No. 2, Vol. 1 - Horizon Health Network
Transcription
No. 2, Vol. 1 - Horizon Health Network
A Touching Tribute Colleagues hold ceremony for long-serving employee in Palliative Care Page 5 World Hepatitis Day Public Health Nurses on what you need to know Page 6 Actions From Experience Patient Experience Advisors understand, voice needs of patients Page 12 Issue No. 2, Vol. 1 June 2016 Star A publication for the staff of Horizon Health Network Therapy dogs a “blessing” to psychiatry patients in Saint John Unconditional e r a c d n a e v lo Page 8 Page 11 Just like mom Four generations of Melanson women choose to be nurses at The Moncton Hospital A note from a grateful parent Lab work a crucial behind-the-scenes part of son’s care Page 12 1 Contents 5 Moncton hospital staff holds special recognition ceremony for longserving employee Biochemistry lab at DECRH acquires Fourier Transform Infrared spectrometry technology 10 11 Horizon Hot Spot Emergency Physicians win national awards Horizon pharmacists nab national awards For the Melanson women, nursing runs in the family Donation helps veterans live more independently 6 Horizon director recognized with provincial award World Hepatitis Day shines lights on common life-threatening disease 12 13 Patient Experience Advisors keep patients in the forefront of health care A thank-you note from a grateful Horizon parent This magazine is published by Horizon Health Network’s Communications Department, and is distributed free of charge to Horizon staff, physicians and volunteers. A French version can be found online at fr.horizonnb.ca. Editor: GinaBeth Roberts Creative lead: Kevin Goggan Printed by: Advocate Printing Please send comments and/or story ideas to [email protected]. Dedicated volunteer gives hospital the gift of music #Throwback In Every Issue Message from CEO Editor’s Note Colleagues’ Corner Horizon Hot Spot Look Who’s Shining #Throwback 7 Book details challenges, Police, communities joys of raising child with CRS benefiting from first-of-itskind mental health training Missed appointments delay treatment for others. If you can’t make your appointment, can. someone else Therapy dogs show unconditional love to patients at SJRH 9 Mental health and family practices team up to provide timely care for patients Les rendez-vous manqués entraînent des retards dans le traitement d’autres patients. ez Si vous ne pouvnter, pas vous y prése donner nous pouvonsz-vous votre rende nne. à une autre perso ok. cancel and rebo Please call to 14 8 ler pour l’annuler us. Veuillez nous appe autre rendez-vo et pour fixer un Play a part in our Missed Appointment campaign B.ca www.HorizonN Patients agree: New registration process works 15 New Concussion Awareness Kit available for health care professionals Public campaign to encourage patients to use health care services wisely National conference will showcase Horizon’s leadership in Patient and Family Centred Care A welcome note from the editor Dear Colleagues, As many of you already know, I announced my retirement at the Horizon Board meeting held in April. It has been my pleasure to serve as your President and CEO, and I look forward to staying on until a replacement has been found. Together we have developed a strategic plan that sets the path for a healthier New Brunswick – and we are beginning to see momentum in moving this plan forward! It’s important that we continue to advance this plan to ensure that we can offer the best care to New Brunswickers across Horizon. We have recently submitted our Regional Health and Business Plan, which is our plan of operations for the next three years, to government for approval. 4 We realize our province has its challenges, which is why we’re working to create new and innovative ways to care for New Brunswickers, while maintaining quality and safe patient care. We know it’s also important for us to invest more in our communities and expensive complex care to better address the future health needs of our aging population. John McGarry, To best understand the needs of our population we President and CEO will continue to work with our communities and other stakeholders through our Community Health Needs Assessments (CHNA) process to implement many of their recommendations. The CHNAs that we have already completed continue to raise many of the same issues regardless of whether they are rural or urban areas. Communities have told us about the need for improved access to primary health care, as well as better youth mental health; improved services for chronic illness; and transportation improvements. We have a lot of work to do and we couldn’t do it without the exceptional care you provide to every person, every day. To make our strategic plan truly successful we look forward to working with you to find better ways to communicate and recognize the work that you do every day. Later this year, we will be releasing a new recognition program to celebrate all of you for your exceptional work. Together we have a lot of work to do to continue to implement our strategic plan, and I look forward to sharing our progress in providing Exceptional Care. Every Person. Every Day. Sincerely, Welcome to the second issue of the Horizon Star. In these pages you’ll read stories showing how your colleagues are forging relationships with each other and individuals and organizations in their communities to provide exceptional care to every person, every day. Take the group of mental health professionals and family physicians in Moncton. They’ve joined forces to better serve patients with anxiety and depression, and will study the process to see if their practice should be a model of care across the province and beyond. Or the mental health teams in the Saint John and Sussex areas who’ve helped local police officers become better equipped to deal with offenders with mental illnesses. And then there’s the ongoing work of our Patient Experience Advisors and staff across Horizon who continuously aim to make our patients’ voices heard, all in an effort to provide patient and family centered care. You’ll also read how you can further help patients by spreading the word about our Missed Appointments campaign, in turn helping us provide timely and quality care to our patients. Teamwork – a key element shown in all these