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St. John's Rehab Hospital. 160 beds in north Toronto (Central LHIN)Founded in 1937 by the Sisterhood of St. John the Divine2,600 inpatients per year (Average length of stay from 1 week to 3 months)Almost 50,000 outpatient visits per yearFuture $35-million, 49,000 sq-ft John C.
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1. Accreditation 2009
The Qmentum Journey
CCHSE February 26, 2009
2. St. John’s Rehab Hospital 160 beds in north Toronto (Central LHIN)
Founded in 1937 by the Sisterhood of St. John the Divine
2,600+ inpatients per year (Average length of stay from 1 week to 3 months)
Almost 50,000 outpatient visits per year
Future $35-million, 49,000 sq-ft John C. & Sally Horsfall Eaton Centre for Ambulatory Care to house all outpatient services
~ 450 full, part-time and casual staff
3. Our role in Ontario’sHealthcare System The only hospital in Ontario dedicated to specialized rehabilitation
Serve patients from throughout GTA and the province
“High-performing hospital” OHA/MOHLTC/CIHI Hospital Report, 2007 and 2008
Individually customized rehab to meet physical, emotional, psychological, work, social and spiritual needs
Rebuild lives so people can thrive in the community and be less dependent on health care
Alleviate acute care pressures and wait times
4. Our Programs We provide specialized rehab care for adults recovering from:
amputations
burn injuries (unique in Ontario)
Cancer (unique in Ontario)
cardiovascular surgery
organ transplants (unique in Canada)
orthopaedic conditions
strokes and neurological conditions
traumatic injuries
complex medical conditions/procedures
5. Our Rehabilitation Team a Hospitalist
a Physiatrist
Registered Nurses and Registered Practical Nurses
a Physiotherapist and Physiotherapy Assistant
an Occupational Therapist and Occupational Therapy Assistant
a Speech Language Pathologist
a Pharmacist
a Social Worker
a Dietitian
a Pastoral Care Visitor
Clinical Nurse Educator
Patient Service Aides
Program Assistant
It takes 13 highly trained professionals to rehabilitate 1 person
We should add “Auxiliary” to the list, because, I know -- whether it’s a coffee delivered on the cart or an encouraging smile -- you are part of the rehab team.It takes 13 highly trained professionals to rehabilitate 1 person
We should add “Auxiliary” to the list, because, I know -- whether it’s a coffee delivered on the cart or an encouraging smile -- you are part of the rehab team.
6. Partnerships Burn, oncology and trauma care
Partner with Sunnybrook on a smooth continuum-of-care, education and research
Organ transplant rehabilitation
Continuum-of-care developed in partnership with Toronto General Hospital
North York General Hospital
Integrated inpatient rehab to improve access and reduce ER wait times
Shared Information Management Systems (SIMS)
Shared technology service to improve care, efficiency and develop e-health records together with 12 other health care organizations We are a part of an already large and growing network We are a part of an already large and growing network
7. Qmentum Timeline & Strategy May – Sep. 2008:
Process Preparation & Education Blitz
Sep. 29 – Oct. 3, 2008:
Qmentum / Patient Safety Expo
Oct. 6 – Nov. 14, 2008:
Self-Assessment Questionnaires/Instruments/Indicators
Nov. 17, 2008:
Quality Performance Roadmap & Flags
Begin to Develop Action Plans
Nov. 2008 – Oct. 2009:
Develop/Implement/Monitor/Refine Action Plans
June 2009:
Submit Evidence of Actions Taken
Oct 18-21, 2009:
On-Site Qmentum Accreditation Survey
We are a part of an already large and growing network We are a part of an already large and growing network
8. Starting the Journey Dedicated Qmentum Project Coordinator
Staff competition for Qmentum theme
“Quality & Beyond”
Banner and newsletter
Steering Committee (all team leads)
Qmentum link on hospital intranet
Contains all educational/promotional materials
Education plan
Learning Needs Assessment
Qmentum Toolkit
Presentations, Fact Sheets and Q-Tips
Computer Lab Training (used student volunteers) We are a part of an already large and growing network We are a part of an already large and growing network
9. Preparing for theSelf-Assessment
Personalized memo to every staff member with links and passwords.
Students were available to support people who needed assistance in the computer lab.
Sign-up sheets in computer lab with times of student availability highlighted.
Option to complete questionnaires manually.
Option to complete questionnaires at home (especially useful for Board members and front-line staff with limited access to computers). We are a part of an already large and growing network We are a part of an already large and growing network
10. Conducting theSelf-Assessment Incentives, Incentives, Incentives
Beverage coupons for cafeteria
Lunch ‘n’ Click / Sup ‘n’ Click sessions
Early bird prizes
Interdepartmental competition
Pizza lunch
Weekly tracking by department/area
Grand prize
We are a part of an already large and growing network We are a part of an already large and growing network
11. Targets and Results Overall Response Rate : 73%
Governance : 100% 100%
Governance Function: 100% 100%
Effective Organization: 100% 89%
Managing Medications: 55% 83%
Worklife Pulse: 75% 74%
Infection Prev. & Control:55% 73%
Patient Safety Culture: 75% 71%
Rehabilitation Services: 55% 61%
We are a part of an already large and growing network We are a part of an already large and growing network
12. Continuing the Journey Quality Performance Roadmap shared with Steering Committee and with broader staff population at Lunch ‘n’ Learn session
Teams currently organizing activities and developing action plans based on flags and priorities
Submitting evidence along the way.
Steering Committee meeting monthly or biweekly as required to maintain momentum
Ramping up education on survey process (tracers, etc.) June – October 2009
13. Key Success Factors Dedicated Qmentum project coordinator
Qmentum toolkit on intranet
Fact sheets and Q-Tips
Access to computer lab and readily available assistance from students and project coordinator
Incentives, Incentives, Incentives
Existing teams (e.g., IPC, P&T, Rehab Teams, Quality of Worklife)