A Healthier Niagara - Annual Report 2016/2017

A Healthier NiagaraAnnualReport2016/2017

3 Who we are Our Journey We are Niagara Health and our CORE values inspire us to be EXTRAORDINARY: Compassion in Action, Driven by Optimism, 4 Achieving Ambitious Results. We are a multi-site hospital that provides a wide range of inpatient and outpatient services, including AcuteYear 1 of our 10-year Strategic Plan Care, Cancer Care, Cardiac Care, Complex Care, Emergency and Urgent Care, Kidney Care, Long-Term Care, Mental Health and Addictions, 6 Stroke Care and Surgical Care. We serve over 450,000 Niagara residents across six sites. Extraordinary Year Our team is made up of more than 4,800 employees, 600 physicians and 850 volunteers who we count on to deliver extraordinary caring. 8 In fact, Accreditation Canada has awarded Niagara Health with Exemplary Standing, a clear demonstration of our team’s commitmentFinancial Overview and Fast Facts to the highest safety and quality standards. 10 our Purpose Extraordinary Caring. Every Person. Every Time. Celebrating Excellence our Vision A Healthier Niagara 11 Check out our website for more information about us www.niagarahealth.on.caBoard, Senior and Medical Leadership 12 Niagara Health celebrates Exemplary Standing by Accreditation Canada. COVER PHOTO: Jane McLaughlin and her 13-year-old Stay Connected daughter, Marin, are photographed along the Welland Canal Parkway Trail. Last fall, Marin organized an effort to fill 30 carePublished June 2017 packages for our patients undergoing chemotherapy at theWe are committed to renewal of our resources and have printed a limited number of Walker Family Cancer Centre. The incredible act of kindnesscopies. Download your copy at www.niagarahealth.on.ca/2016-2017AnnualReport helped to brighten the spirits of our patients.

Our JourneyWe are pleased to present Niagara Health’s 2016/2017 Extraordinary Caring. Every Person. Every Time. Annual Report giving you a glimpse of our accomplishments in the first year of our 10-year strategic plan.Our report highlights some of the achievements of our teams. Thiswork has not been without challenges, but then again, nothing worthdoing is. Together with our staff, physicians, volunteers, partners, andthe people we serve, we are very proud to share this update. Inside,we have shared our progress on a few strategic initiatives in each ofour four areas of focus – Extraordinary Teams, Extraordinary Care,Extraordinary Future and Extraordinary Innovation. Our story illustratesour progress as we continue to innovate, team up in new ways witheach other and with patients and partners to provide extraordinarycaring to every person, every time.Imagine a healthier Niagara. Compassion in ActionWe did. We invite you to discovermore about our extraordinary Achieving Ambitious Resultsjourney. Driven by Optimism 3

How We’re Doing: Year 1 of our 10-year Strategic Plan Mel Clarke, who has Chronic Obstructive Pulmonary Disease, credits Niagara Health’s Integrated Comprehensive Care program with helping him manage his condition at home. Watch a video about Mel’s story on our website,4 www.niagarahealth.on.ca

Extraordinary Care Extraordinary Teams▶ Implement Best Possible Medication History ▶ Healthy TeamsWe ensured safer medication use by gathering accurate and comprehensive We surveyed our staff and physicians about the quality of their work lifemedication information from our patients upon admission. We implemented to give everyone a stronger voice, help influence change and supporta standard medication history-gathering and documentation process for extraordinary teams. Action plans for their work areas have been developedpatients when admitted which includes asking them about their home to respond to the feedback. We’re preparing for the next round ofmedications. We fell short of our target and are taking strides to make engagement surveys in the fall and anticipate even higher response rates.improvements for patient safety and care. Staff Response Rate: Percentage of patients with medications reconciled Target: 50% | Current: 47.4% Target: 90% | Current: 86.1% Physician Response Rate: Extraordinary Future Target: 50% | Current: 27%▶ Be Well program ▶ Unit-Based TeamsWe support the physical and mental health of our staff and physicians to Our Unit-Based Teams (UBTs) are made up of team members who arehelp them make informed personal health choices. We will continue to trained to look for and make improvements in their work areas. Twenty-identify and implement prevention initiatives to keep people healthy and one teams have been launched in the last year across all of our sites. Thesafe at work. We are proud of our improvement and continue to build on number of teams continues to grow and more ideas are being shared andlessons learned. implemented each month. Reduce sick time Ideas implemented per UBT per month Target: 5.2% | Current: 4.55% Target: 2 | Current: 0.2 Extraordinary Innovation Decrease length of time people with CHF and COPD stay in hospital by 1 day▶ Integrated Comprehensive Care programWe have transformed care for people who have Congestive Heart Failure (CHF) and Chronic Target: 7.6 days | Current: 6.4 daysObstructive Pulmonary Disease (COPD) by implementing Integrated ComprehensiveCare. This program supports the safe transition of our patients between hospital and the 5community. We have surpassed our target and recognize this approach is helping patientsto stay healthy and live well with chronic disease at home.

