Your support helps with the purchase of new x-ray machines so doctors can diagnose your child’s broken arm, finance renovations to birthing suites so new moms can bring life to our communities, expanding emergency services so that they’re available when your family needs it most, and much more. It’s not easy to ask for help, but it’s easy to make a difference in the health care in your community. During this Community Hospitals Week and throughout the year, consider offering your support to your hospital.
As Stanislaw Klamann underwent a computed tomography (CT) scan in 2008 after he was diagnosed with lung cancer, the machine spotted an aneurysm – a swelling of the blood vessel – in his aortic artery. The aorta is one of the body’s most important veins. It runs from the heart through the abdomen, supplying blood to the lower body. Treatment of an aortic aneurysm varies from keeping an eye on it to emergency surgery. The Etobicoke resident was sent to a specialist at a Toronto hospital, who concluded the aneurysm wasn’t serious and im-
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mediate surgery wasn’t needed. In a follow-up visit last year with the doctor treating his lung cancer, Klamann was referred to Dr. Kerry Graybiel, Chief of Vascular Surgery at Humber River Hospital, to check on the abdominal aneurysm. A CAT scan ordered by Graybiel revealed a previously undiagnosed and life threatening iliac aneurysm located in Klamann’s pelvic region. “I saw him on Monday and Thursday I was in the operating room,” Klamann said. Graybiel was able to treat both aneurysms during the same surgery, and Klamann was discharged days later. “I say he’s not a doctor, he’s an angel,” Klamann said of Graybiel. Graybiel and his team have the benefit of working at one of the most technologically advanced hospitals in Canada. The new Humber River Hospital – North America’s first fullydigital hospital – opened in October of 2015 with a completely revamped and state-of-the-art Surgery Department. Vascular Surgery – which focuses on the treatment of the body’s vascular (veins, arteries, etc.) and lymphatic channels – has undergone a technological revolution in the last decade or so. And for Dr. Graybiel and his team at Humber, that means they’re able to work with the latest and greatest technology their field has to offer in order to help patients like Klamann and others in our community. “Aneurysms are common in our field,” Graybiel said as he recalled Klamann’s case. Thanks to Humber’s Digital Imaging Suite, which contains Discovery IGS technology, Graybiel and his team are able to treat a lot more issues endovascularly, or under the skin. This minimally invasive approach means less trauma to the patient and a faster recovery time. Because of these advancements, it’s now common to treat both diagnostic and therapeutic procedures simultaneously. This is a huge benefit to both the patient and the hospital.
Community Hospitals Week | Thursday, April 20, 2017
The new Humber River Hospital is North America’s first fully-digital hospital
Dr. Kerry Graybiel, Chief of Vascular Surgery at Humber River Hospital diagnosed patient Stanislaw Klamann with an iliac aneurysm. He was sped through treatment within a week.
For the patient, it means only one surgery and, in most cases, a short stay in hospital. And the hospital saves money because it is able to combine two surgeries into one. “The exciting thing about the (Digital Imaging Suite) is it has revolutionized care when it comes to vascular surgery,” Graybiel said. “Instead of a big cut in the abdomen and a week’s
stay in the hospital, you’re out a few days later with keyhole incisions. This has allowed us to individualize patient care a little bit better. We are treating patients more quickly and efficiently than previously. We are still treating the same disease, but the process allows faster healing for the patient in a patient and family centered hospital environment.”
Community Hospitals Week | Thursday, April 20, 2017 |
Among the shortest emergency wait times in Toronto, recognized by Cancer Care Ontario for the shortest surgical wait times for three years in a row (time from decision to treatment), and home to internationally recognized programs and expert physicians, North York General Hospital (NYGH) is revolutionizing health care in our city – right here in your own backyard. 1. Dr. Peter Stotland, Colorectal Surgeon The most advanced colorectal surgeries performed worldwide are happening at NYGH. Our renowned surgeons are
training the next generation of innovators. 2. Dr. Donna McRitchie, Surgeon & VP research Five Chairs in practice-based research have been established – a ground breaking achievement in Canada. Research at the Institute for Health Care Innovation will transform the delivery of health care. 3. Dr Kirsten Smith, OB/GYN Approximately 6,000 babies are born here each year. That means as many as 15 per cent of all babies born in Toronto enter the world at NYGH.
