hsn report to the city 2015

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2015 REPORT TO THE CITY OF GREATER SUDBURY MAYOR AND COUNCIL

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Health Sciences North (HSN) is pleased to provide this report to the City of Greater Sudbury. 2015 saw HSN achieve significant milestones in seniors care and research and teaching, earning global recognition for its innovative approaches to patient care.

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Page 1: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 1

2015REPORT

TO THE CITY OF GREATER SUDBURY MAYOR AND COUNCIL

Page 2: HSN Report to the City 2015

2 Health Sciences North 2015 Report to the City

Health Sciences North (HSN) is pleased to provide this report to the City of Greater Sudbury.

2015 saw HSN achieve significant milestones in seniors care and research and teaching, earning global recognition for its innovative approaches to patient care.

Page 3: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 3

Year in Review

It was one of HSN’s busiest clinical years. Visits to the Emergency Department (ED) again surpassed 70,000, making our ED one of the busiest in Ontario. Despite this increased volume, wait times were reduced for most patients. The ED length of stay was 6 hours for urgent non-admitted patients and 4.4 hours for less urgent patients. Both results meet the Ministry of Health’s wait times performance targets.

It was another successful year for physician recruitment in Sudbury, through the combined efforts of HSN, the City of Greater Sudbury, and the Greater Sudbury Chamber of Commerce. A total of 17 physicians established new practices in Greater Sudbury including 11 specialists, one ED physician and five family doctors.

Page 4: HSN Report to the City 2015

4 Health Sciences North 2015 Report to the City

HSN’s surgical department continued to introduce procedures previously unavailable in the northeast.

New innovative procedures introduced at HSN in 2015 include advanced surgery for rectal cancer and a facial nerve-graft procedure. These new procedures lead to better recovery times and results for patients.

Senior Friendly Hospital

HSN furthered its efforts to becoming a seniors-friendlyhospital. HSN partnered with Greater Sudbury EMS on a pilot program in which paramedics conducted in-home,follow-up visits to frail seniors discharged from hospital.

HSN expanded its “48-5” initiative for frail seniors to the ED. Under the 48-5 model, frail seniors are monitored for five indicators (pain/medication, delerium, mobility, nutrition/hydration, toileting) within their first 48 hours in hospital. Properly monitoring and managing these five factors has a significant positive impact on seniors health.

delerium

mobility

nutrition /

hydration

toileting

pain /

medication

48HRS

Page 5: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 5

Health Sciences North Mental Health and Addictions Program worked with various community partners to introduce a new smartphone app for youth needing mental health-care services.

mindyourmind.ca

HSN’s team of Patient Advisors partnered with staff to work on over 30 different improvement initiatives this year. They include training staff in the use of the NOD (Name, Occupation, Duty) protocol, which better identifies staff and explains their role in a patient’s care.

A member of our CEO Patient and Family Advisory Program was also selected as one of five patient representatives in the province to participate in the Senior Friendly Hospital (SFH) ACTION (Accelerating Change Together In Ontario) Program. This is an advanced leadership training program offered to all publicly-funded hospitals in Ontario for whom enhancing services to seniors is an important objective.

In terms of cardiac care, HSN expanded its Transcatheter Aortic Valve Implantation (TAVI) service. TAVI is designed for patients with a serious narrowing of the aortic valve, for whom open-chest surgery is not feasible.

Healthy HeartsThe Patient Perspective

Page 6: HSN Report to the City 2015

6 Health Sciences North 2015 Report to the City

Improving Work. Improving Care.

HSN continued on its journey of using lean management to improve work and our care to patients. Many improvement initatives are now underway across several programs and departments. Among the many improvements were more procedures performed at the diagnostic imaging satellite office on Regent Street, and improved wait times for daily radiation therapy.

Another important development this year for the Diagnostic Imaging department was the announcement that the provincial government will provide annual operating funding for a permanent PET scanner at HSN, once the community raises the necessary funds for the purchase and installation of the equipment.

To make the Ramsey Lake Health Centre more accessible, the parking lot was expanded by 965 spaces.

Page 7: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 7

Research

It was another excellent year for the Advanced Medical Research Institute of Canada (AMRIC), HSN’s research affiliate.

AMRIC broke ground on its new research facility, located at the former St. Theresa’s School on Walford Road. This project is made possible through $1.75 million in combined capital funding from the City of Greater Sudbury and the Greater Sudbury Development Corporation, as well as $10 million in funding from the federal and provincial governments.

For the second year in a row, AMRIC was included among Canada’s top 40 research hospitals. Since its inception, AMRIC has secured over $15 million in research funding.

