GlenroseRehabilitationHospital

BUILDING ABILITIES FOR LIFE: NEWS FROM THE GLENROSE REHABILITATION HOSPITAL (GRH)

October 2019

Building Abilities for LifeTM

“Once you set aside the acute phases or crises that mark injury or disease, much of modern health care is indeed rehabilitation in one form or another.”

~Dr. David Naylor, Former President, University of Toronto (2005 - 2013)

Above: Flu Campaign Kicks Off At The GlenroseFar Left: Glenrose Staff Support Orange Shirt DayLeft: Glenrose Facilities, Maintenance & Engineering Department Open House A Success

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GLENROSE NEWSLEADER IN PROVIDING SPECIALIZED TERTIARY REHABILITATION ACROSS THE LIFESPAN

Improving Function and Participation in Pediatric Patients: Introducing the Resistance Training IntensiveWhat is important to patients and families? In pediatric rehabilitation, sometimes the answer is as simple as gaining the ability to do normal daily activities. Take 6-year-old Arlo, for example - he wears a heavy oxygen tank and wanted to be able to get around school without getting too tired. Arlo was the perfect candidate for a Resistance Training Intensive (RTI), a new evidence-based treatment option aimed at helping children like him achieve their goals, which was launched in November 2018.

The Glenrose RTI is a unique therapy option for pediatric outpatients and the first program of its kind in Canada. Exercises are targeted to improve the child’s strength (weight lifted) or power (weight lifted quickly). The RTI is a 12 week program of intensive weight training for children ages 6 or older who have a functional goal. Evidence from clinical research studies strongly indicates that RTI improves function faster and more effectively than less intensive therapy.

During his physiotherapy treatment sessions, Arlo worked harder than most of us would at the gym. He did squats with harder and harder progressions and even learned to do box jumps! By the end, Arlo had reached his goal and he and his family were thrilled.

The GRH collaborated with Children’s Hospital Colorado (CHCO), who had recently implemented their own version of the RTI. A grant from the American Academy

of Cerebral Palsy and Developmental Medicine (AACPDM) allowed us to bring the experts from CHCO to the GRH to provide staff training. This collaboration continues, as GRH staff will present alongside the CHCO experts at two upcoming international conferences about the RTI implementation at the Glenrose.

The GRH Foundation is a key partner in Arlo’s success story and other patients like him. Thanks to a generous grant from donors, we purchased $30,000 worth of equipment to complete our dedicated RTI treatment space.

Glenrose Grocery Grab - Download the App Today!The Occupational Therapists at the Glenrose have been instrumental in developing a cognitive video game for older adults focusing on the skills of memory, attention and problem solving. This has been a long process from idea to creation; however, we now have a polished game that provides an informal assessment of cognitive skills and a fun and engaging treatment tool. Available for play on the large touch screen in the Building Trades of Alberta Courage Centre and our adjustable

touch tables, it can now also be downloaded free of charge from the APP store for Android or Apple tablets. Please play and share! Players of all skills and age levels have found it to be fun, interesting and challenging. We are in the process of completing a research project with the game and older adult population at the Glenrose. Preliminary results are suggesting some support for cognitive skill development. This game was also presented at Games for Health Europe to review the preliminary research, to develop international partnerships and knowledge sharing and most importantly to highlight the importance of front-line staff being involved with game development for rehabilitation purposes.

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STRONG PARTNER WITH PATIENTS & COMMUNITY IN SUPPORTING PATIENT-GUIDED CARE

New Pediatric Specialty Seating Component LibraryA recent donation from a generous donor to the Glenrose Foundation will support children with specialized seating needs through the creation of a pediatric seating component library. Therapists will have immediate access to a number of specialized wheelchair parts to be able to customize the equipment. This means more accurate seating assessments and a shorter wait time for children like Mya to get the right equipment in place so she can get back to the job of ‘being a kid’.

Camp Explore Blazes A Trail To Adulthood‘Teens with mobility issues are getting a chance to learn more about their communities with Camp Explore - a five-day, goal-oriented and therapy-focused experience at the Glenrose - that’s designed to prepare them for their transition into adulthood.

“This is a time when they are seeking independence,” says Ann Boyd, an Occupational Therapist at the GRH. “The focus of the camp is practicing those community living skills, regardless of mobility.”

