Hospital News 2015 HealthAchieve Supplement

2015

November 2•3•4 2015 Metro Convention CentreToronto, Ontario

HOSPITAL NEWS OCTOBER 2015 www.hospitalnews.com

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OHA Conferences.

You should know.At the OHA, we offer more than 60 conferences and seminars each year – and every one of them covers the content you want and need. You should know: the subject matter is developed by OHA members like you, who take part in our needs assessment survey and participate on our conference planning committees.

The result is highly relevant content, delivered by subject-matter experts – keeping you on the leading edge of health care issues, trends and thinking.

To learn more, or to register now, go to www.oha.com/conferences.

healthachieve.com

Feature Breakfast No Standing Still with Jonny Harris Monday, November 2 at 7:30am

Jonny Harris, is a Gemini-nominated actor and

comedian who has been staff writer for This

Hour has 22 Minutes and is currently writer,

producer and host for CBC’s Still Standing.

@JollyHarris

Official OpeningA Conversation with Martin Short Monday, November 2 at 10:00am

Martin Short, Tony and Emmy-winning

comedian and actor will be sharing stories

from his new book, “I Must Say: Life as a

Humble Comedy Legend”, and talking about

his very personal connection to health care

during his late wife’s battle with cancer.

@MartinShort_

Feature SessionSteering Your Ship Through Rough Waters: Lessons on Leadership from Captain Phillips Tuesday, November 3 at 10:00am

Captain Richard Phillips, the “Hero of the High

Seas” who offered himself as a hostage to

protect his crew from a Somali hijacking, will be

sharing his highly intriguing story and drawing

lessons from his dramatic experiences that were

transformed into an Academy-Award and Golden

Globe nominated film. This amazing leader’s

compelling story will teach the importance of

leadership and teamwork to help organization’s

survive and thrive.

Closing SessionHarnessing Innovation: Turning Raw Ideas Into Powerful Results Wednesday, November 4 at 9:30am

Josh Linkner, a four-time successful tech

entrepreneur and investor in dozens of startups,

has seen thousands of companies loaded with

creative buzz and big ideas. Learn how these

companies harness their imagination to create

game-changing drivers of growth and innovation.

@joshlinkner

Remarkable Keynote SpeakersHealthAchieve is excited to introduce our line-up of keynote speakers for 2015. Be prepared to learn, laugh and be inspired on day one, day two and day three of HealthAchieve!

OCTOBER 2015 HOSPITAL NEWSwww.hospitalnews.com

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1.855.991.8191

A new prescription for chronic disease

RxTelehomecare.ca

Enroll your patients at discharge

More than 50% decrease in ED visits More than 50% decrease in hospital admissions High patient satisfaction

Remote patient monitoring and health coaching for your patients

with COPD and CHF

Telehomecare is a program of the Ontario Telemedicine Network, a non-profit organization supported by the Ontario Ministry of Health and Long-Term Care and Canada Health Infoway.

healthachieve.com

Be Inspired by Brilliance.Register today to hear thought leaders, visionaries, and creative minds share their words of wisdom, compelling ideas, and vision for the future at HealthAchieve.

Larry W. Walker, President of the Walker

Company Healthcare Consulting

Rewiring Governance: Connecting, Cooperating and Collaborating for a Healthier Ontario

Michelle Ray, Leadership Expert and Consultant,

Lead Yourself First Institute

Leading Yourself through Change and Uncertainty

@MichelleRayCSP

Sharone Bar-David, President of Bar-David

Consulting and Author of Trust Your

Canary – Every Leader’s Guide to Taming

Workplace Incivility

“How on Earth Do I Handle that?” – Tackling the Civility Challenge @sharonebardavid

Natalie Panek, Rocket Scientist and

Advocate for Women in Tech

Learning Should Know No Boundaries

@nmpanek

Dr. Emily Hoffman, Vice President of Product and

Development and Client Delivery, VitalSmarts

The New Science of Leading Change – Maximizing the Influencer in You

Robert Ghiz, Former Premier of

Prince Edward Island

Reflections from a Former Premier @RobertGhiz

Dr. Glenn Steele, Former President and

CEO of Geisinger Health

Patient Safety and Quality

John Nosta, Digital Health Philosopher

The Digital Health Revolution! @JohnNosta

Sherron Watkins, Former Vice President of

Enron Corporation and Co-author of Power

Failure: The Inside Story of the Collapse of Enron

Ethical and Leadership Failures at Enron Corporation

Michael Bungay Stanier, Champion for

Great Work and Manager Development Expert

How to Work Less Hard and Have More Impact: The Five Essential Questions to Change the Way You Work Forever @boxofcrayons


2015H4

rom hepatitis C cases linked to procedures in an endoscopy clinic to bacterial meningi-tis cases discovered in a pain

clinic, serious infections can be prevented with the application of a few foundational infection prevention and control (IPAC) practices.

Unfortunately, proper hand hygiene and safe injection practices recommended for over a century have yet to be adopted

universally. Health care providers need to make the connection between normalizing these simple IPAC practices and ensuring positive patient outcomes that avoid trans-mission of preventable infections.

In May 1997, Health Canada pub-lished Infection Control Guidelines for Preventing the Transmission of Blood Borne Pathogens in Health Care and Pub-lic Service Settings, stating, “Single-use (disposable) needles and syringes should be discarded after one use. Changing needles between patients but not chang-

ing syringes is not an acceptable practice.” A 1990 Canadian Journal of Anesthesia article highlighted the risk of “cross-in-fection related to the multiple use of dis-posable syringes,” but results of a survey indicated that almost half of anesthesiolo-gists engaged in the practice.