A research team at AMRIC is partnering with the National Research Council on a study to find a vaccine for H-pylori, a bacterium that can lead to stomach ulcers and cancer.

AMRIC research has also been published in prestigous international journals. In February, the American Journal of Infection Control included an article about an AMRIC study on the early detection of C. difficile at HSN. In August, a study led by Dr. Hoyun Lee into a potential breakthrough treatment for cancer was published in the online edition of Cancer Research, one of the world’s most prestigious cancer journals. Dr. Lee’s research work has been supported by the City of Greater Sudbury.

AMRIC and NEO Kids partnered on a study of 30 children with Cystic Fibrosis (CF) to determine the right time to replace the equipment used to deliver their daily medication to their lungs. Knowing when to replace equipment could prevent lung infections in children with CF.

Page 8: HSN Report to the City 2015

8 Health Sciences North 2015 Report to the City

Children’s Health

2015 was an important year for children’s health at HSN. HSN expanded the capacity of some existing specialized children’s services, including the BALANCE Program to help obese and overweight children, and the Fetal Alcohol Spectrum Disorder Clinic.

HSN marked the one-year anniversary of the relocation of the North Eastern Ontario Health Centre for Kids (NEO Kids) to the grounds of the Ramsey Lake Health Centre.

The current temporary location for NEO Kids is not adequate to meet the growing demand for specialized children’s health care in Greater Sudbury and northeastern Ontario.

As a result, HSN is planning to build a 37,000 square-foot facility which will allow HSN to enhance existing services and introduce new clinics.

HSN also launched the NEO Kids Foundation. The NEO Kids Foundation will raise awareness of and funds for the needed expansion of children’s health care services in the northeast. This effort was bolstered by a pledge of $500,000 from the HSN Volunteer Association.

Page 9: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 9

Major Milestones

Over the past year, HSN has earned provincial and national recognition for its activities. HSN received the status of Accreditation with Commendation from Accreditation Canada.

Northeastern Ontario’s Virtual Critical Care (VCC) Unit, based at HSN, was this year’s recipient of the Health Minister ’s Medal honouring Excellence in Health Quality and Safety.

The Northeast Cancer Centre and the Sault Area Hospital received an Honourable Mention at the 2015 Cancer Quality Council of Ontario Innovation Awards, for their partnership on developing real-time image guidance for Stereotactic Ablative Radiotherapy (SABR). The fully-integrated computerized system used between both centres is the first set-up of its kind in Canada.

HSN’s Lead for Physician Recruitment, Ginette Vezina, was presented with the 2015 Leadership Award from the Canadian Association of Staff Physician Recruiters (CASPR).

The HAVEN program for patients with hemophilia, HIV, and AIDS celebrated its 35th anniversary this year, while the Northeast Cancer Centre celebrated its 25th anniversary.

One of Canada’s most watched TV programs “The Amazing Race” featured HSN’s Simulation Lab in an episode shot entirely in Sudbury.

HSN achieved a balanced budget while minimizing the impact to patient care and front-line staff.

Challenges and Opportunities for 2016

Given the fiscal climate in Ontario, HSN will again face the challenge of achieving a balanced budget while maintaining current levels of patient care. HSN will continue to seek efficiencies within existing resources.

Demand is expected to increase for services such as emergency and pediatric care, inpatient care (particularly for frail seniors) and surgery. HSN will continue to seek innovative and effective ways to meet this demand.

HSN has made significant gains in the area of research. A search is underway for a new CEO and Scientific Director of AMRIC who will guide the next phase of AMRIC’s development.

HSN will also continue to advocate for children’s health care, given the increased demand for pediatric services combined with the growing number of children who must leave the north to get the care they need.

Page 10: HSN Report to the City 2015

10 Health Sciences North 2015 Report to the City

Improving Kids Care in Sudbury

January29

HSN is working to improve the care HSN provides to children. The first step was relocating pediatricians to the Ramsey Lake Health Centre (RLHC) called NEO Kids in 2014. This allowed better access to children’s health care.

Raising Awareness: Northeast Aboriginal Pap Test Campaign

February

2

The Northeast Cancer Centre (NECC) and the North East Aboriginal Cancer Screening Network collaborated with local First Nation community providers and organizations to raise awareness about the importance of cervical cancer screening.

My CancerIQ Launches3

NECC and Cancer Care Ontario introduce the online tool “My CancerIQ” to calculate the personalized risk of developing breast, cervical, colorectal and lung cancers.

Virtual Critical Care Expands To Seven New Hospitals

9

Seven more hospitals in northeastern Ontario were added to the Virtual Critical Care (VCC) Unit at HSN.

