Clinical Support Portfolio Jan Besse/Terri Carlson Executive - - PowerPoint PPT Presentation

Integrated Health Services Clinical Support Portfolio

Jan Besse/Terri Carlson Executive Directors, Clinical Support Services May 24, 2017

Item #7.0

• Portfolio consists of 30 distinct program

areas

• FTE (16/17) - ~1700
• Budget (16/17) - ~$161 Million

Clinical Support Portfolio

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• 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

Medical Imaging

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• 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.

Pharmacy

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• 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 1st Nations communities

• Challenge – flow of more complex patients from the rehab & convalescent service.

Rehabilitation/Spiritual Care/Native Health Services

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• 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.

Respiratory Services

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• Two main laboratories – RGH & PH. Collection site – WRC.
• Six community collection sites in Regina – provided by Dynacare, currently working
• n 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?

Laboratory

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• 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?

Environmental Services

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• 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.

Nutrition & Food Services

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• 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

• ur wee patients on their way to surgery.

Unit Support – Client Portering

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• 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?

Unit Support – Unit Support Workers

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Questions?

Questions

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