stories – drives one of our key values: We are all leaders, yet work as a team. We’d love to hear how you, your team, your department and your facility are leading the way to better health care. I also want to give a huge shout out to all those who’ve contacted me to submit articles for Star Extra, the blog edition of the Horizon Star. Star Extra is an employee-only blog on Skyline used to share news and events involving employees, physicians, volunteers, foundations, auxiliary and alumnae. It’ll be updated more frequently than the publication, about twice a month. If you have an article and/or photo you want to submit but are not sure where it fits, email me at [email protected]. Happy reading, John McGarry CEO and President Horizon Health Network GinaBeth Roberts Moncton hospital staff holds special recognition ceremony for long-serving employee Carron Weatherdon (McLeish) worked at The Moncton Hospital as an administrative support for over 25 years. The late Carron Weatherdon (McLeish). Biochemistry lab at DECRH acquires Fourier Transform Infrared spectrometry technology Last year she began “the battle of her life,” but sadly passed away. “Carron spent more than half her life working at the hospital,” said her younger sister, Maryann McLeish. “She enjoyed her work life, colleagues and the patients and families she met and served. She always had a smile and kind word for everyone she met and anyone who met her knew she was something special.” She didn’t have a big extended family, her sister said, and her hospital coworkers became like family. That was especially evident during her illness, as many would offer “support, hugs, sharing laughter and tears; whatever would make her days easier to bear.” Carron was set to retire this year, but not long into 2016 she knew she wasn’t going to make it to Horizon’s recognition and retirement events in May. She’d confided this in her younger sister, and also that she’d already picked out a ring for her 25 years of service. One morning, her sister contacted Nancy Parker, the hospital’s executive director, who worked with the hospital’s recognition committee to pull together a small recognition ceremony in Carron’s room in the Palliative Care unit – just nine hours later. “If she wasn’t able to make it to her event, we wanted to make sure there was an event for her,” said Parker. Along with the ring (which just so happened to be in stock in Carron’s size at Charm Diamonds Centre in Champlain Place), she was presented with a bouquet of purple and yellow tulips (purple was her favourite colour). As well, team members from departments in which she worked, such as emergency and medical imaging, shared memories of their time together as colleagues. Carron’s sister said this act of kindness meant the world to Carron and her family - just as it did to her colleagues. “When we left there, we probably got all, or more, out of it than she did because it was really touching to have that opportunity,” said Parker. Compared with the traditional wet chemistry method to identify chemical elements, FT-IR identifies mineral crystal structures, which provides better information on stone composition, said John Swanwick, biochemistry supervisor at the DECRH. Stones from the kidney, prostate, gallbladders and salivary glands, for example, are crushed into a powder and placed on top of a diamond crystal. An infrared beam is passed through the crystal, interacting with the powdered stone sample. During this interaction, the molecular bond within the stone absorbs some of the radiation giving a unique spectrum. The lab can help in determining the cause of the stone by careful examination of the urine and stone constituents. Identifying the make-up of stones helps physicians in the subsequent treatment of patients, said Swanwick, as information about stone composition is used in both medical and surgical interventions. This kind of analysis requires fewer samples and is quicker to process The ring Carron picked out for her special recognition ceremony. than former technologies, which allows the lab to serve the entire province, including both Horizon and Vitalité facilities. Lab staff would like to thank the Dr. Everett Chalmers Hospital Auxiliary Inc. for financing this project, which cost approximately $24,500. DECH Auxiliary Inc. business manager Sheila Bartlett and president Louise Corey get a first-hand look at the FT-IR in action, thanks to biochemistry supervisor John Swanwick. The Fourier Transform Infrared spectrometry machine (FT-IR). The biochemistry lab at the Dr. Everett Chalmers Regional Hospital in Fredericton now uses the “gold standard” methodology in conducting calculus analysis, a process that will ultimately benefit fellow Horizon colleagues and their patients. The lab recently acquired Fourier Transform Infrared spectrometry technology (FT-IR). From left, Nancy Parker, executive director, The Moncton Hospital; Marilyn Babineau, manager, Workforce Wellness; Wanita MacEachern, administrative assistant, Learning Services, and member of Moncton’s Recognition Committee; and Trena Brown, nurse manager, Emergency Department, organized a special recognition ceremony for their colleague Carron Weatherdon. From left, Sheila Bartlett, business manager, DECH Auxiliary Inc.; Gregory Shaw, administrative director, Laboratory Medicine Program, Fredericton and Upper River Valley Area; Louise Corey, president, DECH Auxiliary Inc.; John Swanwick, biochemistry supervisor; and Dr. Yu Chen, laboratory physician and medical biochemist, stand behind Fourier Transform Infrared spectrometry machine (FT-IR). Dr. Yu Chen, John Swanwick and Louise Corey. 