With this year’s theme of “independence”, the teens ventured out in the community to go grocery shopping, learn about money and budgeting, tour Grant MacEwan University’s fitness centre, visit EmployAbilities to learn about how to apply for jobs, and practice their interview skills.

Any pediatric patient in the GRH outpatient program, or connected to a physiatrist, is welcome to take part in the program, with the functional goal of wanting to learn further independence.

Jaxon Giesbrecht, who recently attended Camp Explore for the first time, says he enjoyed his week as he explored Whyte Avenue, cooked with NAIT’s Head of Culinary Arts, Jeff Gordon, and learned new skills to become more independent.

“I’ve been to camps before, but not everything is accessible,” he says. “It can be really frustrating, but this camp really works.”

Parents can take comfort in knowing their child is in a safe environment as they discover their independence. As well, Camp Explore connects the teens to community resources they may not have known about.

“I’ve had parents tell me it’s so refreshing for their teens to have an opportunity to practise these skills in a space where they are with peers who are like them,” says Boyd. “There is so much ability they can see in their teens. Hopefully, this experience gives them the confidence to continue exploring these skills outside of camp.”

As for next year, Giesbrecht says he’s excited to come back. For his part, Boyd adds that he hopes the program will continue to grow and generate more opportunities for new activities. “It’s really exciting to see them take risks,” says Boyd. “It’s a safe space to try things they’ve never tried before — and they are breaking down barriers to live independently.”’Reprinted in part from Camp Explore blazes a trail to adulthood article by Vanessa Gomez, September 24, 2019 https://insite.albertahealthservices.ca/news/ins/2019/Page23797.aspx

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Finding Common Ground with Spinal Cord Injury Treatment TeamsThe Glenrose Physio department and Spinal Cord Team hosted a pizza lunch and tour for our interdisciplinary colleagues from the Royal Alexandra Hospital. This collaboration is the second part of a team building initiative to help build understanding of the nuances, challenges and opportunities each site faces as we support patients with spinal cord injury and improve their patient journey.

Meghan’s Story The Glenrose Foundation, in partnership with Global News, took the opportunity to engage audiences and heighten their profile through the production of a public service announcement. The Foundation chose to focus on Meghan, a young woman who was injured in a serious cycling accident.

Meghan’s experience at the Glenrose was so transformational that she recently entered a team into the Glenrose Foundation’s ‘Courage Ride for Rehab’ where she generated funds for the Glenrose Foundation and received the top fundraising award. Her team, “Mighty Meg” was comprised of her close friends who rode the entire 59 kilometres by her side.

This video will air on various Global News segments until April of 2020: https://youtu.be/HV7bICXUzUc.

Spinal Cord Injury Treatment Centre Society (SCITCS): Enhancing the Lives of People with Spinal Cord Injury For over 30 years, SCITCS has created opportunities for people with a spinal cord injury (SCI) and others. SCITCS is managed by a volunteer board and sustained by a dedicat-ed group of volunteers who are committed to improving the quality of life of people with a SCI. Their motto, Never Say… “Never”, remains the driving force behind their organization. Over the decades, SCITCS has supported newly injured SCI patients and their families in numerous ways. They host a monthly pizza night on Unit 3B at the Glenrose, served by their board members and volunteers, and provide new-ly injured patients with their best-selling book Daring To Live, a SCITCS Never Say...”Never” T-shirt, and a reacher. A SCITCS board member visits SCI patients on a weekly basis to provide support and education. These meaningful connections have assisted patients and their families through the their rehabilitation journey. Established in April 1987, SCITCS has been promoting and supporting applied research; they were fundamental in bringing state-of-the-art technology such as the ReWalk and Functional Electrical Stimulation (FES) devices to Northern Alberta. FES applies small electrical pulses to paralyzed muscles to restore or improve their function and is commonly used for exercise, but also to assist with breathing, grasping, transferring, standing and walking. SCITCS continues to provide FES bikes and equipment to hospitals and community fitness centres to improve access to this technology; they also strive to ensure that patients have access to the electrodes required to use the technology. SCITCS is a strong proponent of continuing education, and over the years they have sponsored various educational opportunities for patients, families, and clinicians all in the effort to enhance the quality of life for people with SCI. We wish to extend SCITCS our gratitude for their everlasting passion and commitment to research, education, and support for those living with SCI.

