The past few years have been a blur of activity as we designed, built and now moved into our new hospital and the weeks leading proved to be the same! Over a two week period in advance of the move we toured approximately 2900 members of the public through the building. This relied on a large number of staff members from various departments to book tours, greet members of the public as they arrived, and to lead the tours themselves. The public seemed to be very appreciative of the new space. In addition to all the logistics around planning the move of supplies, equipment, and patients at the unit level, a lot of work was done with teams tasked with managing the safe slow-down of patient services around the move. The goal was to be providing care to patients in no more than 50% of our beds. In addition to giving us a safe number of patients to move, this would also ensure that we would have the right number of beds to match the number of patients moving to the new facility. The actual move took place over October 19-21. An extremely well-organized plan kept everything on-track even when things didn‟t go quite as planned. There were many examples of staff members going way above and beyond to ensure everything came together to support the move. A grand opening and official naming ceremony event was held on November 6. A large team of staff again helped this event come together successfully to ensure we could host approximately the 300 people in attendance while also maintaining access to services throughout the building for patients. Special guests included the Deputy Premier, the Minister of Health, the Minister of Remote and Rural Health, the Deputy Minister of Health as well as 16 members of the Wigmore family. As Dr. Fred Wigmore said during the ceremony, Dr. F.H. Wigmore dedicated his life to this region and the naming dedication will ensure his name lives on in this area into perpetuity. As we look back, the work around this new hospital has been significant and could not have been completed without the support of so many people from clear across the organization. Our mind naturally goes to those who have worked on the project directly or those that work in the hospital but we are very aware that this project has required the support of many outside of those groups. The attention on the hospital has meant others throughout the organization have needed to operate more independently than would otherwise need to be the case. This has not gone unnoticed. Thank you to all of you who have been a part of helping us achieve this reality. TAKE FIVE TAKE FIVE December 2015 President and CEO Message 2 Employee Lifestyles Committee 2 Big Moves for Therapies Department 3 This is Who We Are 4 Welcoming Our Newest Physicians 5 FHHR Jackets 5 Getting to Know Our Directors 6 Improvements to Morning Care in Assiniboia 8 INSIDE THIS ISSUE: We’re In! From construction start to grand opening in 921 days.
Transcript
The past few years have been a blur of activity as we designed, built and now moved into our new hospital and the weeks leading proved to be the same! Over a two week period in advance of the move we toured approximately 2900 members of the public through the building. This relied on a large number of staff members from various departments to book tours, greet members of the public as they arrived, and to lead the tours themselves. The public seemed to be very appreciative of the new space.
In addition to all the logistics around planning the move of supplies, equipment, and patients at the unit level, a lot of work was done with teams tasked with managing the safe slow-down of patient services around the move. The goal was to be providing care to patients in no more than 50% of our beds. In addition to giving us a safe number of patients to move, this would also ensure that we would have the right number of beds to match the number of patients moving to the new facility.
The actual move took place over October 19-21. An extremely well-organized plan kept everything on-track even when things didn‟t go quite as planned. There were many examples of staff members going way above and beyond to ensure everything came together to support the move.
A grand opening and official naming ceremony event was held on November 6. A large team of staff again helped this event come together successfully to ensure we could host approximately the 300 people in attendance while also maintaining access to services throughout the building for patients. Special guests included the Deputy Premier, the Minister of Health, the Minister of Remote and Rural Health, the Deputy Minister of Health as well as 16 members of the Wigmore family. As Dr. Fred Wigmore said during the ceremony, Dr. F.H. Wigmore dedicated his life to this region and the naming dedication will ensure his name lives on in this area into perpetuity.
As we look back, the work around this new hospital has been significant and could not have been completed without the support of so many people from clear across the organization. Our mind naturally goes to those who have worked on the project directly or those that work in the hospital but we are very aware that this project has required the support of many outside of those groups. The attention on the hospital has meant others throughout the organization have needed to operate more
independently than would otherwise need to be the case. This has not gone unnoticed. Thank you to all of you who have been a part of helping us achieve this reality.