5 Colleagues’Corner Horizon director recognized with provincial award 6 Jeff Carter, Horizon’s Corporate Director of Capital Assets, Physical Environment and Infrastructure, is this year’s recipient of the Canadian College of Health Leaders New Brunswick Chapter Award for Distinguished Service. A 22-year employee of Horizon (and its legacy organizations), Jeff says it’s a “huge honour” to be recognized by his peers and colleagues across the province. “So many of them have served (and still do) as coaches and mentors over the course of my career. That makes this award all the more special,” he said. “To be recognized by so many health care professionals that I have so much respect for — it is one of the highlights of my career.” Jeff believes this award demonstrates the need to give back to one’s profession and peers, as well as the associations, colleges and councils that bring them together. “It is important to have a strong network of peers and colleagues at the local and national level, as health care administration is an evolving and a tremendously complex environment,” he said “We’re dealing with competing priorities and limited resources on a daily basis, while public expectations are high, and demand on the system has never been greater.” “Never before in the history of our country has the need and call for strong, competent, and committed health care leadership been as evident as it is today,” he said. The award allows provincial chapters of the College to recognize an individual or corporate member who have made a significant contribution to their region. Among other qualifications, nominees must be members for at least three years and demonstrate leadership in educational programming, member recruitment or other areas. Jeff Carter Jeff, who’s been a member of the college for 18 years, is in his second term on the National Board of Directors. He’s also the chair of the Board’s Audit and Finance Committee and previously chaired the Ethics Council. He obtained his Certified Health Executive (CHE) designation shortly after joining the College. As an award winner, Jeff was recognized at the College’s Annual General Meeting in early June, and profiled in various publications and media. Want to tell your colleagues about the services you provide for patients and staff throughout Horizon? Email [email protected]. World Hepatitis Day shines lights on common, life-threatening diseases Submitted by Angela Green, Public Health Nurse, Woodstock, and Penny Higdon, Public Health nurse, Saint John World Hepatitis Day is held annually on July 28. On this day, Horizon’s Public Health team will join with groups around the world to raise public awareness of the lifethreatening liver diseases, Penny Higdon Hepatitis B and C. One in 12 people worldwide is infected with one or the other – 600,000 of them in Canada — and many don’t even know it. They may have no obvious symptoms until serious liver damage has occurred. These are chronic, lifelong viral infections that can affect anyone from any walk of life. Although injection drug use is considered to be a higher risk activity for acquiring hepatitis, there are other ways people may be exposed to the virus. Sexual transmission and unsterile equipment used during tattooing/piercing and/or medical procedures pose varying degrees of risk. Even something as simple as sharing personal hygiene items, such as razors, toothbrushes and nail clippers may pose a risk. Wearing a condom during sex, never sharing drug equipment, covering cuts, and wearing gloves to clean blood spills are important prevention measures. Hepatitis A and B can be prevented by vaccines. There is a new medication on the market, Harvoni, a promising new treatment for those infected with Hepatitis C. The earlier Hepatitis C is detected, the sooner it can be treated and the greater the likelihood of recovery. Hepatitis C is the most common chronic blood-borne virus in North America and the primary reason for liver transplants in Canada and the United States. Two thirds of patients on the transplant waiting list will die before a suitable liver becomes available. The disease is almost five times more prevalent than HIV in North America. The focus of the World Hepatitis Day campaign is to raise public awareness. Horizon’s Public Health teams urge everyone to learn about the risk factors involved with Hepatitis B and C and the need for testing if they think they might have been infected. To find out more, contact your health care provider, local Public Health office and visit whdcanada.org. World Hepatitis Alliance’s World Hepatitis Day logo Book details challenges, joys of raising child with CRS For a Horizon employee and her family, 26 years of journal writing has turned into labour of love and medium to promote the necessity of immunization. Marci McGrath Edith McGrath Edith McGrath, administrative assistant in Internal Medicine at the Saint John Regional Hospital, recently released a book on the struggles and rewards of raising a daughter who was “born to be different.” Believing in Beth tells the true story of Beth McGrath, who was born with Congenital Rubella Syndrome (CRS). It also details the courage, strength and faith of Don’t Jeopardize – Immunize! Believing in Beth is a treasure for all parents, educators, friends, and the vast array of professionals that come into the lives of children and their families. It will generate discussion and heighten compassion. It will inform and expand the understanding that we are blessed by the presence of children who require us to stretch and learn, and see the world differently. It will remind us that within the walls of a home by the sea, a family was dealt the unexpected that left a history and a wisdom that faith, belief and light led them safely home. An excerpt from the book’s prologue, written by Joan Skinner, retired teacher of the deaf and hard of hearing writes in the book’s forward. Beth’s parents and sister and book co-author, Marci, as they confront their challenges one by one, all because of their belief in Beth. “I hope our story will become an inspiration to other families who may be experiencing a similar situation,” Edith said. “The strength you need to achieve is always there – you just need to reach for it.” Even before knowing her daughter had CRS, Edith planned to journal during her first pregnancy to pass on her lessons and experiences to her own children when he/she was expecting their own first child. “When we received the shocking news that our beautiful baby girl was diagnosed with Congenital Rubella Syndrome (CRS) we become inundated with health care professionals and medical terminology,” said Edith. “I soon found myself journaling as a way of keeping everyone and everything organized, and as a resource to help me gain the knowledge I needed to keep up with the expectations of life.” At first she thought she’d like someone else to write her story, but soon realized she needed