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Friends of Glenrose Approves $60,000 Gift To The GlenroseThank you to the Friends of Glenrose who recently approved $60,000 in funding for projects/items listed below. Their continued generosity is greatly appreciated by the Glenrose site and it’s patients.

• $20,000 to purchase 10 Staxi chairs• $6,000 to update the patient treatment area in Psychology Services• $25,000 to refurbish Unit 3A, 4A, and 4B patient lounges• $9,000 to upgrade the School Bus Entrance waiting area

Teddy Bear FairA team of Allied Health staff from the Glenrose recently went to the Little Red River Cree First Nations near High Level to participate in the Teddy Bear Fair. Teddy Bear Fairs occur throughout Alberta and are focused on providing health education, building community networks and identifying children who can benefit from a variety of health services. Parents, caregivers, educators and children attend the Fairs and complete a passport to receive a Teddy Bear. Over three days the Glenrose team, represented by Danielle Ongaro (PT), Terra Ward (SLP), Megan Bulat (OT) and Curtis Perrott (Acting Director, Pediatrics), visited Fox Lake, Garden River and John D’Or Prairie. In these communities the team provided preliminary screening for over 140 children and spoke with more than 70 caregivers and educators. The team was thrilled to have the opportunity to attend and organizers were very thankful for the Glenrose to be a part of the Fair.

A GREAT PLACE TO WORK, TEACH & LEARN

2019/2020 Glenrose Staff Influenza Campaign!The GRH Staff Influenza Campaign is off to a fantastic start. Our goal for the site is to have a staff immunization rate of 80% and we are well on our way to achieving this. Many of the staff at the GRH have been receiving their Flu Shot for over 2 decades. Influenza is a virus that infects the nose, throat and lungs resulting in hospitalizations and death in some cases. Getting immunized every year is the best way to arm yourself against influenza. Roving clinics will be on site until mid-November led by front-line nurse champions.

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Farewell to Kim Neigel, Patient Care ManagerIt is with mixed emotions to share that Kim Neigel, Patient Care Manager, has resigned from the Glenrose. She came to the Glenrose from a Unit Manager position at the Kaye Edmonton Clinic

and has had the opportunity to return to those programs in a Patient Care Manager capacity. On behalf of the Glenrose, we would like to thank her for her leadership of the Stroke Program along with EMG and wish her every success in her new position.

Glenrose Foundation Has A New WebsiteThe Glenrose Foundation has launched a new website! The new website focuses on sharing the inspiring stories of the Glernrose and the impact that our community has had on rehabilitative care. New Website: www.GlenroseFoundation.com

Glenrose Volunteer UpdateAs of October 1st Glenrose volunteers have recorded over 8300 hours since the start of 2019. This month many volunteers took the opportunity to get their flu shot here at the Glenrose. Here is a picture of one of the volunteers giving our volunteer coordinator “emotional support” as she gets her flu shot. Thank you to all our volunteers and everything they do!

Glenrose People Survey!We have received the results of the Our People Survey. In the coming weeks the managers will be reviewing the results with their teams. Overall results are positive and we’ve made many gains since the last survey. Thank you to all the people who participated. More information will be shared in the coming weeks.

Protxx Tours the GlenroseOn Friday, October 25th, Patty Wickson, Executive Director Innovation, Evidence, Evaluation & Impact at AHS introduced Dr. John Ralston and his company Protxx to the Glenrose. Dr. Ralston, through his company, has developed a sensor/software system mounted on an individuals’ mastoid to record variations in posture that occur after specific activities or traumatic events. He presented an overview of the technology with potential clinical applications to Dr. Chester Ho and senior administration. This was followed by a tour of the Glenrose and a discussion of potential collaborative research and innovation projects.

A LEADER IN RESEARCH & INNOVATION

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An Immersive Virtual Reality Experience To Take The Pain Away Rehabilitation procedures for burn injuries often come with extreme pain. With the rise of Virtual Reality (VR) technologies, leading rehabilitation centres across North America and Europe are using VR to reduce the amount of pain experienced by the patients during their treatment sessions. To an Albertan recovering from severe burn wounds inflected by an exploding propane tank, no place was more soothing than a polar landscape or a tropical rainforest. “It keeps your mind off the therapy and distracts your thoughts causing you to feel less pain during the therapy” says Ralph, one of our burn patients on unit 4A.