Extraordinary YearWe’ve had much to celebrate over the past year and are pleased to share someof our proud moments with you.ACADEMIC PARTNERSHIPS ORGAN DONATION RECRUITMENT RedevelopmentAs a learning organization, we Trillium Gift of Life Network We continue to have great success We are making excellent progresscontinue to develop strong (TGLN) recognized us for our in our efforts to retain and recruit in our work to Build a Healthierpartnerships with our academic dedication to helping improve the best and brightest to work Niagara and continue to movepartners, creating extraordinary organ and tissue donation in at our sites across Niagara. For forward with our planningexperiences for our learners. Ontario and saving lives through example, since 2014, there have following the Province’s recentNiagara Health works closely transplantation. We were been more than 100 physician commitment to invest in healthcarewith our academic partners, presented with the Hospital recruitments and leadership redevelopment in Niagara. We willincluding Brock University, Achievement Award -- Provincial appointments at Niagara continue to reach out to our teamsMcMaster University and Niagara Conversion Rate, given to Health as we continue to attract and communities, working inCollege, to provide learning and hospitals that met or exceeded specialists from across Canada partnership to redesign healthcareeducation opportunities in a TGLN’s target of a 67% Conversion and the world. There have been based on the needs of our patientsnumber of healthcare-related Rate, which is the percentage about 30 physician recruitments and families. We are driven tofields. of actual organ donors from at Niagara Health over the past improve access to care and the total number of potentially year alone, including Infectious coordination of services.6 eligible organ donors. Disease Specialist Dr. Seth Glassman (pictured above).

Niagara Health volunteer Lena PATIENT SATISFACTION SURVEYBlaylock asks patient PeterSneath questions as part of our We introduced a Patient Satisfaction SurveyPatient Satisfaction Survey. that sees trained volunteers visit patients in their rooms using a hand-held tablet to complete a questionnaire. This technology, developed by Niagara Health’s Information and Communications Technology team, allows us to measure patient satisfaction in real time and address concerns in a timely manner. 7

Financial Overview Revenue Sources for 2016/2017Niagara Health publishes our audited financial statements 72% 5% 10% 7% 3% 3% 1% every year as part of our financial accountability and responsibility to the community. Complete financial MOHLTC and MOHLTC/LHIN Cancer Care Patient Amortization Non-Patient Preferred statements for 2016/2017 are posted on the Niagara Health HNHB LHIN One-time and Ontario Revenue of Grants and Accommodation website at www.niagarahealth.on.ca. Base Funding other Funding Donations Our financial health continues to improve thanks to the work of our teams. Our total operating budget for the year was more than $500 million and we ended the year with a surplus of $8,454,376. The surplus will be reinvested to improve our working capital position. Approximately 87% in funding was received from the Ministry of Health and Long-Term Care, the Hamilton Niagara Haldimand Brant (HNHB) Local Health Integration Network (LHIN) and Cancer Care Ontario during the fiscal year. Expense Breakdown for 2016/2017Members of our team on the walking path surrounding our St. CatharinesSite: Medical Laboratory Technologist Patricia Lumyoung, ChemotherapyBooking Clerk Sandra Angelini, Technical Analyst Stephen Desimone,Charge Nurse Barbara Gadomski and Pediatrician Dr. Nicholas Dorah.HOW CAN YOU HELP? 62% 8% 15% 11% 4%You can support our programs and services through a donation to Salaries and Medical Staff Supplies Medical/Surgical Amortization ofOneFoundation for Niagara Health System. We are grateful to OneFoundation Benefits Remuneration and other Supplies and Equipment andand their community partners for helping provide extraordinary health Expenses Drugs Software Licensesservices to the residents of Niagara. The philanthropic spirit and incrediblegenerosity of the Niagara community are truly building blocks for a healthier Approximately 70% of total expenses comprise salaries, benefits and medicalNiagara. To learn about how you can support a healthier Niagara, visit www.OneFoundationforNHS.com or call 905-323-3863. staff remuneration. 8

Average inpatient cost per day: $1,117 Fast Facts In-Patient Surgical Cases$669 $174 $154 $119 912 34,832 7,505 32,040 Beds * AdmissionsNursing Diagnostics and Therapies Support Services AdministrativeApproximately 75% of expenses are related to direct patient care like Inpatient Outpatientnursing, pharmacy, diagnostic imaging, laboratory and therapies. An additional * Includes Acute, Complex Care, Long-Term Care, Mental Health and Addictions.14% is spent on housekeeping, food and maintenance, with the remaining 11%spent on administrative costs. VisitsAverage emergency visit: $263$138 $68 $29 $28 203,359 43,159Nursing Diagnostics and Therapies Support Services Administrative Emergency and Mental Health Clinics Urgent Care78% of expenses are related to direct patient care like nursing, pharmacy, 176,025 69,337diagnostic imaging, laboratory and therapies. Other Outpatient Clinics Dialysis/Renal ClinicsAn additional 11% is related to support services like housekeeping, food andmaintenance. The remaining 11% is for administrative costs.Members of our Food Care by numbers 23,069Services team, CarissaLeVasseur, Lisa Fyfe and 2,992 MRI ScansMary Morneau, work onthe meal beltline. Babies Born 2,543Our Food Services team 5,946 Heart Investigation Unitprepares and serves more Proceduresthan 3,200 nutritious Cataract Surgeriesmeals daily. The 9feedback we receivethrough surveys aboutour meals is extremelypositive, with our patientsatisfaction rate at morethan 90%.