The good news is there is progress. Since the initial collaboration between Public Health Ontario (PHO) and the College of Physicians and Surgeons of Ontario (CPSO) to create the Infection Prevention and Control for Clinical Offi ce Practice best practice document, there continues to be a keen interest in fi nding ways for clini-cians to improve IPAC practices. Clinicians are engaging in the discussion to jointly make changes that will improve patient safety, while ensuring that these practices can be implemented in a practical manner.

Integrating best practices into routine care and responding to infections appro-priately will decrease the risk of outbreaks, elevate the general level of practice, and protect both the public and health care workers.

The following recommendations address the top fi ve practices that put patients and others at risk for infection in an outpatient clinical setting:

Lancets, insulin pens and glucometers • Lancets must be single use only. • Lancet hubs (hold the lancet) must be

single use only.• Insulin pens must be single-patient use

only.• Blood glucose monitoring devices (glu-

cometers) and other blood-testing devic-es should not be shared between patients.

• If glucometers must be shared, they must be designed for multi-patient use and cleaned and disinfected after each use, as per the manufacturer’s recom-mendations. If the manufacturer does not have specifi c cleaning and disinfec-tion instructions, the device must not be shared.

Blood collection tube holder• Single-use blood collection tube holders

are preferred.• If a blood collection tube holder must be

reused, it must be cleaned and disinfect-ed after each use as per manufacturer’s instructions.

Tonometers • Tonometers and other ophthalmologic

equipment that touches the eye must un-dergo high-level disinfection (for example, glutaraldehyde) between patients. Clean-ing with alcohol is not suffi cient.

Using syringes, needles and vials for intramuscular/intravenous medications and vaccines• All needles must be single-patient use only.• All syringes must be single-patient use only.• Single-use vials are preferred and should

be used only once on a single patient.• When necessary to use a multi-dose vial,

never re-enter the vial with a used nee-dle or used syringe.

• Once a medication is drawn up from a vial, the needle should be immediately withdrawn from the vial and never be left in a vial to be attached to a new syringe.

Maintaining sterilization logs(meticulous cleaning must be done fi rst)• Sterilization logs are required for all of-

fi ce/desktop autoclaves.• Logs must document the time, tempera-

ture, and pressure at the completion of each load.

• An external chemical indicator must be used with each packaged item to indi-cate sterilization.

• An internal chemical indicator must be placed inside each packaged item to be sterilized.

• Daily testing of biological indicators (BI) is required.

• SCOPE disinfection and sterilization logs must include test strip monitoring, concentration and exposure time, and disinfectant temperature for automated endoscope reprocessors (AER).All of these best practices are achievable.

Be sure to reach out to your colleagues, stakeholders, and fellow health care pro-viders to draw on the guidance that is available in PIDAC’s Infection Prevention and Control for Clinical Offi ce Practice. ■H

Dr. Maureen Cividino is an IPAC Phy-sician with Public Health Ontario and a member of the PIDAC Infection Prevention and Control Committee. Dr. Cividino will be speaking about high-risk infection control practices at HealthAchieve in Toronto on No-vember 2, 2015. For more information visit www.healthachieve.com.

By Dr. Maureen Cividino

High-risk IPACoffi ce practices

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top 5The

Decision support Collaboration and connectivity ensure best outcomes for patients and optimal use of time and human resources.

Efficiencies Nursing and pharmacy staff more effectively use their time with patients, rather than doing manual checking, dispensing and ordering medication.

SafetyThe management, tracking and dispensing of medication are more secure and efficient through the use of a single source supplier and barcode technology.

AffordabilitySustainable and self-funding, the model enables the best use of human, financial and technological resources to promote patient safety and cost avoidance.

A single point of accountability McKesson Canada is solely responsible for recording and tracking medications through-out the supply chain.

AccreditationA McKesson-led pharmaceutical supply chain model aligns with Global Standards (GS1), Accreditation Canada’s Standards of Practice (SOP) and Institute of Safe Medication Practices (ISMP) recommendations.

© McKesson Canada Corporation 2015 The McKesson Canada logo is a trade mark of McKesson Canada Corporation

Integrated Pharmaceutical Supply Chain ModelOvercoming the challenges of unsustainable cost and demand in the current health care system requires strategic solutions.

The pharmaceutical supply chain is an area in which efficiencies will improve patient care and reduce costs.

In 2013, McKesson Canada developed an integrated pharmaceutical supply chain model in partnership with the province of New Brunswick. The model is customizable, self-funding and ensures the best use of resources through a committed private/public sector partnership, which brings the following benefits:

Meet us at HealthAchieve 2015: Booth 1606Learn more:www.mckesson.ca/pscs


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Transforming health care through technology solutions

• Patient fl ow and resource planning

• Connectivity to enable care coordination and patient centered care

• Integrated supply chain

• Hospital pharmacy automation

We’re proudto sponsor OHA HealthAchieve 2015

Meet usBooth 1606 for demonstrations of our solutions Monday, November 2Tuesday, November 3 9:00 a.m. to 5:00 p.m.

Feature SessionSteering Your Ship Through Rough Waters: Lessons on Leadership from Captain Phillips Tuesday, November 3 10:00 a.m. to 11:30 a.m. Room 105, 106, 107

Health Links SessionA look at International High Performing Health Care SystemsAchievements; Key Strategies; Extended Learnings from abroad Tuesday, November 3 3:30 p.m. to 5:00 p.m. Room 104 ABC

Follow us

www.mckesson.ca

Together for better health


2015H6

hen we succeed at something, we like to believe it’s because we tried hard, overcame insur-mountable obstacles, and were

victorious in the end. While there is some

truth in that, the fact is that we are driven by sources of behaviour around us, not entirely by our own choices or will. Your world is perfectly created to drive your current behaviour, so in many ways success

and failure are more about circumstance and environment than choice.