4. Dr. Brian Pinchuk, Surgical Oncologist NYGH was first to bring radioactive seed localization and oncoplastic surgery to Toronto. And we are the only breast cancer program in Canada with international accreditation by the American College of Surgeons. 5. Dr. Everton Gooden, Ear, Nose & Throat Surgeon NYGH performs the most paediatric surgeries outside of specialized centres and is home to an extensive Complex Care Clinic and highly acclaimed Adolescent Eating Disorder Program. Your own paediatric hospital, within a hospital.
6. Dr. Phil Shin, Chief of Internal Medicine Ranked No. 1 out of 18 University of Toronto teaching sites – including downtown hospitals – for General Medicine, NYGH’s contributions to medical education are unparalleled. 7. Dr. Daphna Grossman, Palliative Care Specialist The Freeman Centre for the Advancement of Palliative Care revolutionized endof-life care in North York 17 years ago. Today, it is the only palliative program to be designated a Leading Practice, in its entirety, by Accreditation Canada.
Research shows that a well-designed hospital can have a positive impact on a patient’s healing process. Modern and inspiring spaces not only contribute to the health and wellness of patients, they enhance the capacity of our people to provide care. Evidence-based design is a concept that we are incorporating into our space and service planning, which is resulting in enhancements that promote healing, including more natural light, and quieter spaces – elements that change how the physical environment can contribute to a better patient experience. Last year, we launched our Promise Campaign to modernize our spaces. With the support of our community, we have raised $43 million dollars, over 60 per cent of our goal, which has been invested in revitalizing key areas across the Health Centre. With support from CIBC, we redesigned our children’s floor with the needs of our smallest patients in mind. The addition of an interactive art installation has made the clinic more welcoming for children and the expanded private exam rooms allow our physicians to see more patients, faster. Redesigning our clinical areas gives us an opportunity to optimize and deliver an exceptional experience from the point of view of patients and families. The new Geoffrey H. Wood Foundation Centre of Excellence in Breast Cancer Screening and Treatment will offer one-stop care for women wondering if they have breast cancer; they will no longer wait up to six weeks for a diagnosis and treat-
ment plan. Women will be able to come to one location for screening and diagnosis, see our specialists and leave with a treatment plan, if they need one, all in one day. All of these enhancements have been made possible with help from grateful patients. Our new designation as an Ontario Breast Cancer Screening Program site is also enabling women aged 50-74, who are most at-risk for breast cancer, to book a mammogram without a referral from a doctor — improving access to potentially life-saving screening and reducing wait times. St. Joe’s has the highest number of emergency visits of any hospital in the Toronto Central LHIN. Our space originally built for 60,000 visits now sees over 100,000 patients every year. Renovations to our Emergency Department are transforming how we provide urgent care for our west-end community. Supertrack started as a pilot project located in a space adjacent to our Emergency Department. Now that the system is proven to make emergency care better and faster, we want to improve it even more by relocating it into the heart of the Emergency Department to further speed up care. We also are planning for more private rooms built with infection control best practices and new technology that will give staff and physicians access to the latest tools to monitor patients around the clock. The spaces you receive care in can have a profound impact on your experience. While you are at St. Joe’s we want you to have the best possible experience — and that includes an environment that is comfortable and promotes healing. Visit www.stjoestoronto.on.ca for more information.
Community Hospitals Week | Thursday, April 20, 2017
The ‘Promise Campaign’ modernizes spaces at St. Joe’s
The future design for the new Emergency Department waiting area at St. Joseph’s Health Centre.
Together, we’ll keep the Promise of a healthier west end. The campaign for St. Joseph’s Health Centre Hilary Roberts, with daughter Gemma, relies on St. Joseph’s as her community hospital for her family’s care.