to share her personal, emotional perspective as a mother. While completing her Masters of Education, Marci soon joined in on the storytelling, a perspective Edith says is not common in literature. Edith hopes the book serves as a reminder that “immunization should be everyone’s concern, and moving forward we all need to encourage immunization to prevent another child from being diagnosed with CRS.” Believing in Beth book cover She says Beth received “ideal care” at the Saint John Regional Hospital from physicians who were always “only a phone call away,” as well as treatment from physiotherapists, occupational therapists, speech therapists and audiologists. Because of two holes in her enlarged heart, she also attended cardiac clinics at the hospital where she was assessed by cardiologists from the IWK Health Centre. To purchase the book, visit believinginbeth.wix.com/believingin-beth or “Edith McGrath Author” on Facebook. Want to tell your colleagues about the services you provide for patients and staff throughout Horizon? Email [email protected]. Police, communities benefiting from first-of-its-kind mental health training Horizon staff are playing an integral role in making sure police officers are equipped to respond to situations involving people with mental illness. Officers in New Brunswick can now receive 40 hours of Crisis Intervention Team (CIT) training from a nurse manager and clinical co-ordinators in addictions and mental health services. The week-long training also includes sessions with legal experts, consumer/family advocates and experienced officers. The need for the training — a first of its kind in New Brunswick — was prompted by an increase in calls to police involving people with mental health or addiction challenges over the last decade, said Greg Zed, Area Manager, Addictions and Mental Health-Sussex and Lead, Forensics Services Saint John zone. A few years ago, Zed was approached by Natasha Lemieux, a Master’s student in Forensic Nursing at Brandon University in Manitoba. The training was developed in the United States, but changed to fit the needs of local communities, as Lemieux designed a syllabus Horizon was recently recognized for its mental health Crisis Intervention Team (CIT) training. Pictured with plaques of recognition are, from left: Greg Zed, Area Manager, Addictions and Mental Health-Sussex and Lead, Forensics Services Saint John zone; Kennebecasis Regional Police Chief Stephen McIntyre; Jean Daigle, Vice President, Community; Natasha Lemieux, course facilitator; Sue Haley, director of addictions and mental health services for Saint John area; and Kennebecasis Regional Police Insp. Jeff Porter. and created course content with the help of physicians and other Horizon staff. The training began with the entire Kennebacasis Regional Police Force, members of the Saint John Police Force, Fredericton Police Force and Saint John Regional Correctional Centre. Since the initial training in the fall, the force in Kennebacasis has responded to 30 mental health-related calls with a better knowledge of the needs of those with mental health challenges. “The training has enabled our officers to be better prepared to do their jobs and provide a better service to the public we serve,” said Insp. Jeff Porter. “Now our officers can recognize signs and symptoms of mental illness, effectively deescalate mental health incidents and are aware of treatment options in the community.” This partnership between frontline officers and frontline health care workers has allowed each group to become more aware of one another’s roles, allowing them to become more cohesive in caring for their communities. “It’s meant a better relationship between police and mental health,” said Zed. “It’s working towards a more seamless relationship.” “We have a great relationship with the mental health professionals in our community and we all strive to provide the best care we can to people suffering with mental health illnesses,” said Insp. Porter. The program is also aligned with Horizon’s efforts to re-engage the mental health court in New Brunswick, which deals with offenders who have had mental health issues that come in contact with the law and require the support of mental health and addiction services. Zed hopes to work with the Department of Justice to replicate the program across the province and to encourage other forces to take part. 7 Therapy dogs show unconditional love to patients at SJRH 8 While Horizon’s health care professionals give exceptional care, sometimes what a patient needs is a little TLC from a furry, four-legged friend. That’s what’s been happening once a week for the past three years on the Acute In-Patient Psychiatry unit at the Saint John Regional Hospital. As part of the St. John Ambulance Pet Therapy program, Sophie, a Bernese Mountain Dog, and handlers Don and Joan Fillmore, visit patients on the unit. Sophie’s sister, Amy, used to visit, too, but isn’t able to join as often because of an injury. Recreation Therapist Nicole Gillies has been on the floor for a year (and at Ridgewood Veterans Health Wing for 17 years prior). “The therapeutic benefits of Pet Therapy with Sophie have been a huge blessing offered to our patients each week on our unit,” said Gillies. “Recreation Therapy’s mission is to provide independence in leisure, optimal health and quality of life. Pet Therapy with Sophie certainly covers all of this.” Each day Sophie visits, Gillies checks with the charge nurse to see who can or can’t participate (for safety reasons, or possible flight risk). Some participate because of their love of dogs, while others use the visit as an opportunity to get over their fear of dogs. “Sophie is such a gentle soul and is perfect for anyone who is trying to work on their phobia and trust issues with dogs,” Gillies said. Sophie, wearing a scarf around her neck to identify her as a pet therapy dog, allows patients to scratch, pet, hold, kiss and talk to her. The interaction between the dog and patients is sometimes more than staff elicits and, as an added bonus, the dog gives the patient/ staff something to talk about after she’s left. “There is an unspoken trust that is immediately developed between the dog and the patients,” Gillies said. “There is no judgement from a dog.” Sophie