Knowing this is important when it comes to leading change. The lens through which we see the world may be impacting our behaviour, so if an organization wants to create widespread, sus-tainable change, it needs to understand why its people are behaving the way they are in order to change the influences of that behaviour.

There are six sources of infl uence that impact be-haviour:• Personal motivation:

whether or not we want to do something

• Personal ability: whether or not we are capable of doing something

• Social motivation: praise and criticism from peers

• Social ability: the availability of help and information from others

• Structural motivation: compensation, perks and other incentives

• Structural ability: tools and physical re-sources This simple but powerful model is the

basis for changing behaviour, and can be used in both professional and personal set-tings. It allows you to clearly map out and defi ne current infl uences so you can better understand who and what is impacting the behaviour you’d like to change.

Sustainable change happens when you can harness four or more of the six sources of infl uence to drive new behaviour. Doing so can make the seemingly impossible hap-pen. We studied several change agents who attacked persistent, resistant and profound problems, and were able to make change happen by understanding the motivating factors behind the old behaviour.

Consider Donald R. Hopkins, former director of all health programs at The

Carter Center in Atlanta, GA. He de-cided he wanted to eradicate Guinea-worm disease, a painful and incurable condition caused by the parasitic Guinea worm. Endemic in 20 countries in Sub-Saharan Africa and the Middle East, it is

caused by drinking par-asite-infested water and soaking affected limbs in that same water to ease the pain of the disease, thus starting the cycle all over again.

Knowing there is no cure, Hopkins under-stood that the only way to eradicate the disease was to change the behaviour of the people affected by it by teaching them not to drink or soak in parasite-infested water. Under-standing the infl uences

behind their behaviour was all he needed to lead change and make an astounding difference in the lives of those living in areas where Guinea-worm disease was once so prevalent. The disease is down to fewer than 600 cases worldwide from 3.5 million in 1986 when Dr. Hopkins began leading the drive to eradicate it.

Creating and managing sustainable change seems to be a constant struggle for organizations, but achieving hard-hitting business results in the areas of productivity, change management and leadership effectiveness is possible. Knowledge is power, as the old say-ing goes, and knowing why behaviours persist gives you the power to change them. ■H

Dr. Emily Hoffman, Vice President, Product Development and Client Delivery, VitalSmarts, will be speaking about the new science of leading change and maximizing your inner influencer on November 3 at HealthAchieve in Toronto. Learn more at www.healthachieve.com

By Dr. Emily Hoffman

The new science of leading change

Dr. Emily Hoffman.

W

Today, we can leverage synergies that will help transform the surgical experience, drive better patient outcomes, and enhance economic value.

From the world’s leader in medical technology comes Medtronic Surgical Synergy™—a synthesis of surgical, procedural, and therapeutic innovations from our Spine, Neuromodulation, and Surgical Technologies businesses. With the depth and breadth of our expertise and technologies, we

support your goals of:

• Advancing patient care.• Performing faster, more precise procedures.• Reducing patient complications and improving

clinical outcomes.• Achieving better economic value.• Enabling more minimally invasive and complex

procedures.

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THE POWER OF INTEGRATION

YOUR PASSION TO DELIVER THE BEST PATIENT CARE.

OUR BREAKTHROUGH RESTORATIVE THERAPIES AND INNOVATIVE TECHNOLOGIES

TRANSFORMING THE OR, TOGETHER


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Together, we will collaborate with

health systems and providers to

help improve healthcare—to get the

right treatment, to the right patient,

at the right time in more places

around the world.

INNOVATING WITHPATIENTS ANDPROVIDERSIN MIND


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FRIENDS AND COLLEAGUESIPAC Canada is a multidisciplinary professional association of those engaged in the prevention and control of infections in all healthcare settings.

IPAC Canada represents its members in the pursuit of patient and staff safety and in the promotion of best infection prevention and control practices. We work regularly with other professional associations and regulatory bodies to develop guidelines.

Our members come from across the continuum of care. Visit our website www.ipac-canada.org to see the many benefits and resources that are available to members.

INFECTION PREVENTION AND CONTROL CANADA (IPAC CANADA)

Online learning that’s bottom line friendly.

Train your staff with ease – and within budget – by taking advantage of the wide variety of health-based online learning options off ered by the Ontario Hospital Association.

Training Modules. Our online modules cover a multitude of topics, including Accessible Customer Service Standards, Freedom of Information, Hand Hygiene and Personal Protective Equipment – to name but a few.

Flexible pricing options are available. To learn more about this state-of-theart learning experience, contact Candace Simas at [email protected]

Harvard ManageMentor From the legendary Harvard Business School comes Harvard ManageMentor (HMM): an online resource, with over 44 modules, that gives your employees the tools and resources they need to address everyday management challenges — with a click of a mouse.

To learn more, go (where else?) online: to www.oha.com/trainyourstaff

Save 45% when you get 50 licenses

for 50 users!

healthachieve.com

Must-See Attraction on Exhibit Floor: Intelligent Hospital Pavilion™

The Intelligent Health Association, in partnership with the

Ontario Hospital Association, is excited to introduce the

latest attraction to HealthAchieve’s award-winning exhibit

floor – the Intelligent Hospital Pavilion™.

This technology-equipped, destination pavilion is a must-see

attraction for delegates that will help raise awareness and

education the health care industry on the many applications

of technology and innovation within a clinical setting.