Improving the quality of our patients’ experience has always been a priority for us here at the Glenrose. Our research, innovation and technology group has worked with our burn treatment group to make use of VR technology to improve the quality of burn treatment sessions. We are hoping to see this technology used more frequently as a distraction means during painful clinical procedure such as burn rehabilitation and injections.

Building a Sustainable Research Platform at the GlenroseThe Glenrose is a nationally recognized center for physical rehabilitation; however, for the GRH to become an internationally recognized centre of care, innovation and rehabilitation research, a leader in tertiary and quaternary rehabilitation, we require active engagement in clinical research and innovation. For this to occur, it is proposed that a sustainable research platform be created to allow the Glenrose to attract and retain the highest caliber clinical staff and physicians to work in and with our facility.

The vision for this platform is to provide internationally recognized clinical leadership through outcomes-based research in rehabilitation. The platform would assist researchers actively engaged in developing new treatments, devices and products as well as those gathering evidence that guides changes to positively impact clinical practice and improve health outcomes for GRH clients.

GRH Research & Innovation has held an inaugural meeting with various levels of GRH staff and management including physician researchers. Currently interviews are being held with GRH medical researchers as well as various GRH leaders to gather

feedback. The plan is to create a draft proposal including topics such as focus, vision, infrastructure, resourcing etc) by the end of November. Further consultation will take place with key stakeholders, including leadership, managers, physicians, staff, patient/family advisors, University of Alberta research affiliates, funders and vendors, etc) regarding their thoughts on the proposal. If you would like to participate and be part of the consultation process, please contact Dr. Gary Faulkner (gary.faulkner@ahs.ca) or Marc Robichaud (marc.robichaud@ahs.ca) directly.

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IN MEMORIAMFriends’ Loved Pet Therapy Dog PassesGlenrose Pet Therapy Dog and the official Friends of Glenrose Pet Therapy mascot, Tawney, has passed away. Tawney was a regular Monday evening attendee at the hospital’s Pet Therapy evening and loved by all attending. She also was loved by many Friends’ volunteers and Glenrose staff who regularly crossed paths with her during Pull Tickets sales and at regular volunteer gatherings and meetings.

Tawney will be fondly missed by all who enjoyed her lovely calm manner, as well as her owners Bill and Carol Cowan. Bill, Carol and Tawney were recipients of a Glenrose 150 Award in 2017 as part of the Glenrose’s Canada 150 Celebrations recognizing staff, physicians and volunteers. Carol started volunteering at the Glenrose in 2008 and Bill in 2009. Carol has recorded 1314 hours with Tawney at the hospital over the years with Bill coming close at 1070 hours.

25TH ANNIVERSARY CELEBRATIONS Glenrose Foundation Celebrates 25 YearsIn honour of this incredible milestone the Foundation has been sharing stories of patients, volunteers, staff, donors and many others who have been instrumental in leading the Foundation to where it is today. As passionate champions of rehabilitation these individuals have educated, inspired and created awareness of the Glenrose.

Miranda Jordan-SmithIn the past 25 years the Foundation has been led by some incredible people. Our current CEO & President, Miranda Jordan-Smith celebrated her one-year anniversary with the Glenrose Foundation n October. Miranda is a passionate champion for rehabilitation and over the last year she has focused on a renewed vision that will serve the foundation for lasting change and position the Glenrose as the most advanced rehabilitative centre in North America. Building strong relationships with internal and external stakeholders and creating a culture of compassion and philanthropy in the community is Miranda’s passion. This edition in our 25th Anniversary celebration we thank Miranda and the leaders that came before her for their inspiration and impact.

Raylene PearsonMeet Raylene, long-time Glenrose staffer and Foundation supporter. Raylene works in the Rehabilitation Research, Innovation and Technology Development department where the team develops new technologies that assist patients and their caregivers in reimagining their futures. She loves what she does because she knows that people’s lives are made better by the work done at the Glenrose. As the mom to a former Glenrose patient, Raylene saw that impact firsthand. She’s also a photographer who often helps us out with our photo taking needs! Thanks for all you do Raylene.

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LOOKING BACK - CELEBRATING 55 YEARS OFBUILDING ABILITIES FOR LIFETM

This year marks the 55 Year Anniversary of the Glenrose Rehabilitation Hospital. Over the next few months we will be taking a look back and celebrating our history. Below is our fourth edition with a look back at the years 1990 - 1999.