even recognizes when patients are having a bad day, St. John Ambulance volunteers Joan and Don Fillmore, with their therapy dog, Sophie, and patient Stacey Cormier. and returns to them, on her own initiative, during the group program. Pet therapy encourages patients to practice mindfulness, as they focus their attention on the dog and away from their personal stressors. Pet therapy also reduces stress, improves self-esteem, elevates mood and improves communication skills in patients, which is especially important on this unit, as patients have been admitted for PTSD, autism, depression, anxiety and challenging psychiatric disorders. In speaking with colleagues, Gillies has seen how this has deeply affected one patient. “We have a particular patient who is reclusive and does not participate in group programs, however, did attend the Pet Therapy group,” she said. “The patient behaviour was amazing as their face lit up when they saw the dog, would talk about past dogs they owned, would speak directly to the dog. And upon returning to the unit would speak of the dog visit for days after.” The Pet Therapy program was brought to the hospital through Volunteer Resources’ connection with St. John Ambulance. Sophie with a patient Laura Brewer, St. John Ambulance’s Therapy Dog co-ordinator, says the program was started in Ontario in 1992, and brought to New Brunswick in 1999. There are 98 active visiting teams in the province that visit about 55 different facilities, including hospitals, nursing homes and schools either twice a week, weekly (the majority) or bi-weekly. The average number of patients or residents that a team visits is 12, along with six staff members. Brewer agrees with Gillies in all the benefits of having the “unconditional love of a fourlegged friend” for an hour or so every week. “The impact the Therapy Dog visits have on the residents is incredible,” she said. “It is truly amazing to see the faces of the individuals light up when the dog walks into the room. Not only do they make a difference in the day of the resident but the family members as well. I like to say that it is a great circle to be a part of.” She also sees the benefits for the handlers and dog, who spend their time volunteering in their community, making someone’s day a little brighter. 9 A group shot of all recipients of MindCare funding, including the team from Moncton. Mental health and family practices team up to provide timely care for patients A team of mental health professionals in Moncton was recently awarded a major grant for a research project that will give patients timely access to mental health services. Family physicians Dr. Tom Laughlin and Dr. Jody Enright, Dr. Dinesh Bhalla, psychiatrist, Bernie Goguen, manager for Adult Mental Health Services in the community in Moncton, Kathleen Buchanan, acting program manager, Addiction Services and Mental Health, and Jill LeBlanc-Farquharson, director of Addiction Services and Mental Health are part of a team that received $125,000 from MindCare New Brunswick, a committee within the Saint John Regional Hospital Foundation supporting mental health initiatives. The project will see 12 family physicians at four group practices work with a mental health professionals experienced in cognitive behavioural therapy over the next year. This will help physicians better support patients with mild to moderate depression and/or anxiety within their community practice. Dr. Laughlin and Dr. Enright, who are both involved in the research, agree about 30 to 40 per cent of their practice is helping clients with these mental health disorders. If these patients were referred to mental health, they would probably wait the longest because they tend to be in the mild range or moderate range of severity. These patients also can’t obtain access to a cognitive behavioural therapist, and by the time they do, their symptoms have likely worsened. “By getting to them early, you are hopefully going to be preventing not only the personal suffering that happens with mental health, but the loss time at work, the strain on families and the more measurable things,” said Dr. Enright. The doctors say some patients are more comfortable visiting their family doctor than a mental health clinic, evidenced by high rates of no-shows for mental health appointments, which is rare in a family doctor’s office. The partnership will not only benefit patients of family physicians with mental health needs, but also provide education to help doctors improve the way they provide treatment to these patients. “As we learn the principles of cognitive behaviour therapy, many of those lesser challenging patients will be managed by us (family physicians) and the more challenging patients by our partner (psychiatrists), with help and discussion back and forth,” said Dr. Laughlin. He has shared his family physician office with a psychiatrist for the past 15 years, for a half day a week, and has already seen the benefits of the partnership. He said the model of care has the potential to be ground-breaking in primary care reform, with the focus on the patient seeing the right professional at the right time for the right reason. The clinician will rotate between the four offices each week for about a year. One-hundred and fifty patients will be involved in the study. Half of those patients (75) will receive 12 sessions of cognitive behaviour therapy in the family physician offices, and a control group of 75 patients will receive care as usual (from their physician, which could include referrals to mental health specialists). A PhD student will also be involved in the project, acting as an unbiased data collector, tracking statistics, such as severity of symptoms, progression and recovery, patient and physician satisfaction, emergency room visits and recurrence rates. The “transformational” project will also serve the community well, and help close gaps in communication between mental health team members and family physicians. The group hopes the model of care will spread across Moncton, then New Brunswick and Canada. Horizon also received $100,000 from MindCare towards the education of psychiatrists, specifically in the Saint John area. Horizon Hot Spot Emergency Physicians win national awards 10 For the third year in a row, researchers