Delegates will get guided tours and live demonstrations of

how a number of technologies, when integrated together

in real-time, can result in improved patient care and patient

safety, while helping the hospital produce better operating

efficiencies.

Don’t miss your opportunity to experience the first-ever

technology destination on the exhibit floor and learn how

these new technologies can be applied within your own health

care setting!

INTELLIGENTHEALTH ASSOCIATION

Healthier Living Through Technology TM


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common theme in healthcare today is how to deal with grow-ing chronic illness in an aging population, because the exist-

ing paradigm of care is straining to keep up with the demand. For the most part, we’re currently only set up to deal with acute ex-acerbations of chronic illness, not its daily management – that’s left to the patient and their family caregivers.

More can be done by the patient, but so far we’ve done a pretty poor job of mak-ing that happen. If we truly believe in the notion of ‘patient-centered care’, there’s no better way to demonstrate this than by respecting a patient’s right to have ac-cess to their personal health information. This allows for the establishment of a new patient-provider relationship that’s based on mutual respect, and founded on the

principle that patients have an immense capacity for self care.

With this largely untapped capacity, it can be transformational to give them the tools needed to take a more active role of their own care and disease management.

Consider home hemodialysis. The pro-cess involves setting up a dialysis machine in the patient’s home so they can dialyze during the night. In essence, this requires the patient to become their own nurse as they self-cannulate and monitor the pro-cess from start to fi nish. The benefi ts are impressive. Rather than giving up three days a week to travel back and forth to a hospital for up to four hours of hemo-dialysis at a time, the patient sleeps dur-ing treatment in the comfort of their own home. That means the potential for 50+ hours of dialysis per week instead of just 12 – and the ability to reclaim a much more normal lifestyle.

It’s simply about giving patients an op-tion and a chance, and if it can be done for something as serious as kidney failure, it can certainly be done for less serious chronic illnesses like diabetes, hyperten-sion, asthma and even heart failure.

Giving patients with chronic illnesses more information and the tools they need to manage and monitor their own care eas-es the burden on the health care system, lowers cost, and improves patient outcome

– all of which is evidence based, and not hypothetical.

The key is convincing health care pro-fessionals to let go of control to a certain extent, and think of the doctor-patient re-lationship as more of a collaborative one. Boomers, the generation that developed and popularized the BlackBerry, are used to technology and are confi dent about accessing information. They have an ex-pectation that they’ll have access to their

health information the same way they do any other part of their personal lives.

It’s time to give it to them. ■HDr. Cafazzo, a biomedical engineer who

works on ways to keep people out of hospital by creating technologies that allow for self-care at home, will be speaking about why the eHealth Consumer is the critical ingredient in a high-performing health system on Novem-ber 3 at HealthAchieve North. Learn more at http://www.healthachieve.com/north

By Dr. Joseph Cafazzo

Frontline innovation Patient health care and the future of health care delivery

A

Giving patients with chronic illnesses more information and the tools they need to manage and monitor their own care eases the burden on the health care system. Dr. Joseph Cafazzo

2015Special Supplement


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The HealthAchieve Experience

Intelligent Hospital Pavilion™ HealthAchieve, in partnership with the Intelligent

Health Association, is excited to introduce the

first ever Intelligent Hospital Pavilion™ (IHP)

to this year’s exhibit floor. This technology

equipped, destination pavilion will feature an

Emergency Room and a Patient Room that will

showcase the latest wireless technologies being

utilized in today’s hospitals. Guided tours, live

demonstrations and partner kiosks make this a

‘must visit’ destination on the show floor.

Education Matters Stop by the OHA exhibit at the top of

the escalators to learn about the new

12,000 sq. ft. state-of-the-art OHA Education

Centre, located in downtown Toronto. Visit

oha.com/educationmatters to enter the OHA’s

Education Matters Sweepstakes for your chance

to win a $2,000 OHA Education Scholarship

and a MacBook!

MEDi the Robot This year, we are partnering with RxRobots Inc.

to introduce a child-friendly humanoid robot

named MEDi, shown to reduce children’s pain

by 50% during medical procedures. At this

year’s HealthAchieve, ambassadors, MEDi and

his friends will educate, entertain and inspire

HealthAchieve attendees.

If you’re planning to attend HealthAchieve this year, make sure you

schedule ample time to visit the award-winning exhibit floor – featuring

close to 300 exhibitors and special attractions – the HealthAchieve

experience just isn’t complete without a visit to the exhibit hall.

healthscapejobs This designated career development space will

feature three ‘Ask the Expert’ kiosks who will

provide one-on-one expert consultations on

career coaching, work-life balance and workplace

mental health. Visitors will get a chance to

navigate the healthscapejobs.ca career portal to

search for their dream job in health care and have

their make-up done and get a professional photo

taken for LinkedIn!

Hunt

#HealthHuntWe’re happy to announce that we’re bringing back

the popular online scavenger hunt #HealthHunt!

Participants must complete 5 tasks on Twitter for

a chance to win an iPad stand padfolio!

PassportYour Passport to Innovation, Discovery and Prizes

HealthAchieve November 2-4, 2015

Metro Toronto Convention Centre

healthachieve.com

Passport Lucky DrawHealthAchieve Show Management is once

again conducting the Passport Lucky Draw

on the exhibit floor. Delegates are encouraged

to visit participating exhibitors to win incredible

prizes all worth more than $500 donated by

participating exhibitors.



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Green Pavilion

Green Pavilion is a dedicated area of the

exhibit floor where organizations providing

environmentally friendly products and services

gather together to showcase innovative ways to

help facilities save energy, reduce pollution and

make healthier, greener choices.