TAKE FIVETAKE FIVE
D e c e m b e r 2 0 1 5
President and CEO
Message 2
Employee Lifestyles
Committee 2
Big Moves for
Therapies
Department
3
This is Who We Are 4
Welcoming Our
Newest Physicians 5
FHHR Jackets 5
Getting to Know Our
Directors 6
Improvements to
Morning Care in
Assiniboia
8
INSIDE THIS ISSUE:
We’re In! From construction start to grand opening in 921 days.
Page 2 T AK E F IVE
Merry Christmas!
As we come to the close of 2015, it is important to reflect on the many accomplishments and milestones achieved – with thanks to all of our employees, physicians, volunteers, patient and family representatives and our many partners and stakeholders. Together you have touched and impacted the lives of thousands of patients/residents/clients throughout the Health Region.
We continue to advance continuous improvement across all of our programs and services in our Region, with a concerted focus on the care and service provided in our Long Term Care facilities. Thank you to everyone for your participation, innovation and commitment to this important work.
In July 2015, our Home Care Team, Therapies, Outpatient Laboratory, Mental Health, Nurse Practitioners and Physicians moved into Crescent View Clinic at 131-1st Avenue North East. The teams continue to adjust to their new working environment and the increase in demand for services. We appreciate the feedback from our patients and all team members as we make improvements in our efforts to meet the needs of those to whom we provide care and service.
The week of October 18, 2015 saw a very smooth transition from Moose Jaw Union Hospital to the Dr. F.H. Wigmore Regional Hospital, with sincere thanks to all members of our care teams, to our moving team of Lyn Archdekin and her staff, all of our services and hospitals within our Region, and our neighboring health regions of Regina Qu‟Appelle, Sunrise, Sun Country and Cypress Health Regions. November 6 was a very memorable day with the Grand Opening and Naming Ceremony of the Dr. F.H. Wigmore Regional Hospital, attended by Ministers McMorris, Duncan and Ottenbreit, the Wigmore Family and approximately 300 guests. As I said on that day, this new hospital is a great privilege for our region.
“These are exciting times and we have been given the immense privilege to design and build this hospital:
a hospital that enhances collaborative practice;
a hospital that supports continuous improvement, continuous learning and opportunities to support research;
a hospital and a Region where physicians, staff and families will be proud to be a part of; and
a hospital that will serve our communities today and well into the future.”
At this special time of year, I extend my sincere thanks for what you bring to our organization each and every day and for the compassion and excellent care and service you provide in making a difference to those entrusted to our care.
Enjoy this Christmas and Holiday Season with family and friends and Best Wishes to you and your family for 2016!
President & CEO Message
Healthy Living & Fitness Bingo coming in January 2016! Complete your bingo card by making healthy choices every day. Stay tuned for more information!
MJUH Department Photos Each department will receive a framed 8x10 photo in January. An email to Department Heads will be sent out with a link to the staff photos, as well as posted on the intranet.
Employee Lifestyles Committee
Interested in current and upcoming events or programs? Visit the Lifestyles webpage at http://www.fhhr.ca/Lifestyles.htm.
FREE Swim Nights Mondays 7:00 - 9:00PM, December 28, January 11 & 25, February 8 & 22, March 7 & 21
FREE Walking at Yara Centre, Moose Jaw Every Thursday from now until March 31, 2016
The move to new hospital has been an exciting time for all of us. What you may not know is that it has created significant changes for the Therapies department. We have transitioned from a
centralized department into one that is decentralized over multiple sites. We not only had to figure out where equipment and supplies would go, but also where staff would be working and
how our information and patients would flow. Working in our department is not for the faint of heart!
Community Based Team Our community based team consists of two Physical Therapists, two Occupational Therapists, and two Therapy Assistants and has relocated to Crescent View Clinic. This team provides services every morning at Pioneer Lodge for those clients in transition beds and to clients who cannot access services in their own homes throughout the Region. Co-locating with Home Care and Access Centre staff provides us with opportunities for improved communication and collaboration.
Dr. F.H. Wigmore Regional Hospital Inpatient Services Whereas in the old hospital we had one large gym space in our department, in the new hospital we have fully equipped treatment satellites on both Level 2 (pictured right) and Level 3. These spaces were designed during the 3Ps for the new hospital with input from members of the Therapies team. We have Therapies staff assigned to each level and their primary responsibility is to provide services to inpatients.