Give at supportstjoes.ca or call 416.530.6704
Community Hospitals Week | Thursday, April 20, 2017 |
Putting patients and families first is key to success
Registered nurse Ali Malak (left) and Patient Care Manager Serena Chan are part of The Scarborough Hospital’s team at the Regional Dialysis Centre. They assist in the treatment of Haniﬀ Mohammed, who is joined in support by his wife Sumintra.
This new breed of obstacle course is back for its second year to give you another chance to experience the rush. Race through challenges faced by Toronto’s police, paramedics, and firefighters — and have fun while you help support life-saving care at Scarborough and Rouge Hospital.
Whether you are a competitive athlete, or just enjoy a walk in the park, you can be a part of the excitement at Canadian Tire Brave T.O.!
Haniff Mohammed’s life changed forever the day he learned he needed dialysis. Not only was it a matter of survival, it turned everything upside down at a time when he was ready to enjoy a whole new chapter in life. “It was hard,” said his wife, Sumintra. “He had just retired not long before this.” “I thought we could travel, but it never came to fruition,” explained Haniff. Two years later, the couple agrees that they are glad he receives the needed, ongoing dialysis care three times a week at the Scarborough and Rouge Hospital’s (SRH) satellite dialysis. “We had no choice. We had to do this or he was going to die,” said Sumintra. “(But) all of the staff are very pleasant, professional, and respectful,” added Haniff. “The nurses are like a little family and I really appreciate what they’ve done for me and the other patients.” The new Case Management Model used to engage patients
as partners in their care, assigns each patient on dialysis a dedicated case manager. They work directly with the patient, and everyone in their circle of care, to ensure all aspects of their care are coordinated. Patients have one point of contact to answer questions, as case managers are required to actively review patient charts during a six-week cycle. This ensures all aspects of the patient’s care plan have been completed, tracked, and followed up on where appropriate. “The Case Management Model defines the roles and responsibilities of all care team members, including that of the patient, so that, as an example, patients know that it is their responsibility to alert their care team of their symptoms, and together put in place actions that address the issues,” said Ethel Doyle, Patient Care Director, Nephrology. “I’m better off than I was before,” said Haniff. “I am able to better manage myself and have the ability to spend time with my grandson and my family.” Many patients managed using the Care Management model experience the same
benefits and positive impacts as experienced by Haniff and his wife. Through satellite sites in the community, SRH is closer and more accessible for patients, which removes a big barrier for patients requiring regular treatment. In all, his is example of how changing the care model in hospitals can make a difference. “Lisa, my case manager, is an excellent nurse. Not only does she provide superior care, but she helps me to identify areas that I need to work on to improve my health and well-being,” said Haniff. And he’s not the only one talking about the program. “It has become a conversation piece among patients,” recalls Serena Chan, Patient Care Manager, Nephrology. “It is satisfying to know that we are really making a positive impact and effectively engaging our patients in their care.” The Case Management Model was recently recognized as a leading best practice by Accreditation Canada and SRH continues to expand the approach to dialysis care at all of the hospital’s sites, with full implementation throughout the program in Fall 2017.