Book Store and Book Signing

Several HealthAchieve keynote speakers’ books

will be available for purchase at the book store

located on the exhibit floor. We will be offering

special onsite pricing for books so come prepared

to take advantage of the special offers and get

your booked signed by some of the authors!

Complimentary Products and Services

Delegates can look forward to the following

complimentary services:

• Medical Cosmetics and Nutritionist Consultations

• Ask the Expert: Work/Life Balance, Mental Health and Career Coaching

• Mobile devise charging stations

• Flu Shot Clinic

• Hybrid Car Driving Test

• Professional make-up touch-ups

• Professional photo for your Linkedin profile

• Seated massage

• BMI assessment

• Water and caffeine intake assessment

The Award-Winning Exhibit FloorHundreds of exhibitors, showcasing the latest and greatest products and services extend a warm welcome to you – inviting you to visit their exhibit spaces for a chance to not only learn about the latest innovations in health care but also win some great prizes!

#healthachieve

Hybrid Car Driving Test

Take a spin in one of Plug ‘N Drive’s hybrid cars!

One of the best ways to experience the smooth,

quiet, powerful performance of an electric vehicle

is to drive it for yourself. Schedule a driving test

and speak to one of the product specialists at the

Plug ‘N Drive booth.

New Product Showcase

From one end of the show floor to the other,

you’ll be amazed at the cutting-edge innovations

in health care featured in the New Product

Showcase spanning across the exhibit floor.



2015H12

hen it comes to workplace in-civility, we’re all sinners. We’re each fallible and we all come with our own blind spots.

But workplace incivility is far from harmless, particularly in a hospital set-ting. Incivility often elicits our “Velcro response,” causing us to worry and obsess about the interaction in a way that wastes precious mental energy and distracts us from performing at our best. It can lead us to engage in getting even tactics, and it compromises teamwork, causing cowork-ers to become less inclined to work effec-tively together.

In fact, the impact of being less than civil can actually be deadly. According to researcher Christine Porath, a large per-centage of mistakes made by hospital per-sonnel are due to the effects of incivility. It’s a glaring problem in terms of patient care, and its effect on service is palpable.

A patient’s recovery is infl uenced by the quality of care he or she receives. Bad feel-ings and grumpy moods caused by instanc-es of workplace incivility inevitably impact the quality of service. Whether you admit

it to yourself or not, being uncivil or being preoccupied by an unpleasant interaction you just had with a coworker changes both your demeanor and performance.

But here’s the good news: incivility can be tamed, and it begins with practical choices that you can make today and ev-eryday. Here are fi ve things that you can do to step up and create the workplace that you want to have, and that patients and their families expect and deserve:

1. Adopt the rule, “If it can’t be on our banner we’ve got to change the manner.” Think about the way you and your cowork-ers treat each other. Ask yourself if you’d feel comfortable if the behaviour in ques-tion were displayed on video screens above all entrances to the hospital. If the answer is no, initiate change.

2. Take an honest look at yourself. You are the part of the equation that you can control, so commit to being your best self. If you’re a physician, don’t take advantage

of your inherent power. If you’re a nurse, researcher, technician or allied profes-sional, don’t assume that the high-pressure environment in which you’re working jus-tifi es a lack of cordiality.

3. Be the change you want to see. Prac-tice what you preach. Strive to be more Tefl on-like and give people the benefi t of the doubt, for your sake and for the sake of your patients, coworkers and team mem-bers. Modeling is particularly important for those in leadership positions because it’s your responsibility to create a psychologi-cally safe environment that paves the way for superior patient care.

4. Deal with issues constructively. Rather than resorting to dismissive com-ments, rolling your eyes or venting behind someone’s back, respond in an emotionally mature, constructive and professional way.

5. Trust your inner canary. Like canar-ies once used in coalmines to alert miners when the air became poisoned, trust your

inner canary to let you know when the line between what is respectful and what isn’t has been crossed. When you feel that inner sense of discomfort, step up and do some-thing to respond and stop the incivility in its tracks.

Hospitals are intense workplaces. The hours are long, the stakes are high, and the interdependence between professionals is ever present. It’s only human to let civility slip and forget that patients are affected, and that the person working right beside you might experience distress as a result of your fl eeting lapse. The important thing is to continue making a conscious effort to make civility a priority in every interac-tion, even if you do falter every now and then. By doing so you’re committing to making yourself and your workplace better. It’s worth the effort. ■H

Sharone Bar-David, LLB, MSW, Canada’s leading expert on workplace incivility, president of Bar-David Consulting and author of Trust Your Canary: Every Leader’s Guide to Taming Workplace Incivility, will be offering her audi-ence key strategies for maintaining civil work environments that result in exemplary care on November 3 at HealthAchieve in Toronto. Learn more at http://www.healthachieve.com/

By Sharone Bar-David

top 5ways to tame workplace incivility

The

Bad feelings and grumpy moods caused by instances of workplace incivility inevitably impact the quality of service.W


Emergency Management for Health Care Certificate

Focused specifically on emergency planning and preparedness for hospitals and health care institutions, the Ontario Hospital Association’s new Emergency Management for Health Care Certificate is an emergency management credential recognized in health care settings in both Ontario and beyond.

www.oha.com/EmergencyManagement

Healthcare planning and design standards are set by Parkin Architects Limited through robust practical experience, independent research and active participation in provincial and national associations. Parkin is an EDAC Advocate firm, qualified in Lean consultation. An award-winning leader in institutional planning and design, Parkin serves Canadian and international clients, including some of the foremost institutions in Canada, many having relied upon Parkin people for over 20 years.