Regional Outpatient Services Our outpatient service provides occupational and physical therapy services for children with Developmental Delay at the Davies Building and provides occupational therapy for the Autism Spectrum Disorder program.
We have onsite Physical Therapy staff in Assiniboia four days per week, Gravelbourg once per week and Craik and Central Butte once per month.
Dr. F.H. Wigmore Regional Hospital Outpatient Services Services at the hospital are offered where we provide one-on-one assessment and treatment for clients with a variety of conditions, mostly musculoskeletal. We provide occupational therapy support for our cast clinics and are responsible for the shared decision making clinic for candidates for hip and knee joint replacements.
Providence Place The “gym” at Providence Place now houses the Exercise Therapy Rehabilitation Service portion of our outpa-tient program. This space hosts post-operative hip and knee joint replacements group therapy, pulmonary rehabilitation, as well as compression therapy for lymphedema. Additionally, clients receiving physical or occupational therapy needing additional strength and conditioning programs are referred to this site by our own therapists. We are working with Providence Place to develop mechanisms for the integration of their clients into our programming.
As these changes have taken place, we have maintained a central phone number for all services . We are us-ing technology to our advantage by using a shared Electronic Medical Record for documentation and scheduling. We have been able to define our locations on the schedule and that helps to support both patient and provider flow. Community Therapy continues to use Procura and we are looking forward to future opportunities of increased integration by further developing this platform. We established a Community
Therapy email account to allow our inpatient team and others to communicate important information in a timely manner. Each morning we have a multi-site huddle by phone to see what the day is looking like, who might need help, discuss and assign any urgent follow-ups required from hospital discharges, and other pertinent information.
Members of our team have responded to the changes and challenges of the past year with grace and professionalism. We are striving every day to provide the right service at the right time by the right provider in the right location.
Big Moves for Therapies Department
Therapies Team in their new space
at Providence Place.
Page 4 T AK E F IVE
This is Who We Are! This is Who We Are! Nimone Campbell
Public Health Inspector, Public Health
When do you feel most connected to the work you do? Usually the public contacts Public Health Inspectors hoping we will have the answers to their questions or concerns. Being able to provide knowledge to alleviate their concerns, answer their questions or at least pointing them in the right direction if I don’t have the answers, means a lot to me in my line of work. Whether it’s assisting with living conditions, providing information regarding drinking water or food safety, handling complaints, inspecting for compliance or through instructional courses, I feel most connected with the work I do when I am able to assist others with improving their quality of life.
Mary Anne Theede
Nurse Practitioner, Central Butte Regency
When have you felt like the work you do has made a difference? I’ve worked at Central Butte Regency since 2003, starting as an RN and now am the Nurse Practitioner. It is rewarding to watch clients improve their health status while dealing with a chronic disease (diabetes, arthritis, COPD). Having time to talk with clients and discuss alternative solutions to medical problems and complaints (i.e. using massage, physiotherapy, dietary, counseling) rather than treating with medications as a quick fix is a benefit of my position. You can feel good going home at the end of the day.
Dr. Taiwo Yusuf
Obstetrician, Obstetrics/Gynaecology Department Head
What is the most gratifying part of my job? As an obstetrician I feel fulfilled when I see the joy of happiness on the faces of parents and their families after delivery of a well, bouncing baby. I am quite happy to be part of their success story.
Jacquie Straub
Nurse B, Craik Health Centre
What gives you a sense of satisfaction in your work? Coming to work and seeing genuine smiles on the faces of residents and co-workers alike gives me job satisfaction.
Jessica Dempster
Administrative Assistant, Clinical Services, WRH
What is one of the most gratifying parts of your work? One of the most gratifying parts of my job is when staff members come and personally thank me for the hard work that I have done. They let me know how much they appreciate being able to have the time off so they can attend a special event in their child’s life, take a loved one to a doctor’s appointment or book a much needed holiday away with family and friends. The smile on their faces and gratitude that they express keeps me coming back every day.
D e ce m ber 20 15 Page 5
Welcoming Our Newest Physicians
Dr. Modupe Arowolo Family Physician
Craik Health Centre
Dr. Sonya Caruso Family Physician
Kliniek on Main Moose Jaw
Dr. Blair Ogle Orthopaedic Surgeon
Dr. F.H. Wigmore Regional Hospital
Dr. Samar Tabl Anaesthesiologist
Dr. F.H. Wigmore Regional Hospital
Dr. Oluwole Oni Paediatrician Moose Jaw
Dr. Stephanie Mancini Family Physician
Kliniek on Main Moose Jaw
Five Hills welcomes you and your families to the region.
