osler town halls september 2013
TRANSCRIPT
SEPTEMBER TOWN HALLS
OUR VISION
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PAT I E N T- I N S P I R E D H E A LT H C A R E W I T H O U T B O U N D A R I E S
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• Welcome
• Strategic Plan Update
• 2013-14 & 2014-15 Budget Update
• 2013-16 Clinical Priorities Plan
• Questions & Suggestions
AGENDA
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FOUR STRATEGIC DIRECTIONS
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Call centre enhancements & recognition
Launched “Frontline Heroes”
Patient Summit – October
Staff/physician satisfaction: results shared & action plans underway
New website and social media platform launched!
STRATEGIC PLAN – PROGRESS REPORT
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New 2013-16 Clinical Priorities Plan!
STRATEGIC PLAN – PROGRESS REPORT
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Health Links CW Health Links
Secretariat established
Critical Partnerships Primary Care
Planning Table established
2nd Tele-Town Hall with CW CCAC, Region of Peel, Headwaters Health Care
STRATEGIC PLAN – PROGRESS REPORT
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Chief Research Officer Ethics LTC pilot in field New preceptor targets National student app
contest
STRATEGIC PLAN – PROGRESS REPORT
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2013-14 BUDGET UPDATE
2013-14 budget tracking as expected– No service reductions– Minimal staffing changes– Full revenues not confirmed– Capital released in phases based on
organizational performance– Continue on track with our ABP and Year 1
priorities
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THE YEAR AHEAD
• Strategically refocus some clinical areas to support community needs
• Move towards volume funding in a few areas• Reassign or close a small number of underutilized
beds to invest in for new care models (i.e. outpatients services)
• Additional short-term funding allows for 18-month transition
• Some staffing changes expected:– Some involuntary separations– No involuntary nursing exits
12CONFIDENTIAL – For Discussion Purposes ONLY
Paving Osler’s future towards operational leadership and community differentiation
13CONFIDENTIAL – For Discussion Purposes ONLY
OUR CLINICAL PRIORITIES PLANNING PROCESS
Completed: • Validation of Clinical
Services aspirations; Several stakeholder engagement sessions and consultations.
• Drafting and validation of the Clinical Priorities Plan
Current State: • Continued engagement with
partners; Refinement of the Clinical Priorities Plan;
Board approval:• Last week we received the
go ahead from the Board on the plan
• Now we will work on sharing it internally
• Launch is planned for November
Today
14CONFIDENTIAL – For Discussion Purposes ONLY
KEY ASSUMPTION
Initiating a shift in the model of care within the health system to:
Increase Scheduled Outpatient Activity
Reduce Unscheduled/ Avoidable Emergency Visits & Inpatient Admissions
15CONFIDENTIAL – For Discussion Purposes ONLY
OVERARCHING THEMES
A system designed to support timely access to appropriate care, across the continuum of care.
Effort to prevent onset and/or exacerbation of chronic diseases, such as diabetes, COPD and CHF.
16CONFIDENTIAL – For Discussion Purposes ONLY
Programs
• Cardiovascular *• Medicine • Mental Health
and Addictions *• Musculoskeletal • Oncology *• Palliative Care• Renal / Chronic
Kidney Disease• Seniors *• Women and
Children *
Services
• Ambulatory Care
• Critical Care• Diagnostic
Imaging• Emergency Care• Laboratory• Pharmacy• Rehabilitation
and Complex Continuing Care
• Support • Surgery
Practice
• Academic Partnerships
• Ethics• Family Medicine• Infection
Prevention and Control
• Interprofessional Practice
• Quality • Research• Spiritual Care
OSLER’S CLINICAL SERVICES PORTFOLIO
* Represents previous Health System designation
17CONFIDENTIAL – For Discussion Purposes ONLY
THE HIGHLIGHTS...
• Contemporary Vascular Program
• Health Links• Specialized EGH Services• CTAS 2 Redesign/Level IV
Trauma• Integrated & Virtual
Mental Health & Addictions
• Stroke Strategy/Neurosciences
• MSK Program• Peel Memorial - Centres
of Excellence• Model of Care
18CONFIDENTIAL – For Discussion Purposes ONLY
Fred Today: • 71-year-old male, living
independently, without a family physician
• Diagnosed with vascular disease, high blood pressure and depression
• Suffers a stroke, is admitted to a hospital without a stroke program
• Transferred to a rehab facility outside of the LHIN
• Discharged without follow up • Has multiple encounters with
hospital EDs and walk in clinics• Readmitted several times for
mental health and vascular issues
19CONFIDENTIAL – For Discussion Purposes ONLY
Fred in Three Years: • Receives life saving
Endovascular Aneurysm Repair
• Lives independently with regular vascular health follow up using telemedicine
• Regularly visits on-site psychiatric services at his Family Health Team
• Visited the Urgent Care Centre for an infection
• After a hip fracture is quickly admitted to the Musculoskeletal Program for surgery and rehab
• Receives follow up at a Seniors outpatient clinic
• Participates in the True North Project to share his experiences directly with staff
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QUESTIONS ON YOUR MIND
Submit online at [email protected]
OTHER QUESTIONS?
• What is the status of the staffing and scheduling project review?
• What is the status of redevelopment at Peel?• If you could name your top two priorities for the balance of
this calendar year, what would they be?• I would love to spend more time with the senior leadership at
Osler. Can you help make that happen?
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THANK YOU!
Please fill out the evaluation form on your chair or fill out the online evaluation through survey monkey
OUR VISION
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PAT I E N T- I N S P I R E D H E A LT H C A R E W I T H O U T B O U N D A R I E S