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Clinical Restructuring Plan December 2, 2004

Clinical Restructuring Plan December 2, 2004. Overview. Provide update on 2005 Restructuring Plans Current activity Practical learnings Identify next steps. What’s New. Tender Packages Awarded UC2 – closed, within budget and timelines VC2 – closed, within budget and timeline

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Clinical Restructuring Plan December 2, 2004

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  1. Clinical Restructuring Plan December 2, 2004 Clinical Restructuring Plan

  2. Overview • Provide update on 2005 Restructuring Plans • Current activity • Practical learnings • Identify next steps Clinical Restructuring Plan

  3. What’s New • Tender Packages Awarded • UC2 – closed, within budget and timelines • VC2 – closed, within budget and timeline • Some items from UC2/VC2 still to go to tender • In-Patient Mental Health • Space Clinical Restructuring Plan

  4. 75 days left! Clinical Restructuring Plan

  5. Today: 228 beds • April 05: 189 beds • May 05: 177 beds • Sept 05: 140 beds The redeveloped St. Joseph's Hospital … a city-wide centre for ambulatory care & day surgery centre, including: Urgent Care Centre Diabetes Program HIV Program Ivey Eye InstituteHand and Upper Limb CentreRheumatology CentreDiagnostic Imaging CentreFamily Birthing CentreG.A. Huot Surgical Centre Clinical Restructuring Plan

  6. University Campus 2005 • Today: 290 beds • April 05: 359 beds • Sept 05: 374 beds (380) • Expanded Emergency Dept • Expanded operating rooms & Intensive Care Unit Clinical Restructuring Plan

  7. Victoria Campus at M1 The redeveloped Victoria Campus will include: New Adult Emergency Department Critical Care Consolidated Clinical Care Programs • Today: 228 beds • May 05: 424 beds • Sept 05: 440 beds Clinical Restructuring Plan

  8. South Street M1 to M2 • Today: 283 beds • May 05: 68 beds • Mental Health • Dialysis • Clinics / Offices • WMCH, HSB, NR, Daycare • over 600 staff daily Clinical Restructuring Plan

  9. Centres of Excellence London Hospitals Shifting Culture Supporting Staff Clinical Restructuring Plan

  10. Getting to Milestone 1 Human Resources • ER HR process completed - 68% staff transferring • HR Processes Underway • General Surgery, Urology, Orthopaedics • Critical Care • Perioperative Programs • Clinical Support Departments November & December • Over 2,000 staff letters • 328 SJHC staff to LHSC • 100 LHSC-VC staff to LHSC-UC Clinical Restructuring Plan

  11. Getting to Milestone 1 Past ‘lessons learned’ • Provide sufficient and appropriate support during transitional chaos • Management capability to support change • Develop in advance, new ‘best practices’ • Accelerate recruitment plans • Address retention issues (workload, shortages, etc.) Recent ‘lessons learned’ • Union staff transferring to a non-union site • Plan for training and orientation • Develop Unit Councils Clinical Restructuring Plan

  12. 2005 Time Line Feb Mar April May June … Sept UC CV ICU SJHC ICU Surgery SJHC Surgery Ortho/Trauma SJHC Medicine Family Medicine SJHC ER SSC Cardiac SSC ICU Medicine Surgery Cardiac ER Clinical Restructuring Plan

  13. Consider … • How will the 2005 restructuring of London Hospitals affect your staff? • Directly • Indirectly Clinical Restructuring Plan

  14. Next Steps: December/January • Formulate detailed sequencing plans • Communication Plans • Communicate with staff and physicians – Vision for London Hospitals • Begin external media communication • Invite external stakeholders to information sessions • Hospital-wide staff meetings hosted by senior leadership • Storyboards Clinical Restructuring Plan

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