from Horizon – namely, a medical student and resident – captured national awards. The Canadian Association of Emergency Physicians recently announced its award winners for 2016, which included members of Saint Medical student Nicole Beckett. John Regional Hospital’s Emergency Medicine Research Program. Nicole Beckett, a medical student at Dalhousie Medicine New Brunswick won the prize for Top Medical Student Research Project, in which she looked at the combined role of ultrasound and electrocardiography for predicting outcomes during cardiac arrest resuscitation. “It is incredible to be recognized for my research at such a high level so early in my medical career,” said Beckett. “With the time and effort put into this project I have developed a great appreciation for point of care ultrasound in emergency medicine.” “This area of research is helpful for patients in cardiac arrest and may help physicians decipher which patients may benefit from greater resuscitative efforts, with the goal of providing all patients in the emergency department with the best care possible,” she said, adding she owes thanks to her supervisors and research team, Dr. Paul Atkinson, Dr. David Lewis, and Jacqueline Fraser for their “tireless support.” Dr. Kyle McGivery, Emergency Medicine resident was awarded a national resident research award for his work on early diagnosis of acute heart failure in the Emergency Department. McGivery said he’s honoured the project — and the hard work behind it — has been recognized. “This once again highlights the success of our research program here in Saint John which continues to get recognition from across Canada,” he said. “With our current study (a meta-analysis), we are finding support for the use of bedside ultrasound to quickly and accurately diagnose acute decompensated heart failure in the emergency department. “ “This means that when an ultrasound is used, patients may get earlier and more appropriate treatment which has been previously linked to improved outcomes. This is a very practical diagnostic test which can be used in both large and small hospitals and therefore have an impact on a wide range of patients.” Past winners include Dalhousie medical student Colin Rouse, for his work comparing outcomes from trauma patients between differing systems in Atlantic Canada, and Dr. Paul Atkinson, Chair of the Dalhousie Emergency Medicine Research Committee and Site Director for the Emergency Medicine Research Program in Saint John, for work examining the role of ultrasound in resuscitation for critical illness. Dr. David Lewis, ultrasound program director, Dr. James French, chair of the NB Trauma Program research committee, and Jacqueline Fraser, research co-ordinator, were also key team members for these projects. The Emergency Medicine Research Program continues to work with local partners to examine how science and innovation can improve care for all patients presenting to emergency departments and urgent care centres in New Brunswick and across Canada. Dr. Kyle McGivery. Dr. Paul Atkinson and Jackie Fraser. Colin Rouse, Robin Clouston and Jefferson Hayre. Horizon pharmacists nab national awards Two Moncton-based pharmacists were recently recognized at a national level for work in their field. Diane Brideau-Laughlin was one of only three pharmacists to receive Fellowship status with the Canadian Society of Hospital Pharmacists (CSHP) at this year’s Professional Practice Conference. This status is peer recognition for “noteworthy, sustained service and excellence in the practice of pharmacy in an organized healthcare setting.” Douglas Doucette, Regional Pharmacy Clinical Manager, was a co-recipient of the Pharmacotherapy Best Practices Award, which recognizes a project or program implemented in a hospital or health care system that promotes best-practice prescribing and includes outcome measures. The purpose of Douglas’ project, Development of Clinical Pharmacy Key Performance Indicators for Hospital Pharmacists Using a Modified Delphi Approach (completed at University Health Network), was to create quality and evidence-based indicators to improve patient care and advance clinical pharmacy practice. A national panel of hospital pharmacists and other stakeholders successfully developed eight consensus clinical pharmacy key performance indicators of activities performed by hospital pharmacists. Work is ongoing to continue to implement these indicators in jurisdictions across Canada, including Horizon Health Network. This award is sponsored by Pfizer Canada Inc. as part of a large team of researchers (15 researchers in total) from health care institutions across Canada. Douglas Doucette and Diane Brideau-Laughlin. For the Melanson women, nursing runs in the family A set of 25-year-old triplets, their mom, her mom and her mom (that’s four generations) have been – or are – nurses at The Moncton Hospital. We caught up with them for a quick Q&A where they dished on the ups and downs of the profession, and what it’s like working with your mom and siblings. Tell us your name, position and years “active” at The Moncton Hospital. Joyce (Myles) Robart: Operating Room nurse. Full-time from September 1961 to January 1962; casual until September 1971. Vickie (Robart) Melanson: Attended AJM School of Nursing. I was hired in November 1983 and took a full-time position as an RN on the Neuro Intensive Care floor in April 1984 and have been there since. Jessica Melanson: Finished school in December. Working with Horizon on 4100 (Neuroscience) as an RN for about five months. Sarah Melanson: RN on 4400 (Rehab). Working with Horizon for two years. Erin Melanson: RN on 4100 (Neuro Intensive Care). Working with Horizon for three years. Why did you choose to become a nurse? How much did your mother and/or sisters’ choice to do the same influence you? Joyce: My mother, Pearl (Smith) Myles worked in Geriatrics at The Moncton Hospital until her health failed. She loved what she did and I wanted to be like her and her sister, who worked in Pediatrics at the hospital. Vickie: My mom and my grandmom were both nurses and I guess it’s all I really knew. Jessica: I went into Kinesiology with a plan to do physiotherapy. A little more than halfway through my degree I decided physio wasn’t for me and knew that I wanted to