From Austin to AMRIC: New VP Brings Experience

20

Dr. Richard Beswick becomes AMRIC’s new Vice President of Clinical Research & Corporate Operations.

2015 in Review

Page 11: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 11

Twelve independent restaurants which make up the Sudbury Hospitality Association of Restaurant Entrepreneurs (S.H.A.R.E) presented a cheque of over $12,000 to the Health Sciences North Foundation (HSNF).

March

New Campaign Aims to Wipe Out Colorectal Cancer

Cheque Please! Local Restaurants Serve Up Big Donation to Children’s Care at HSN

Loblaw’s pharmacists teamed up with NECC, the Canadian Cancer Society and public health units across northeastern Ontario to launch the “Let’s Wipe Out Colon Cancer” campaign. It is to encourage more people between the ages of 50-74 to be screened for colorectal cancer.

Rotary Club Makes Donation to KICX For Kids

The Sunrisers donated $10,000 to KICX For Kids. The money comes from the Rotary Club’s fourth annual Vive Le Vin charity wine gala and auction, which was held November 2014.

C. difficile Research at AMRIC Published In Major American Journal

26

The February 13 edition of the American Journal of Infection Control includes an article about a study on the early detection of C. difficile at HSN. That study was lead by a team at AMRIC, HSN’s research affiliate.

27

212

AMRIC Receives $4.9 Million from FedNor

20

The future of health care in Sudbury is looking brighter thanks to FedNor’s contribution of $4.9 million to AMRIC’s new medical research facility.

HSN Employee Named One of Sudbury’s Women of Distinction

24

Lynzy Boeswald-Lalande is an Intervention Worker at the Voices For Women Sudbury Sexual Assault Centre in downtown Sudbury, which is part of HSN’s Violence Intervention and Prevention Program. She is among this year’s recipients of the YWCA Sudbury annual Women of Distinction Awards.

Page 12: HSN Report to the City 2015

12 Health Sciences North 2015 Report to the City

Organ Donor Advocate at HSN Receives Award

April

15

Dr. Martin Shine was presented with a Donor Champion Award by Trillium Gift of Life Network (TGLN), Ontario’s organ and tissue donation and transplant agency.

Sudbury Shrine Club Donates $15,000 to Pediatric BOTOX® Clinic

20

Shriners in Sudbury and Toronto presented a cheque for $15,000 to the Pediatric BOTOX® clinic at NEO Kids

HSN Celebrates State-of-the-Art Lab and Staff as Part of Medical Laboratory Week

20

Mayor Brian Bigger proclaimed the week of April 19-25 National Medical Laboratory Week in Greater Sudbury, and HSN celebrated its medical lab and staff at the Ramsey Lake Health Centre.

21 HSN Marks National Organ and Tissue Donation Awareness Week

HSN named a new Lead Physician for organ donation during National Organ and Tissue Donation Awareness Week. Dr. Bhanu Nalla is a critical care physician and anaesthetist, who will work with the Trillium Gift of Life Network (TGLN) to educate, promote, and coordinate organ and tissue donation at HSN.

24 Bringing Allergy Relief to Kids in Sudbury

Dr. Amy Blair, a Toronto-based paediatric allergist who specializes in allergies and clinical immunology, runs special allergy clinic at HSN every two months.

Page 13: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 13

HSN Celebrates Doctors Day

May

1

May 1st is Doctor’s Day in Ontario, and HSN celebrated the occasion by honouring the 285 physicians who provide care at HSN.

Club Montessori Pledges $50,000 to NEO Kids4

Club Montessori is pledging $50,000 over five years for NEO Kids, HSN’s centre of excellence for pediatric care. Club Montessori is composed of Italian-Canadian businesspeople who are devoted to charity work in Greater Sudbury.

National Award for HSN’s Physician Recruiter8

The Canadian Association of Staff Physician Recruiters (CASPR), presented Ginette Vezina with this year’s national CASPR Leadership Award.

HSN Celebrates Nurses Week11Nursing week was May 11-15. HSN used the occasion to thank its complement of dedicated nurses for their hard work and commitment to patients.

Diabetes Screening Initiative Returns to HSN

13

HSN once again partnered with Type 1 Diabetes TrialNet Research Team from The Hospital For Sick Children (SickKids) to provide a free screening clinic for family members of patients with Type 1 diabetes.

HSN Chronic Disease Education Program Hits the Road

19

Representatives from HSN’s Nephrology, Chronic Disease Self-Management, and the Complex Center for Diabetes Care programs travelled together throughout northeastern Ontario for education sessions with health care workers and patients.