We play significant roles in strategic and operational planning with many clients and our clinical planning and design influence can be found in hundreds of projects, ranging from individual hospital departments to some of the largest institutions in eight of Canada’s provinces, and Nunavut. Long-term hospital clients incluwwde:

CANADA’S HEALTHCARE LEADER

• Children’s Hospital of Eastern Ontario• Grand River Hospital, Kitchener• Hamilton Health Sciences Corporation• Hotel Dieu-Grace Hospital, Windsor• Orillia Soldiers’ Memorial Hospital• Queensway Carleton Hospital, Nepean

• Ross Memorial Hospital, Lindsay• St. Mary’s Hospital, Kitchener• SickKids Hospital• Southlake Regional Health Centre • Timmins and District Hospital• Trillium Health Centre, Mississauga

• Acciona• Bilfinger, Berger BOT Inc.• Bouygues• Carillion

• Dragados • Laing O’Rourke • EllisDon Corporation • OHL Group

• Pomerleau Inc• PCL Construction Inc • SNC-Lavalin Inc• Stuart Olson

• Brampton Civic Hospital• New Oakville Hospital• Restigouche Health Centre, NB• St. Joseph’s Healthcare. London • St. Joseph’s Healthcare, St. Thomas• Providence Care Hospital, Kingston

• Surrey Memorial Hospital, BC• The Royal Ottawa Hospital • University of Montreal Hospital

Research Centre• Woodstock General Hospital• Royal Victoria Hospital Barrie,

(contract admin)

In the early 2000s, Parkin led the design for Canada’s first hospital P3 projects - Brampton Civic Hospital and the Royal Ottawa Hospital. Since then, Parkin has competed in the RFP stages on dozens of P3/AFP projects, in consortia that include:

In addition to its traditionally-procured projects, Parkin’s $4 billion-plus P3/AFP projects, built or under construction include:

Parkin is one of the few remaining independent Canadian healthcare architectural practices; it is wholly employee owned, so its owners personally invest in every project, providing a hands-on approach and customized design experience.


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healthachieve.com

Awards at HealthAchieveHealthAchieve is proud to offer a number of awards that are presented at our annual convention and exhibition. The awards celebrate innovation and excellence in many diverse areas.

Green Health Care AwardsMonday, November 2 at 12:45pm Exhibit Floor

Recognize leadership and excellence in

Green Health Care and award recognition

in the categories of Energy Efficiency,

Water Conservation and Protection, Waste

Management, Individual Leadership and

Green Hospital of the Year.

Award in Leading Governance ExcellenceMonday, November 2 at 3:30pm Governance Session

Designed to acknowledge hospital and/or

health care boards that demonstrate best

practices in governance.

Margret Comack Award of Excellence in Nursing LeadershipTuesday, November 3 at 3:30pm Nursing Leadership Session

Designed to acknowledge the outstanding

leadership of an individual nurse in a senior

leadership position.

Quality Healthcare Workplace AwardsTuesday, November 3 at 8:00am Human Resources Session

Recognizes organizational efforts to improve

health care workplaces in ways that contribute

to providers’ quality of work life and the

quality of the care and services they deliver.


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n organization that’s inter-ested in the productivity of its workforce should absolutely be concerned about psychologi-

cal health and safety in the workplace. A healthy workforce provides the right en-vironment in which to grow a strong and profi table business, or, as in the case of a hospital, an organization known for the su-perior quality of its patient care.

According to a study done by Morneau Shepell, employees who rated their work-place more favourably in the areas of men-tal health and safety said that they felt less personal stress and more engaged at work. They also indicated that their workplaces had less absence, less presenteeism and higher engagement, all of which are im-portant to the health care sector.

A psychologically healthy work envi-ronment isn’t just a “wish list” item that it would be nice to have because it makes people feel good. In fact, It’s a must have. There are defi nite risks associated with al-lowing an unhealthy work environment to persist because it promotes maladaptive behaviour that’s detrimental to peers and patients alike. Confl icts with coworkers may erupt more frequently, productivity is impacted, the quality of service and care may decline, and those with preexisting mental health issues may fi nd that the en-vironmental stress exacerbates their symp-toms. Taken to the extreme, it can foster instances of violence and harassment.

Sowing the seeds of change starts with strong leadership and training. On a foun-dational level, the corporate culture must

be made very clear in terms of the kind of behaviour that’s expected from employees, particularly where stigma is concerned. Thorough and effective training allows leaders to model appropriate behaviour, recognize problems within their teams, reduce or eliminate personal bias where mental health issues are concerned, and understand how to support and promote a safe and healthy work environment.

Due to the nature of the work that goes on in a hospital, it can be an incred-ibly intense and demanding environment, both physically and mentally. Inoculation training, a stress-management technique used to enhance performance under stress, can be particularly effective for those who work in a hospital setting. It’s often used by EMTs and other fi rst responders who need to fi nd ways to manage their anxiety and responses to a crisis situation, both dur-ing and after the event. It allows them to develop healthy, adaptive behaviors that make them better able to cope with work-related stress.

Peer support can also be an important resource, but only if it’s done well. A co-

worker who struggles with a similar mental health issue can be a great source of sup-port to a peer in crisis, and having some-one available for a debriefi ng after deal-ing with a diffi cult work-related situation can be invaluable. However, it’s critical to ensure that this kind of support system is well monitored so that those who are be-ing called upon to provide support aren’t stretched too thin themselves.