Are you looking for a family physician? A current listing of the region‘s family physicians accepting new
patients is available at www.fhhr.ca and selecting ―Our Physicians.‖ Specialists require a referral from your family
physician or other health care provider(s).
Register to Receive the Newsletter to your Inbox! Please register your name and home email address by emailing [email protected].
FHHR jackets are available for staff, physicians and volunteers. You can choose to have your name and/or facility name embroidered on the jacket for a small cost. Sample jackets are still available to try on at Assiniboia Union Hospital and the Dr. F.H. Wigmore Regional Hospital in the Administration Office.
Full details, including pricing, can be found under announcements on the intranet site. Pay conveniently by payroll deduction! Cash, cheque, VISA and MasterCard are also accepted.
FHHR Jackets
This is your last chance to buy
the heavier style jacket. Selling only stock items
In your role within FHHR, who and what are you responsible for? I am responsible for leading an amazing team of staff including Registered Nurses, Continuing Care Assistants and other supportive staff in providing residential care services to LTC residents of the CDHC and PHC services to members of the Craik and surrounding communities. I am also responsible for managing the Minimum Data Set (MDS) Program Development for the Region.
Tell us how you ended up in your current position – what brought you to Five Hills and how did you end up in a leadership role? My introduction to Continuing Care in Saskatchewan was in Yorkton, where I was Manager of Client Assessment and Staff Scheduling for the Yorkton Home Care, Sunrise Health Region. For family reasons, I needed to move closer to Saskatoon or Regina (or preferably to a town equidistant from Saskatoon and Regina), and the town of Craik offered me that option. In addition to the favourable location of the position, and the philosophy behind the region‘s continuing care services, this position was a continuum from my previous position and it provided me the opportunity to continue in health care management and to use my research/analytical skills at the same time.
What is your biggest fear as a leader? The fear of making a wrong decision that will negatively impact the quality of care provided to residents and clients.
What advice would you give someone considering going into a leadership position for the first time? It is in itself a learning process. You will make mistakes, and occasionally be criticized. It comes with the position and do not be discour-aged by it. Make good use of your front line staff. They are always a good resource and very knowledgeable.
What are three words that describe YOU? Astute, analytical and optimistic.
Which historical figures or celebrities would you invite to a dinner party and why? Martin Luther King, Jr. He paid the price for some of the things I am able to enjoy today.
Page 6 T AK E F IVE
In your role within FHHR, who and what are you responsible for? I am responsible for leading a team of health care providers (nurses, care aides, recreation staff and admin staff) that focus on providing resident centered care to those that live at Pioneers Lodge. We serve 60 residents living in long term care and 14 clients who stay for short periods on the transition unit.
Tell us how you ended up in your current position – what brought you to Five Hills and how did you end up in a leadership role? My family and I moved to Moose Jaw in 2009 from Loon Lake, SK which is in the Prairie North Health Region. I had been the manager of 2 smaller facilities prior to our move. When first in Moose Jaw I worked at Providence Place in leadership for a few years, went to Regina as a nurse manager for a few short months and then returned to Five Hills to work at Pioneers Lodge.
What is your biggest fear as a leader? That devastating harm occurs to a resident in our care or to staff in the workplace.
What advice would you give someone considering going into a leadership position for the first time? Focus on creating genuine trusting relationships with others and always be consistent when making decisions that impact the lives of the staff you supervise.
What are three words that describe YOU? Caring, trustworthy, dedicated
Which historical figures or celebrities would you invite to a dinner party and why? I would most enjoy a small intimate dinner party so a couple of guests would be plenty: Theodor Seuss Geisel – should be amazingly comical conversations and I would love to discuss his world view as evident in ‗The Butter Battle Book‘ and ‗The Sneeches‘. Next Martin Luther King, Jr. to explore his world view.
