Item #7.0 Integrated Health Services Clinical Support Portfolio Jan Besse/Terri Carlson Executive Directors, Clinical Support Services May 24, 2017
Clinical Support Portfolio • Portfolio consists of 30 distinct program areas • FTE (16/17) - ~1700 • Budget (16/17) - ~$161 Million 2
Medical Imaging • Full range of medical imaging services – RGH & PH – with general x-ray service for inpatients at WRC. • Seven modalities: Magnetic Resonance Imaging (MRI) Computerized Tomography (CT) Ultrasound (US) Nuclear Medicine Interventional General Radiology Mammography • Radiology Information System (RIS) and Picture Archiving System (PACs) are the information technologies used to support service. • Medical Diagnostic Recovery Area (MDRU) – 14 beds. • Contracts with community providers – CT since 2011 & currently in process to extend for 1 year (Radiology Associates of Regina) & MRI since October 2014 (Mayfair). • Success – MRI wait times dropped from 239 days to 114 – a 52% reduction from September 2016-January 2017. • Challenges – meeting accountability document volumes expectations for MRI and CT, recruitment of radiologists, aging equipment 3
Pharmacy • Inpatient drug distribution services with Pharmacy Technicians at PH, RGH, WRC & Moosomin. Limited outpatient & rural services. • Clinical pharmacy inpatient services with Clinical Pharmacists at PH, RGH, WRC & Moosomin and outpatient services, such as the Chronic Kidney program, Anticoagulation Management Service, etc. • Highly regarded hospital pharmacy residency program; also pharmacy students and pharmacy technician learners. • Expanding the scope of practice for pharmacy technicians – for example – doing Medication Reconciliation on Admission at RGH/PH. • Success – Continued progress with meeting Accreditation Canada ROP for Medication Reconciliation on transitions, Celebration of 50 years of Hospital Pharmacy Residency Program May 30, 2017 • Challenge – increasing demands for clinical pharmacists – but lower FTE resources than elsewhere in Canada. 4
Rehabilitation/Spiritual Care/Native Health Services • Inpatient (physiotherapy, occupational therapy & speech and language pathology) at RGH and PH; outpatient lymphedema service at PH. • Adult inpatient/outpatient rehab, neuro & ortho therapy at WRC (south SK). • 48 inpatient beds at WRC - 33 inpatient rehab, 10 convalescent, 5 pediatric respite (south SK). • WRC Hostel • Functional Rehab 12 week outpatient program – SGI/WCB clients (south SK). • Orthotics & Prosthetic services (pediatric and adult south SK). • Acquired Brain Injury Outreach & Driver Assessment Program (SGI) (south SK). • Spiritual Care Services at RGH, PH & WRC – currently working through discontinuation of service as the result of the March 22 provincial budget. • Native Health Services at RGH, PH & WRC – with healing centres at RGH & PH. Elder support in place. • Success – recruitment of physiatrists up to full complement, Health Native Services support for pediatrician providing medical care on 1 st Nations communities • Challenge – flow of more complex patients from the rehab & convalescent service. 5
Respiratory Services • Acute respiratory care to all areas at RGH &PH including neonatal, Labor & Birth, emergency, critical care areas, acute care wards and the step down respiratory care unit. Care to ventilated clients at WRC. • Clinical training for Respiratory Therapy students. • Chronic Obstructive Pulmonary Disease rehabilitation programs. • Home Ventilator Assistance Program, Home Oxygen Therapy Assessment Program, and Community Tracheostomy Outreach Program – recognized as flagship programs by external reviewer in March 2012. • Pulmonary Function Laboratory testing at RGH & PH. • Sleep Disorders Centre - Diagnostic Testing. • Success – consistently meet Accountability Document targets for sleep diagnostic testing • Challenge – insufficient space for equipment & supplies. 6
Laboratory • Two main laboratories – RGH & PH. Collection site – WRC. • Six community collection sites in Regina – provided by Dynacare, currently working on an RFP as the contract expires March 2018. • Support 5 rural acute care sites and 6 rural health centres, dyad Lab Manager in place to support consistency. • Service contracts in place for Cypress and Sunrise Health Regions. • Success: one of very few hospitals in Canada that is accredited by the College of American Pathologists – a very rigorous in-depth program. • Challenge: availability of staff – MLT’s specifically have been challenging to recruit and expansion of the program is much needed. • Did you know that the Lab provided PSA testing to residents of BC, Alberta, Manitoba and Ontario this last year? 7
Environmental Services • Provide cleaning & disinfection services, waste removal, and resident laundry services – at RGH, PH, WRC & Regina Pioneer Village. • Support horizontal infection control by utilizing: Dazo (black light) auditing - March results = 83-91%, micro-fibre cleaning cloths and mops, and best practice chemicals. • Success: completed two effective RPIW’s; reducing defects in isolation signage, increasing supervisor time on the floor with staff. • Challenge: increased throughput (patient flow) increases the amount of work for EVS in relation to discharge cleans and traffic through the facilities. • Did you know that EVS can terminally clean a room in 34 minutes utilizing one staff member or 17 minutes with a team of two staff members? 8
Nutrition & Food Services • Meals and nourishments to patients and residents at RGH, PH, WRC and Regina Pioneer Village. • Meals to staff and visitors through cafeterias. • Room bookings to internal and external customers through the retail services. • LTC resident catering for special events and functions. • Success: lead of the More to Eat study on Unit 4A, an integrated nutrition pathway that supports improved nutrition care. • Challenge: failing equipment and infrastructure. • Did you know that NFS offers a spoken menu on many of the units in the Acute Care sites? A diet clerk visits patients and “takes their order” so that the patient not only has a choice but can ask questions about menu items as well. 9
Unit Support – Client Portering • Transport services for patients, supplies and equipment at RGH & PH. • K-Bro linen cart delivery at the RGH. • Service is provided 24 hours per day, 7 days per week. • Partner in the assessment and procurement of patient transfer related equipment. • Success: assessment and realignment of resources to ensure appropriate use of staff and good patient service is achieved. • Challenge: as throughput and patient volumes increase, so does the workload of the Porters. • Did you know that porters have a wagon that looks like a car on the Children’s Unit that they transport kids to the Operating Room in? These help to ease tension for our wee patients on their way to surgery. 10
Unit Support – Unit Support Workers • Unit Support Services: equipment cleaning, supply ordering and stocking, some limited transport services to both inpatient and outpatient services at RGH, PH and WRC (hemodialysis satellite only). • Specialized training required for clinical equipment in Labour & Birth and Hemodialysis. • Success: created the Smart Pump cleaning work standard that is utilized across the province. • Challenge: as the role is very detailed, it is at times difficult to transfer knowledge effectively to new or relief staff. Supervisors have been cross-trained in all areas in order to assist with this challenge. • Did you know that since the centralization of the Unit Support Workers in 2014, the overtime spend has reduced from $110,750 in 2012/13 to $15,314 in 2016/17? 11
Questions Questions? 12
Recommend
More recommend