In 1990 a number of events are held in July for staff and their families to explore the new GlenWest building and the official move into the new building is completed in August. Both the Cardiac Rehabilitation and Spinal Cord Injury Programs transfer to the Glenrose.

In 1991 the Quiet Atrium and the Eddy Recreation Atrium open along with Easy Street. His Excellency, the Right Honourable Ramon J. Hnatyshyn, Governor General of Canada, turns sod for the Glenrose Carnival of Champions Sports Space and the Adaptive Playground.

The GRH Research Centre is established in the historical building in 1992 and Cravings Cafe opens in the Lloyd E. Wilson

Garden Atrium.

In 1993 the Staff Fitness Co-op opens and in 1994 the Glenrose Foundation is incorporated.

Capital Health Authority comes into effect in 1995 and the official opening of the Al Shamal Shrine Temple Pediatrics Rehab Unit 201 takes place.

The Geriatric Inpatient and Outpatient programs are transferred to the Glenrose in 1996, while in 1997 Telehealth Technology is implemented.

In 1998 the Alberta Caregiver College® is established to support caregivers of brain injury and stroke survivor, followed by the development of an educational CD for self-education for parents of children with neurodevelopmental difficulties. Rehabilitation Technology is established as a clinical research group studying the use of advanced technologies for the assessment of children with spinal curvatures, growing into an international collaborative training ground for Engineering as well as Rehabilitation Medicine students and medical faculty. It is also the year Glenrose staff participate in the Heartbeat of Edmonton Race and received the Athletics Canada Award for Road Race of the Year.

Planning begins on the renovation of the I CAN Centre in 1999 and the Glenrose participates in the planning for Y2K. It is also the year that the Albert’s Family Playground opens in the Courtyard.

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AWARDS & HONOURS

GLENROSE EVENTS

Ledcor Supports Glenrose FoundationThis past fall Ledcor held its sixth annual Employee Giving Campaign which has raised over $1.4 million for charities across Canada and the United States. During this campaign, employees were invited to support selected charities and Ledcor matched each gift made during this campaign.

Over the past six years, the Glenrose Foundation has been fortunate enough to receive over $115,000 to provide innovative equipment, programs and technology for the Glenrose Hospital. We are so lucky to again be one of the recipients this year. Thank you so much to Ledcor and Ledcor employees for their generosity.

Handmade Quilts Donated to Unit 3CEarlier this month beautiful handmade quilts were donated to patients on Unit 3C from the wife of a former Glenrose patient.

Thank you to Loreen for this wonderful donation!

Local Artist Visits I CAN CentreKevin Sehn, a local artist, recently visited the donor wall at the I CAN Assistive Technology Centre. He remarked, “I was so surprised and impressed to see that the wetlands scene and all of its sculptures were in such good condition”.

This display has brought countless smiles to the clients that visit the I CAN Centre. Thank you again to the donors and Kevin, for this unique donor recognition wall.

Open House at the Glenrose LibraryThe GRH Library hosted a Halloween themed open house on October 31st as part of Canadian Library Month. The event included a table display, library tours, and resource demonstrations for interested staff and patients. An online scavenger hunt of the KRS website was also available.

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United Way Campaign 2019The Glenrose 2019 United Way campaign has been busy building awareness and encouraging generosity throughout October. The campaign kicked off with a Zone-wide bowling night, and group of GRH team members volunteering at Operation Friendship. This year’s campaign saw the return of the Big Steel Box™ for our Winter Clothing Drive, as well as a hilarious lunch time round of 90’s trivia. Though the campaign activities at the Glenrose are winding down, donations are still encouraged, and this year donations made at the Everyday Hero level ($1/day) or above are being matched by the Edmonton Community Foundation. Learn more or make a donation here: https://www.myunitedway.ca/

The winning team of 90’s Trivia, “Innovation Solutions” of our Rehab Technology and Innovation department, pictured with the new “Way To Go” trophy, made by our talented Orthotics

& Prosthetics team

Indigenous Cultural Helper Service Launches at the GlenroseOctober 17th, marked a special day in the history of Glenrose when we formally introduced the Indigenous Cultural Helper Service for patients and families. Crystal Newton is our first ever Indigenous Cultural Helper at Glenrose working one day per week.