Ultimately all employers want their staff to feel safe and cared for. If you feel you need additional mental health support, look into the services provided by your

Employee Assistance Program or approach Human Resources to fi nd out what can be done to change the way you are feeling about your work environment and the way it’s affecting your mental health. ■H

Paula Allen is Vice President of Research and Integrative Solutions for Morneau Shepell, a provider of consulting and outsourcing ser-vices. A workplace mental health expect from Morneau Shepell will be providing one-on-one expert consultations at one of three “Ask the Expert” kiosks on the exhibit fl oor this Novem-ber at HealthAchieve in Toronto. For more in-formation visit www.healthachieve.com

By Paula Allen

Make a mentally healthy workplace a priority

...employees who rated their workplace more favourably in the areas of mental health and safety said that they felt less personal stress and more engaged at work...

A

Decrease Cost. Increase Efficiency.The Ontario Hospital Association in partnership with the Leading Edge Group now offer a suite of online and in-class lean education and training programs to help you and your organization decrease cost while increasing efficiency, quality and safety.

Programs include: Lean Yellow, Green and Black Belt, Six Sigma and Value Stream Mapping.

Get started today at www.oha.com/Lean

Continuing to meet the health system needs

define your course M I C H E N E R . C A / C E

This is a pivotal time in the evolution of health care delivery. We are seeing more chronic illnesses, like respiratory problems and diabetes, accounting for more than half of all direct health care spending. As the general population ages, we need to rethink the way we deliver health care.

As the education solution provider for Ontario’s health care system for 60 years, The Michener Institute has dug deeply into these and other challenges to identify how to add the most value to the Ontario health care system. While health care providers and decision-makers work to adapt to these changes, Michener is designing curriculum to ensure that current and future health professionals are equipped to lead in their field of practice and in health system improvements.

Continuing Education programs at Michener are meeting this need for health professionals who want to develop the skills required in today’s health care environment.

For example:•

•

•

Visit Michener’s booth #10 at HealthAchieve 2015 in Toronto and Michener.ca/ce to see how we can prepare you for the future of Ontario’s health system.

To better prepare health care professionals to work with the rapidly-growing senior population, we recently introduced the ‘Working with Seniors’ primer with Baycrest Health Sciences. This program gives health professionals the foundational knowledge to meet the unique needs of our aging population. We expanded our Diabetes Educator and Specialty programs and are reintroducing our Asthma and COPD Educator Certificate to address these high-priority chronic illnesses. Quality improvement runs through all of our management programs to support this crucial mandate in every corner of Ontario’s health system.


2015 H15

M I C H E N E R . C A / C E416.596.3117 OR [email protected]

The Michener Institute222 St. Patrick StreetToronto, ON, M5T 1V4Visit michener.ca/ce-brochure to

view the full course brochure

Diabetes specialty programs

Management & Leadership Certif icates

facebook.com/ TheMichenerInstitute

youtube.com/ TheMichenerInstitute

twitter.com/ MichenerInst

Seniors curriculum

M I C H E N E R . C A / C E

We’re proud to sponsor HealthAchieve 2015Meet us at booth #10!

CE

Chronic illness

Quality improvement

Supporting Ontario’s health system

Aging population

C O N T I N U I N G E D U C A T I O N A T T H E M I C H E N E R I N S T I T U T E


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OHA Broadcasts.Making Education Accessible for You!

With the aid of modern communications technology, the OHA can easily connect with its members across the province and other health care professionals globally via webcasts and videoconference. With more than 60 broadcasts per year on a variety of health-related topics – plus access to past broadcasts that are just a click away – it’s more convenient than ever to keep up-to-date on the latest health care issues and trends.

For information on our upcoming broadcasts,

visit www.oha.com/webcasts.

that improve productivity and promote quality care. While often not directly related to patient care, these critical investments support leading practices that drive quality and cost-effective care.

Your Employees are the Key.Your staff represents more than 60% of your total costs1. And studies show that an engaged and empowered staff has a positive, measurable impact on the quality of care your patients receive.Patient Services, Finance, and HR are affected by this reality in different ways, yet are linked across the organization. This makes a compelling case for time management processes, tools, technologies, and insights

Hospitals that have invested in comprehensive workforce management

• Increased transparency, compliance, and employee satisfaction – thanks to centralized, automated scheduling and self-service tools that empower employees

• Reduced payroll errors and payroll processing time – thanks to automated, accurate timekeeping

• Improved attendance policy compliance and measurable savings – thanks to real-time, actionable attendance reporting

Learn more about how Kronos can help you unlock the value of comprehensive workforce management in your organization.

Your Key To Success.

1 National Health Expenditure Trends, 1975 to 2014, October 2014, p. 47, Canadian Institute for Health Information

Visit the Kronos booth at HealthAchieve 2015.Not going to HealthAchieve? We’ll come to you. Visit Kronos.ca or call 1 800 225 1561 to request an appointment with an account executive and receive your complimentary information package, complete with examples of measurable results achieved by some of your peers.

healthachieve.com

It’s Time to Get Social#HealthAchieve is once again getting social, and you should too because we’re giving away tons of great prizes for our social media friends!

Here are the many ways you can participate:

#HealthHuntTake part in the online scavenger hunt on

the exhibit floor. Complete 5 tasks on Twitter

for a chance to win! All tweets must include

#HealthHunt and #healthachieve to qualify.

Most Notable TweetWe’ll be watching for the best tweet live from

our keynote sessions! Use #healthachieve

to share your thoughts, insights and key

takeaways. The winner will be announced on

Twitter with details on where and when they

can pick up their prize. #healthachieve

Instagram Photo of the Day Share your #healthachieve experience

on Instragam for a chance to win and be

featured in our daily recap email on the

Monday and Tuesday!