do something in health care. I loved the co-op (placement) I did in high school in nursing and always had it in the back of my mind … I saw how much my sisters and mom loved their job, so I guess it did influence my decision in a positive way. Sarah: In Grade 12, I remember thinking of careers that interested me and I really only knew nursing. Nothing else sounded very interesting or appealing. Going into university with my sister (someone I confide in) definitely made the choice easier. Erin: Always interested in working with people and helping others. Mom’s influence definitely was important. I was able to see her impact on others and that was encouraging. When some people tried to sway me from going to nursing school, she was very supportive. Do you ever work the same shift? What’s that like? Vickie: Yes, occasionally I work with Erin, as she is in the same unit and I have to say it’s a little weird. Jess and Sarah work in different areas, so we may be in the building at the same time but only see each other in passing. Jessica: Sarah and I have worked together while I did my orientation on Rehab and it was so much fun! I love working with her. Mom and Erin both work in the NICU and like working on the other side of the floor while they are there. I can ask them questions if I need to and can pop over to see them. Sarah: We work the same shifts, but I’m not on the same floor as the rest of my family. It’s nice to see familiar faces around the hospital too! Erin: Yes, ha-ha. I don’t find it weird at all. We work well together and give each other space when needed. It’s nice to have someone around you that you can count on. When you’re having a hard day it’s always nice to have your mom around, no matter where you are. What’s your favourite aspect of working at The Moncton Hospital? Vickie: It all depends on the day. Patients, families and coworkers. Jessica: The staff. They are all so welcoming and have been great in teaching me and helping while I have been learning the ropes! Sarah: My favourite aspect of nursing would be to see the patients come over to Rehab after being extremely sick, and watching them improve significantly to go home. Erin: I have always been interested in Neuro, probably because I’ve been around it my whole life … What pulled me towards it when applying for jobs was the rehabilitative aspect. People come in at their worst, and you get to watch them improve – most of the time. While other departments start with people being healthy and deteriorating, I am able to watch people gain back their autonomy. What would you say to someone interested in this career? Joyce: I am glad to have been in the profession, and so very proud of our caring daughter and three very caring granddaughters. Vickie: It’s been a great career most of the time. Some stressful days and some rewarding days. Jessica: It is such a rewarding career! If you’re a real people person, you love working as a team and want to serve and help, nursing is definitely for you. Sarah: To people who are interested in nursing: it’s never too late to start. You’ll never be bored; something different happens every day. Erin: It’s an incredible experience. Don’t get me wrong, there are hard days, but the good days definitely outweigh the bad ones. You not only connect with the patient, but with their entire family. Nobody wants to be in a hospital, so if nurses (or anyone participating in the patients’ care) are able to help brighten someone’s day, I think it makes it all worth it. Editor’s Note: Some answers have been edited for length and/or clarity. Donation helps veterans live more independently Daily routine at the Veterans Health Unit (VHU) in Fredericton has been made more comfortable, dignified, and even a little safer, all thanks to the DECH Auxiliary Inc. The Auxiliary donated funds for the purchase of a new wheelchair accessible shower for the Priestman Unit, as well as a hydrosonic tub and lift for the Regent Unit. The large shower has ample room for both residents and their health care workers to move freely. Safety features, such as pull down seating and heated flooring, allow residents to live more independently. The shower can also be sectioned off, giving residents the option of showering privately while having help within arm’s reach. Prior to the renovations, veterans living on the Regent Unit didn’t have a full immersion bathtub. Now they have the option to soak in the tub with the therapeutic benefits of the hydrosonic feature. The new lift makes it accessible to all residents, regardless of their mobility. Staff and residents alike are very grateful to the DECH Auxiliary for their assistance. On May 3, members of the DECH Auxiliary Inc. were invited to attend a ribbon cutting ceremony at the VHU. Pictured are Andrea Stierle-MacNeill, administrative director for VHU, and Louise Corey, DECH Auxiliary Inc. president. 11 Patient Experience Advisors keep patients in the forefront of health care 12 From food services to handwashing, Horizon’s Patient Experience Advisors know the ins and outs of health care in New Brunswick. The council of eight, who come from different perspectives, backgrounds and locations, regularly meets with Horizon staff, giving feedback on new policies, programs and practices affecting patient care and services, and sharing concerns from the public. “We’ve all come to the committee because we’ve all had unfortunate things happen, either to ourselves or to family members, or both,” said co-chair Penny Ericson. “We don’t want to complain about it; we want to make things better.” Recently, the team toured food services at the Saint John Regional Hospital, becoming more aware of the challenges of creating a universal policy, as all kitchens and other food service areas are different. They also shared opinions on what’s best for patients to eat while in hospitals, Ericson said. Some believe it’s important for patients to have a diet appropriate for what’s ailing them, while others believe if you’re in the hospital, the important thing is that you’re eating. They’re also aware of the high costs of fresh fruits and vegetables. Diet changes need to stay with the patient longer than three trays Patient Experience Advisors and staff tour the Saint John Regional Hospital kitchen area. of food, members