Celebrating ExcellenceNiagara Health Awards of Excellence President’s Award Extraordinary Caring Award Extraordinary Future through recognize extraordinary service and Lisa Pepperall Ronaldo Aperocho Innovation Award performance within our organization Health Care Aide Rachelle Doucet consistent with our strategic plan. Communications Specialist St. Catharines Site Medical Transcriptionist In addition to the President’s Award, which St. Catharines Site Welland Site recognizes overall outstanding performance, six additional awards were handed out to valued members of the Niagara Health team. All of the recipients were nominated by their peers for demonstrating our CORE values (Compassion in Action, Driven by Optimism and Achieving Ambitious Results) and providing Extraordinary experiences to our patients and families in specific areas. Extraordinary Team Award Compassion in Driven by Achieving Ambitious Unit A Mental Health Action Award Optimism Award Results Award St. Catharines Site Gary Gevaert Douglas Brown Ellen Brochu Project Manager10 Registered Practical Nurse Registered Nurse St. Catharines Site Information Communications Port Colborne Site Technology

Board, Senior & Medical LeadershipSenior Executive Team Board of Directors 2016/2017Dr. Kevin Smith Chief Executive Officer Dr. Tom Stewart Mr. John MacDonald, Chair Mr. Robert TiffinDr. Suzanne Johnston Chief of Staff and Executive Vice Mr. John Bragagnolo, Vice-Chair Mr. Charles Rate President President Medical Affairs Mr. Ken Kawall, Treasurer Ms. Cathy SutherlandMs. Linda Boich Dr. Johan Viljoen Ms. Bernice (Bunny) Alexander Dr. Barry WrightExecutive Vice President, Quality, Deputy Chief of Staff Mr. Larry BoggioCommunity Development Ms. Caroline Bourque Wiley Ms. Marti Jurmain Dr. Suzanne Johnston (ex officio)and Mental Health and Addictions Director of Communications Dr. Ron MerglMr. Derek McNally Ms. Angela Zangari Mr. Murray Paton Dr. Tom Stewart (ex officio)Executive Vice President, Clinical Executive Vice President, Finance and Dr. Parminder Brar (ex officio)Services and Chief Nursing Executive Operations and Chief Financial Officer Mr. Derek McNally (ex officio)Ms. Flo Paladino Mr. Roger AliExecutive Vice President, People and President and CEO, OneFoundation for Non Board Committee Members 2016/2017Organizational Development Niagara Health System (ex officio) Mr. Mario De Divitiis Mr. Michael Lethby Ms. Ashleigh Miatello-Skrubbeltrang Medical Advisory Committee Pediatrics: Dr. Madan Roy 11Reporting to the Board of Directors, this committee oversees quality patient Emergency Medicine: Dr. Rafi Setrakcare. Physician members are: Obstetrics/Gynecology: Dr. Johan ViljoenChair: Dr. Tom Stewart Medical Staff AssociationDepartment Chiefs: President: Dr. Parminder BrarMedicine: Dr. Terry Chan Vice President: Dr. Gurpreet GillSurgery: Dr. Jeff Cranford Secretary/Treasurer: Dr. Maynard LutermanDiagnostic Imaging: Dr. Julian DobranowskiAnesthesia: Dr. Donald DuVall Additional members (Non-voting members)Oncology: Dr. Janice Giesbrecht Chief of Staff, Hotel Dieu Shaver Health and Rehabilitation Centre:Laboratory Medicine: Dr. Suhas Joshi Dr. Jack LuceMental Health and Addictions: Dr. Edgardo Perez Chair of Credentialing: Dr. Sven Pallie

905-378-4647 www.niagarahealth.on.caOur sites: Greater Niagara General Site Niagara-on-the-Lake Site Port Colborne Site St. Catharines Site Welland Site 5546 Portage Road 176 Wellington 260 Sugarloaf Street 1200 Fourth Avenue 65 Third StreetDouglas Memorial Site Niagara Falls, ON Niagara-on-the-Lake, ON Port Colborne, ON St. Catharines, ON Welland, ON230 Bertie Street L2E 6X2 L0S 1J0 L3K 2N7 L2S 0A9 L3B 4W6Fort Erie, ONL2A 1Z2@NiagaraHealth facebook.com/NiagaraHealth youtube.com/NiagaraHealth #HealthierNiagara