Page 14: HSN Report to the City 2015

14 Health Sciences North 2015 Report to the City

Palladino Auto Group Hosts Fundraising Golf Tourney for NEO Kids

June

9

The Palladino Auto Group Mulligans for NEO Golf Classic was held at the Idylwylde Golf and Country Club on July 23. The golf tournament raised funds to support NEO Kids.

Balanced Budget, Children’s Care Highlight HSN’s AGM

18

Passionate pleas for more children’s care, a balanced budget, and new board members highlighted 2015’s Annual General Meeting for HSN.

HSN Celebrates ED Outreach Program

25

HSN celebrated its Emergency Department Outreach Service (EDOS) during seniors month. This service provides residents of Greater Sudbury’s seven long-term care homes with on-site medical care for a variety of minor emergencies, injuries, ailments and procedures.

New App For Youth with Mental Health and Addiction Needs in Sudbury, Manitoulin, and Chapleau

26

The Sudbury-Manitoulin Service Collaborative has partnered with the Centre for Addiction and Mental Health (CAMH) to introduce to parts of northeastern Ontario a new smartphone app called “Be Safe” for young people coping with mental health and addiction issues.

NEO Kids Celebrates 1st Birthday

July7

NEO Kids marked its 1st anniversary, complete with family bbq and face-painting.

Page 15: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 15

Guest Athletes Visit Kids at CTC Summer Camp

15

Rebecca Johnston and Angi Wong-Lamore spent time with the kids at the CTC summer camp. Johnston won gold medals with Canada’s women’s hockey team at the 2010 and 2014 Winter Olympics. Wong-Lamore, who is a former client of the CTC, was a member of Ontario’s four-person wheelchair boccia team that won a silver medal at an international competition in Austria.

New Facial Surgery at HSN23

Dr. Christa Favot, an oral-maxillofacial surgeon, performed HSN’s first cadaveric nerve graft on a patient with a benign tumour (neuroma) on one of the nerves in the jaw.

Children’s Telemedicine Expands at HSN27The HSN Foundation and HSN Volunteer Association have contributed $20,000 each for the purchase of two new Ontario Telemedicine Network (OTN) systems.

Page 16: HSN Report to the City 2015

16 Health Sciences North 2015 Report to the City

Inaugural Spirit of Sally Spence Awards Presented at HSN

August

12

As an ongoing tribute to her memory, the CTC has created the Spirit of Sally Spence Awards, in partnership with the HSN Foundation. The Awards are given to current and former clients of the CTC who embody the qualities that Sally Spence demonstrated during her years at the CTC.

Sudbury Cancer Research Published in International Journal

17

The latest online edition of Cancer Research features research being led by Dr. Hoyun Lee, a Senior Scientist at AMRIC, the research affiliate of HSN.

Cream of the Crops! Marek’s Rock Garden Café at HSN Wins Provincial Competition

19

The Ontario Greenhouse Vegetable Growers (OGVG) has selected the Rock Garden Café as the winner of the 2nd OGVG Local Food Week promotion and display competition, held in June.

Pediatrician at NEO Kids Studies Cystic Fibrosis25

A study involving NEO Kids and AMRIC at HSN is attempting to find out when Cystic Fibrosis nebulizer equipment should be replaced to avoid the spread of bacteria.

Page 17: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 17

FASD Day Marked in Sudbury

September10

To mark International Fetal Alcohol Spectrum Disorder (FASD) Awareness Day, the Sudbury-Manitoulin FASD Network held an awareness event in downtown Sudbury, complete with a proclamation from Deputy Mayor Joscelyne Landry-Altmann.

Pilot Project Helps People with Addictions/Mental Health Issues Avoid Trip to ED

14

A new pilot project involving HSN and Greater Sudbury Paramedic Services is proving successful in helping people who are impaired due to addictions get care sooner, while avoiding a trip to the ED.

HSN VA Provides $150,000 in Healthy Aging Research at HSN

17

The HSN Volunteer Association presented Dr. Janet McElhaney with a cheque for $150,000 to continue her work as the HSN Volunteer Association Chair in Healthy Aging at HSN.

HSN Receives Glowing Report Card from Accreditation Canada

21

HSN received Accreditation with Commendation - the second highest designation from Accreditation Canada and a first for HSN.

AMRIC studies Cannabis and Tobacco Exposure Effects

29

AMRIC researcher Dr. Leslie Sutherland is studying how exposure to cigarette and cannabis smoke affects healthy lung cells at the molecular level.