The event began with the Opening Prayer and a few remarks by Elders, Eric and Margaret Cardinal. Dr. Maggie Hodgson, a former patient who was instrumental in advocating for the establishment of this position addressed the circle, stressing the importance of four dimensional healing - body, mind, heart and spirit. This was followed by a drum song by the Indigenous Music Therapist, Sherryl Sewepagaham, who also serenaded the audience as they enjoyed their tea and bannock after the event. Crystal handed over the protocol (tobacco) to the elders, Sherry and Dr. Hodgson, as a gift of thanks for providing the prayers, presentation and music. Catherine Jones, Manager of Social Work/Spiritual Care and Gail Aguillon, Director of Adult Rehabilitation Administration also spoke during the event endorsing the need for addressing the cultural and spiritual needs of Indigenous patients at the Glenrose. Wilson Miranda, Spiritual Health Practitioner/Chaplain emceed the event and thanked everyone for their support and cooperation. The event was well attended by patients, families and staff including Carol Brzezicki, Director of Indigenous Health Program, Northern Alberta and her Indigenous Health Program team from Royal Alexandra Hospital.

Glenrose Staff Support Orange Shirt DayOn September 30th, Orange Shirt Day was observed at the Glenrose in an effort to recognize the harm done to residential school students, and show a commitment to the principle that every child matters. This day is an outcome of the 2013 Joseph Mission Residential School Commemoration project and Reunion in Williams Lake, BC, where Phyllis Webstad spoke of how her new orange shirt was taken away, and how it seemed that nobody cared. Her story represents the many harms experienced by children in the residential schools.

September 30th was chosen because it is the time of year in which children were taken from their homes to attend residential schools. It was an opportunity to set the stage for anti-racism, anti-bullying and to help continue the work of Reconciliation and hope for generations of children to come.

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Infection Prevention and Control (IPC) Escape RoomOn Wednesday, October 30th GRH IPC hosted an Escape Room that took staff through a series of puzzles to help find a cure for the fictitious virus Joffeioides markicile. In total 8 groups participated in the event. Putting their infection control skills to the test; everyone managed to survive and a good time was had by all.

The Germbusters from Infection Prevention and Control made their rounds through the hospital on Halloween. All staff had to do to receive their treats was clean their hands.

Thank you to the GRH Health Care Aides!On October 18, 2019, the Glenrose celebrated Health Care Aide (HCA) Day with an afternoon tea to express our gratitude for the HCAs who provide quality person-centred care every day. AHS employs over 7,000 HCAs in a variety of care settings, including home care, supportive living, long term care and acute care and they are important and valued members of the health care team.

Foundation Halloween Open HouseThe Glenrose Foundation hosted a Halloween Open House, inviting hospital staff and volunteers to come and see the new office space. Guests enjoyed tasty snacks, picked up some Glenrose Foundation treats and were able to meet the team.

The Glenrose Foundation would like to thank everyone who came out to the event.

Reading WeekDid you know…

• Health literacy is more than just the ability to read and understand information; it involves listening skills, communicating thoughts, facility with numbers, and judgment.

• By some estimates, only 12% of English-speaking adults in the U.S. are proficient in these skills.

• Studies have found health literacy to be a stronger predictor of an individual’s health status than income, employment status, education level, or racial or ethnic group.

Thank you to everyone at the Glenrose who participated in Reading Week. Our GRH School appreciated the time you took out of your busy schedules to take part in reading to their students.

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UPCOMING EVENTS

Glenrose Facilities, Maintenance & Engineering (FM&E) Open House a SuccessIn support of National Healthcare Facilities and Engineering Week, the FM&E Team at the Glenrose opened their doors to AHS staff, physicians and volunteers on Thursday, October 24th. The Open House provided visitors with a “behind-the-scenes” look at the FM&E shops and equipment while also providing an opportunity for staff and others to interact with those who have dedicated themselves to keeping our infrastructure together. Starting at the main FM&E office staff made their way through various shops, got to watch and take part in a number of interactive displays and collected various goodies to take home with them.

Thank you to the FM&E team for hosting this amazing Open House and for all that they do each and every day for our staff and patients. We could not provide the high level of service this rehabilitation hospital does without you.

For more information contact:Cathy Hill

Interim Senior Operating Officer, GRHEmail: catherine.hill@ahs.ca

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