Watch Your Posts Live on ScreenCheck out your tweets and Instagram pics on

the large social media screen in booth #1118.


2015 H17

WORKFORCE MANAGEMENT OPTIMIZED

110 Matheson Blvd West, Suite 320 | Mississauga, ON L5R 4G7Tel: 905 568 0101 | Fax: 905 568 8510

www.kronos.ca

EFFICIENT OPERATIONS

Actionable reporting boosts productivity,

creates savings

ENGAGED EMPLOYEES

Transparency and self-service tools

empower employees

INSPIRED CARE

Engaged employees create more positive

patient outcomes

TIME & ATTENDANCE SCHEDULING ABSENCE

MANAGEMENT HR & PAYROLL HIRING LABOUR ANALYTICS

NEW!Automated shift relief call-out by

SEE US AT: BOOTH1005

HealthAchieve and COACH – the voice of health informatics in Canada – are once again partnering to deliver eHealthAchieve, a stronger than ever eHealth Forum.

Be sure to participate in the following sessions on November 2 and 3:

eHEALTHACHIEVE

Digital Health: Taking Health Care to the Next Level

MONDAY, NOVEMBER 2

The Digital Health Revolution!eHealthAchieve Keynote: John Nosta3:30pm – 5:00pm

Visit healthachieve.com for more information.

TUESDAY, NOVEMBER 3

Enabling eHealtheHealthAchieve: Early Riser7:30am – 8:30am

CHIEF - Canada’s Health Informatics Executive Forum Working GroupseHealthAchieve: Morning Session8:45am – 10:00am

eHealth 2.0 StrategyeHealthAchieve: Afternoon Session1:00pm – 2:30pm


2015H18

90 That’s how many years we’ve been keeping health care professionals on the leading edge of learning. Our commitment to your career development is unparalleled.

230+That’s how many educational opportunities we offer every year. Delivered by subject-matter experts, continually updated and attended by more than 55,000 health care professionals annually, our programs cover the content you want and need at every stage of your career.

Lots That’s how many opportunities that fit what you’re looking for. Register now for one or more of these, coming soon:

OHA Education. You Can Count On Us!

We’ve always got something just right for you. For our complete list of programs, go to www.oha.com/education.

Oct 19 Leading Practices in Health Care Recruitment: Interview Simulation Circuit

Oct 20 Launch of HSFR Forecasting Tool

Nov 25 Risk in Obstetrics Care

Dec 3 De-Mystifying Cyber Risk: Protecting Your Privacy and Reputation

Dec 3 Canadian Triage Acuity Scale (CTAS)

Mar 31 Experience Based Design: Integrating the Patient Voice

Hospital News APPNow Available

Reporting on best practices in Canada, including new equipment and technology and the people that make a difference.Celebrating Over 25 Years!

INSIDESafe Medication .................................12

From the CEO’s desk .........................13

Evidence Matters ...............................14

Legal Update ...................................... 17

Nursing Pulse .....................................23

FOCUS IN THIS ISSUEPAEDIATRICS/AMBULATORY CARE/NEUROLOGY/HOSPITAL-BASED SOCIAL WORK:

AUGUST 2015 | VOLUME 28 ISSUE 9 | www.hospitalnews.com

Canada's Health Care Newspaper

Why Canada needs to do more

Lymedisease

Paediatric programs and developments in the treatment of paediatric disorders. Specialized programs offered on an outpatient basis. Developments in the treatment of neurodegenerative disorders, traumatic brain injury. Social work programs helping patients and families address the impact of illness.

INSI

DE CAPHCSUPPLEMENTSee page C1

By Sarah Quadri Magnotta

Unravellingthe mystery of

See page 7

NEW!

Come visit us at booth 1409


2015 H19


2015H20

Education Matters SweepstakesEnter for a chance to win an OHA Education Scholarship valued at $2,000.

Share the sweepstakes on Twitter to be entered into our Extra Credit draw and be eligible for a chance to win a MacBook.

For details visit oha.com/educationmatters.

MAKING ROOMFOR EDUCATIONIntroducing our new 12,000-Square-FootOHA Education Centre

Take a virtual tour at oha.com/educationmatters.

The health care system is rapidly changing.

Learn to change right along with it.

With a wide range of in-class and online learning opportunities available, the Ontario Hospital Association’s (OHA) certificate programs offer the tools health care professionals need to respond more effectively and immediately to the challenges facing a rapidly changing health care system.

Visit www.oha.com/courses for a look at our roster of upcoming programs

Please contact Denise Hodgson

Connect with delegates on the tradeshow floor

INSIDE

Safe Medication .................................12

From the CEO’s desk .........................13

Evidence Matters ...............................14

Legal Update ...................................... 17

Nursing Pulse .....................................23

FOCUS IN THIS ISSUE

PAEDIATRICS/AMBULATORY CARE/

NEUROLOGY/HOSPITAL-BASED

SOCIAL WORK:

AUGUST 2015 | VOLUME 28 ISSUE 9 | www.hospitalnews.comCanada's Health Care Newspaper

Why Canada needs to do more

Lymedisease

Paediatric programs and developments in the treatment

of paediatric disorders. Specialized programs offered on

an outpatient basis. Developments in the treatment of

neurodegenerative disorders, traumatic brain injury.

Social work programs helping patients and families

address the impact of illness.

INSI

DE CAPHCSUPPLEMENTSee page C1

By Sarah Quadri Magnotta

Unravellingthe mystery of

See page 7

Call Today!

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Hospital News 2015 HealthAchieve Supplement

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