Page 18: HSN Report to the City 2015

18 Health Sciences North 2015 Report to the City

Advanced Rectal Cancer Procedure Performed at HSN7

A procedure called transanal total mesorectal excision (taTME) has been performed for the first time at HSN by a team led by colorectal surgeon Dr. Antonio Caycedo. According to Dr. Caycedo, only a handful of hospitals in Canada perform the procedure.

October

Virtual Critical Care Model Wins Provincial Health Award

14

The Virtual Critical Care (VCC) Unit is this year’s recipient of the Minister ’s Medal Honouring Excellence in Health Quality and Safety, presented by Health Quality Ontario.

28

Hemophilia Program at HSN Marks 35th Anniversary

On its 35th anniversary, HSN’s Hemophilia Program celebrated advances in care for people with hemophilia.

21

HSN Moves Up List of Top 40 Research Hospitals in Canada

HSN and its affiliate AMRIC have climbed up the list of Top 40 Research Hospitals in Canada. This year, HSN is ranked 36th, up four places from last year’s list.

19 17 Physicians Join Greater Sudbury in 2015

A total of 17 physicians established new practices in Greater Sudbury in 2015, including 11 specialists, one ED physician and five family doctors.

Page 19: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 19

Northeast Cancer Centre Celebrates 25th Anniversary

November

5

On November 5, 1990, The Northeast Cancer Centre (NECC) opened its doors at Health Sciences North (HSN), providing chemotherapy in a central location to all residents of northeastern Ontario, and introducing radiation therapy to this part of the province.

AMRIC Breaks Ground on New Research Facility18

The Advanced Medical Research Institute of Canada (AMRIC) held a groundbreaking ceremony at its Walford Road property, the former St. Theresa’s School.

HSN Welcomes the Newest Kid in Town: The NEO Kids Foundation

25

HSN announced their new foundation on November 25th. The NEO Kids Foundation will be dedicated to building awareness for children’s care needs and raising funds to bring vital pediatric services to Northeastern Ontario.

HSN Staff Member Attracts International Attention for Rescuing Eagle

December

4

Our very own Michael Fletcher has become an international celebrity! You may have seen the selfie that made him famous when he and his brother Neil freed a bald eagle they found caught in a trap.

Patient Surge at HSN8

HSN expresses its deepest appreciation to the entire HSN team of staff and physicians, our patients and their loved ones, as well as our local and regional health care partners and our community for their support during December’s surge of admissions.

Page 20: HSN Report to the City 2015

20 Health Sciences North 2015 Report to the City

Plush Bear Campaign10

The Sudbury Star, along with Santa and a few children from the Big Brothers Big Sisters program, distributed plush animal toys (sponsored by local businesses) to children and youth at HSN. This is the tenth year the Sudbury Star and HSN have been working together on the Plush Bear Campaign.

PET Scanner in Sudbury16

The province of Ontario announced it will cover the operating costs of a permanent PET scanner at HSN. A positron emission tomography scan is a diagnostic test used to detect certain cancers, heart, and neurological diseases.

HSN Employee Food Drive23

This year’s Employee Food Drive campaign was a success once again thanks to the generous support of all who contributed. The generosity from staff, physicians and different groups helps employees who need it most.

Cardiology Cares

24An HSN staff member and her family are facing a very difficult situation; their child is ill and is receiving treatment at Sick Kids in Toronto. Collectively, cardiology staff began doing their best to provide support through kind gestures, words of encouragement, monetary donations, Christmas gifts and more.

Christmas Spirit at HSN25

Several of the RNs in the ICU have added some holiday-themed art to the sliding doors of the patient rooms. Further to the door decor, the ICU had an ugly Christmas sweater day and collected money for the CTV telethon. They also collected items and filled 48 shoe boxes for Operation Christmas child, carrying on the giving spirit of Kate McDougall, a late colleague who used to organize this initiative for the department.

Over the past year, the Finance Staff has raised a total of $1,035 through their dress down day fund. The recipients of these funds were the Northern Cancer Foundation and the Hospital Employee Food Drive. Also, the Mental Health and Addictions Program (MHAP) Team Building Committee announced that the MHAP has harvested a total of $1,578.55 for local food banks.

Page 21: HSN Report to the City 2015

Health Sciences North 2015 Report to the City 21

Cardiology Cares

Page 22: HSN Report to the City 2015

22 Health Sciences North 2015 Report to the City

Our achievements would not have been possible without the incredible skill and dedication of the HSN team, including

our front-line staff, management, physicians, volunteers, our foundations, our community partners like the City of Greater

Sudbury, and most importantly our patients and families.

www.hsnsudbury.ca