Getting To Know Cynthia Hanson Director of Care, Pioneers Lodge
Take 5! Favourite Movie: The Boy in the Striped Pyjamas Favourite Book: Gone With the Wind Favourite Sports Team: Not a sports enthusiast Favourite Drink: Earl Grey tea Favourite Food: Rice Pudding
Getting To Know Olajide Obe Director of Continuing & Primary Health Care, Craik Health Centre
Take 5! Favourite Movie: Oleku Favourite Book: “The Meaning of Marriage” by Tim Keller Favourite Sports Team: Manchester United FC Favourite Drink: Daiquiri Favourite Food: Pounded Yam and Egusi Soup
D e ce m ber 20 15 Page 7
In your role within FHHR, who and what are you responsible for? My position is ―Executive Director, Integrated Community Health Programs‖ which covers Mental Health and Addictions and Patient Education.
Tell us how you ended up in your current position – what brought you to Five Hills and how did you end up in a leadership role? I was born and raised in Moose Jaw and had been working in community based organizations with families and children since 1982. I started at FHHR in 1995 when I was hired as Coordinator for the Teen Wellness Centre. After spending 18 months in this development project, I moved into Mental Health and Addictions as a Social Worker. After finishing my Masters program in 2001 I was reclassified as a registered Psychologist. Although I thoroughly enjoyed my career as a front line
worker at MHA, in 2006 Terry Hutchinson gave me the opportunity to step in as interim manager of MHA outpatient services. I was fortunate to have been in the Director of Child and Youth Services and provided with valuable opportunities to learn and implement Lean methodology. MHA was one of the first departments at FHHR to start the Lean journey in December 2006 and over the years I have seen tremendous growth and system improvement. Ultimately the outcome is improved customer experience and this is what keeps me motivated in a leadership position. In 2014 the community health services line expanded and I moved into the Executive Director position.
What advice would you give someone considering going into a leadership position for the first time? Take the first four years to absorb information like a sponge! Be humble and allow yourself to learn from and listen to those who have the lived experience and wisdom—meaning the customers, front line workers, senior leaders and peers. Be patient and kind to yourself as it can take a few years before you really become confident and knowledgeable in your role.
What are three words that describe YOU? Diligent, straight-forward, and responsible. Actually, my favorite description of myself is ―Grandma‖. I was going to say ―tall‖ but no one would believe me. Which historical figures or celebrities would you invite to a dinner party and why? Some might think I would ask Brad Pitt but I would really prefer to have dinner with Mahatma Gandhi. Gandhi was a true leader in that he had a gift to inspire change through quiet demonstration of his values and beliefs.
Getting To Know Mary Lee Booth Executive Director, Integrated Community Health Programs
Take 5! Favourite Movie: Forrest Gump Favourite Book: Hard to pick a favourite. I really enjoyed “A Fine Balance” by Rohinton Mistry and “Life of Pi” by Yann Martel Favourite Sports Team: I don‟t really watch sports but am always interested in how the Saskatchewan Roughriders are doing. Favourite Drink: Diet Coke Favourite Food: Popcorn
In your role within FHHR, who and what are you responsible for? I‘m responsible for the respiratory therapy staff and the ECG staff. We provide inpatient and outpatient services including cardiac stress testing, pulmonary function, oxygen assessments, screening for sleep apnea, ECG, Holter monitor testing, and staff/patient teaching. My team providesexpertise for ventilator, CPAP, and BiPAP treatments, and airway management for procedural sedation, code-blue, transports and high risk delivery.
Tell us how you ended up in your current position – what brought you to Five Hills and how did you end up in a leadership role? I came back to Moose Jaw (my hometown) after working at Royal University Hospital for three years. It was a great opportunity to be close to family at a time when my kids were young. Great move!
What is your biggest fear as a leader? My biggest fear as a leader is forgetting a deadline or meeting and not being prepared.
What advice would you give someone considering going into a leadership position for the first time? When you start a leadership position, you‘ll probably take on way too much and burn yourself out quickly. Don‘t take on everything yourself. I joking tell my staff that ―I can‘t make you all happy…but I‘ll try to make you all equally unhappy.‖ I‘m fortunate to have a great team that supports me in many ways.
What are three words that describe YOU? Gray haired guy!