7 Community Hospitals Week | Thursday, April 20, 2017
community hospital week
Hospitals work with healthcare partners on creative solutions to address the demand The Emergency Department (ED) is a hospital’s front door and the first place people come when they are experiencing a medical crisis. Community hospitals play a significant role in treating everything from broken bones to life-threatening conditions. The ED is open 24 hours a day, every day of the year for our communities. Nurses and doctors working in this area are trained to care for patients of all ages with a wide variety of conditions and illnesses – often before a diagnosis is made and as soon as possible. Together Toronto’s community hospitals see more than 514,000 visits to the ED annually – supporting people when they are often scared, very sick, and need us the most. Toronto region’s population is one of the fastest growing in Canada as seen by the recent condo boom, and is becoming home to a growing number of new Canadians. As the demographics of the city have changed, the local healthcare system faces more and new pressures; for example seniors, who often have multiple health conditions that require frequent care and monitoring by family doctors, now make up 15 per cent of the city’s residents. At the same time, community hospitals have seen a significant growth in the number of people coming to the ED for care, with emergency patient volumes increasing by 21 per cent in the last year alone. The challenge of these ever-increasing patient volumes is also affected by the long waits people have in hospital beds for long-term care or other community supports, such as retirement homes and rehabilitation, that are also very full and having a difficult time taking in new people. This can leave patients waiting in the ED for a hospital bed that is being used by someone who can’t go home, but is well
enough and waiting to be transferred to another type of community support for ongoing care. Community hospitals have worked to adapt to these changing care needs. Developing creative solutions to respond to these challenges means continuing to work closely with our healthcare partners in our communities and across the entire healthcare system. Traditionally the role of a hospital is to care for and treat people when they are already sick. However, more and more we are focusing on prevention and health promotion by helping people before their condition becomes a health emergency. Some people visit the ED on a regular basis simply because they don’t have a family doctor to help them manage their
health. Without these types of supports, it can lead to more complications with their illness that ultimately requires them to get urgent care in the ED. We’re working to get ahead and prevent these health complications from happening by partnering closely with the provincial government and Local Health Integration Networks to connect more people with family doctors and to local community health teams. The current challenge affects not only hospitals, but entire communities. For community hospitals, it impacts a combined 2.7 million people who we collectively serve across the Greater Toronto Area. Emergency department crowding is not an emergency department problem or even a hospital problem. It is a system problem and it requires a system solution.
Do you know about the wealth of quality health care services available to you close to home? In this online project with Insidetoronto.com, your Toronto community hospitals oﬀer health tips for you and your family, and spotlight amazing staﬀ, innovations and excellence happening behind their doors. Visit www.insidetoronto.com/yourcommunityhospitals
Community Hospitals Week | Thursday, April 20, 2017 |
NYGH branson ambulatory care centre 555 Finch Avenue West North York, M3N 1N5
scarborough and rouge hospital birchmount site 3030 Birchmount Road Toronto, M1W 3W3
NYGH seniors’ health centre
humber river hospital 1235 Wilson Avenue North York, M3M 0B2
north york general site
2 Buchan Court Noth York, M2J 5A3
4001 Leslie St. North York, M2K 1E1
scarborough and rouge hospital general site 3050 Lawrence Avenue East Toronto, M1P 2V5
scarborough and rouge hospital centenary site 2867 Ellesmere Road Toronto, M1E 4B9
toronto’s community hospitals
st. joseph’s health centre 30 The Queensway Toronto, M6R 1B5
**Plotting locations approximate
north york general hospital Website: www.hrhfoundation.ca • Email: email@example.com Phone: 416-242-1000 ext. 81500 • Address: Humber River Hospital Foundation, 1235 Wilson Ave, Level 1, Toronto, ON M3M 0B2 In Person: The Foundation Office is located on Level 1 of the new Humber River Hospital, right across from the Central Elevators. Twitter: @HRH_Foundation • Facebook: /HRRHfoundation Instagram: @hrh_foundation Charitable registration No. 11930 6306 RR0001
Website: GoingBeyondCare.ca • Email: firstname.lastname@example.org Phone: 416-756-6944 • Address: North York General Foundation, 4001 Leslie St, Toronto, ON, M2K 1E1 In Person: The Foundation offices are located by the south elevators on the first floor of North York General Hospital. Twitter: @nyghfoundation • Facebook: /nyghfoundation Charitable Registration No. 88875 1245 RR0001
scarborough & rouge hospital Website: www.supportstjoes.ca • Email: email@example.com Phone: 416-530-6704 • Address: 30 The Queensway, Toronto, ON, M6R1B5 In Person: 5th floor, Sunnyside Building, 30 The Queensway Twitter: @StJoesToronto • Facebook: /StJoesToronto Charitable registration No. 119183382 RR 000130
Website: www.tshfoundation.ca • Email: firstname.lastname@example.org Phone: 416-431-8130 • Address: 108-3030 Lawrence Ave E, Scarborough, ON, M1P 2T7 In Person: Ground floor, Medical Mall, Suite 108 Twitter: @TSHFoundation • Facebook: /TheScarboroughHospitalFoundation Charitable registration No. 11914 2263 RR0001