Which historical figures or celebrities would you invite to a dinner party and why? Tough question – too many choices. It would have to be someone with amazing stories to tell and someone that‘s a great chef (assuming I don‘t have to cook). How about James Cameron and Vij Vikram?!?
Getting To Know Mike Amies Director, Cardiopulmonary Services
Take 5! Favourite Movie: Bladerunner Favourite Book: The Magus Favourite Sports Team: Riders Favourite Drink: lately it‟s AnCnoc Favourite Food: Thai or Indian
Speaking about status quo, the late President of the United States Ronald Reagan quipped “Status quo, you know, is Latin for „the mess we‟re in‟”. It doesn‟t take a whole lot of research to understand that the status quo, in any situation, has never been looked upon fondly. Yet all around us we find all kinds of effort and energy going into protecting the very thing that prevents us from being great - the status quo.
Recently a team of healthcare professionals at Ross Payant Nursing Home (RPNH) in Assiniboia decided to no longer accept the status quo during RPIW (Rapid Process Improvement Workshop) #49. The team‟s focus was on the morning care rounds at RPNH with the overarching goal of having all residents who wanted breakfast that day be up, dressed and into the dining room before 9:30AM.
In preparing for the event week, the RPIW team identified the following inefficiencies in the AM care rounds making it difficult to accomplish this task:
Staff were spending significant time looking for supplies
Staff were walking nearly 6 miles during the course of a 12 hour shift, much of that walking a result of ineffective/inefficient processes
Staff were walking excess steps during various AM care processes and that was taking up valuable time and contributing to long waits for residents
It was identified that there were gaps in communication between RPNH staff and Residents/Families
The purpose of an RPIW is to bring a multi-disciplinary team together in a week of focused, intensive work to trial ideas for improvement in an effort towards eliminating waste (the things that get in our way and make it difficult to get our work done) and improving care. The team included current RPNH Resident Family members, RNs, Continuing Care Aides, Directors and Support Staff who came together to focus on fixing the problems identified in the prep weeks. By the end of their week together the team introduced the following improvements:
CCAs making resident beds as part of their morning care work as they are already there in the room. This eliminated secondary trips to 38 resident rooms, thereby eliminating excess walking time and shortening the overall time staff spent each day on morning care.
Standardized “Rounding Carts” for staff to use for their morning care rounds. Carts are equipped with all of the supplies needed for morning care, ensuring that staff would have what they need, when they need it, and eliminating all of the unnecessary (wasteful) trips out of resident rooms to go and find supplies.
“Bento boxes” within the resident rooms that house in-room supplies so again, supplies are available where they are needed (at point of use) and resident rooms are more organized.
Collaborative efforts between CCAs and Recreational staff resulted in reducing the number of steps and the amount of time CCAs spend walking residents to the dining room. In the improved state, CCAs now walk with residents up to the Nursing Station, at which point a Recreational Staff member comes and walks with the resident the rest of the way to the dining room. This gives CCA staff valuable time back to continue providing morning care to other residents and results in less waiting for residents.
Communication boards added into each resident room with a section for families as well as for other providers.
Flow sheets developed that provide valuable information to families on the day-to-day status of their loved ones. This allows family members to be more involved in the day-to-day care of their loved ones and to see, at a glance, how things are going whenever they visit.
Joan Hagley, RPNH Resident and a RPIW team member, shared that “I like the idea of the flow charts in residents room for family information. I like the bento boxes; it cleans up the resident‟s room.”
Staff at RPNH are also excited about the improvements introduced during the RPIW event week. Janice Cayer, RN at RPNH, believes that “improvements will allow the staff more time to spend directly with the residents. There is opportunity for increased communication with staff, residents and families. The improvement changes allow the staff to have the supplies they need always available.”
Candice Summers, a CCA at RPNH added that the addition of the rounding carts and the bento boxes will achieve a “more efficient and positive outcome, not only for residents but for the providers as well. “
In life we‟re always faced with a series of choices when it comes to making improvements. We can continue to accept the status quo and hope that change happens or we can choose to be proactive and recognize that hope doesn‟t bring about change; it‟s people who choose each day to no longer accept the status quo and instead make a positive difference.
Change is not easy but as this RPIW team experienced, embracing change and showing the courage to pursue something better can lead to great results and a new reality that is less wasteful, more efficient, and safer for our valued residents and staff.