believe, and this can be done through having The council has had a lot of comfortable to come to us than patients meet with a dietitian or discussion about food services they are to talk to hospital (staff) nutritionist. within the group and with the when an event takes place,” she To get the full patient experience, public, and will continue that said. “They’re afraid of kickback they ate the patient’s lunch of the discussion until they come up with from staff, not being cared for day, either a regular or diabetic recommendations for Horizon. properly, not wanting to be a selection. complainer …” This is something they do every year — make a list of concerns and But patients are happy when they possible solutions, as well as letting hear things have changed because staff know what aspects of patient of public input, Ericson said. care are going well. A complaint about the For example, the council is very malfunctioning motor on pleased with the network’s smokeautomated doors in the Dr. Everett free policies coming into effect at Chalmers Regional Hospital l int John Regiona Sa at y all hospitals, Ericson said. emergency room in the middle of tor ora lab the To the employees at winter lead to immediate reaction They’re also happy with Horizon’s : Hospital a and is being from Horizon staff — and a couple mi ke leu th hand washing awareness, as it’s wi d ose s diagn int Sa the extra motors for future problems. at Recently my son wa t en rtm pa something “everyone’s talking oncology de actively treated on the his diagnosis t ou ab about.” “That sort of thing means a lot to ect refl I As . tal role that John Regional Hospi the community – when they hear tly reminded of the tan ns co Efforts could be further improved am I t d en and treatm ective diagnosis an eff back that things are happening the in d ye pla s if screens in emergency rooms ha your department because they lament,” she said. . and other waiting spaces featured son my of t en treatm ., an individual a.m 5 8:1 at rk educational messages for patients Ericson and her fellow patient wo od for blo e correct The day he went in alysis in your lab. Th instead of the daily news or other experience advisors “truly an for it t sen d an drew his blood son’s physician programs, the council suggests. appreciates all the hard work d notification of my an iew rev g, the sin him ces pro so many are doing to improve al results provided rm no ab One of the top patient concerns al tic cri his regarding al attention. dic the quality of care” in Horizon’s me t mp pro e the council is still working on is eiv opportunity to rec facilities. They hope staff continue felt to process that ve ha identifying Do Not Resuscitate st mu it w ho t to come to them with ideas and I was thinking abou ing to be forever go s wa life (DNR) patients when they’re away ’s ne eo t som t your work ou ab areas they should be addressing blood and know tha go ly iet qu u from their room. Every day yo from a patient perspective. changed as a result. s that are affected by live the ing see ver By wearing a green bracelet, in the background, ne critically important role. ga council suggests, your work, but playin a they’ll be more easily lab continues to play ur yo d, sse gre rk, wo pro s As time ha stay. Constant blood tal identified by all spi ho ’s son my significant role in tum) tested, and health care staff, not ens (urine, stool, spu cim spe , to cts ed du ne pro y blood just their primary th exactly what the wi m tea al dic me providing the ble. ssi po er care team. (as of June 6, 2016) nn ma st be care for my son in the u that your role is yo l tel to This is one of nt wa I u. I want to say thank yo Penny Ericson - Fredericton, Co-Chair t your attention to many concerns the I want to tell you tha valued and important. in the lives of patients — specifically, Jane Claxton-Oldfield - Sackville council hears from ce en fer detail makes a dif past and current Gail McLaughlin - Saint Andrews . my son d you all play patients. tient care matters, an pa es Faustina (Tena) McLellan - Upper River Valley en -sc he d-t . hin Your be hospital “People in the care of patients in the Kevin Standing - Saint John a part in the effective community are Karen Storey - Moncton still, sadly, far more n, tio cia With sincere appre Russell Whitney - Miramichi m. mo d an e ploye A grateful Horizon em a A thank-you note from nt grateful Horizon pare Horizon Patients Council Dedicated volunteer gives hospital the gift of music Wendy Rea, a volunteer who has worked at the Upper River Valley Hospital since its opening in 2007, recently donated her family’s piano to the hospital. The instrument is a wonderful addition to the chapel for everyone’s enjoyment. Her donation was made in memory of her husband, Neville Rea, who passed away in July 2014. The couple had met through music — Neville played the violin and found Wendy to accompany him on the piano. Thanks to community members who donated their time and services, the piano was successfully moved within two hours and tuned free of charge. Wendy Rea poses for a photo with the piano she donated to the Upper River Valley Hospital. Provincial Archives of NB P107-MS2-1a-5 THEN: Saint John Regional Hospital Construction, June 28, 1976 Horizon President and CEO John McGarry was one of the first occupants of the hospital. “This picture and time stamp shows how big this project was,” he said, of the throwback photo. “The hospital did not open until six years and four months later in October 1982. Due to a fire at the old “General” I occupied the first office in the new site (with our finance team) in June 1982.” The photo is one in of series of Department of Health Construction Services photos taken of the hospital between August 1975 and July 1976. NOW: The Saint John Regional Hospital, as seen today. 13 Play a part in our Missed Appointment campaign 14 Two years ago, Horizon’s Missed Appointment campaign successfully reduced the number of medical appointment “no-shows” at facilities in Fredericton. We’re hoping to build on the success of this campaign — and we need your help! In 2013, statistics showed that there were a high number of missed medical appointments, affecting Horizon’s ability to provide timely and quality care to its patients. To address this issue, Horizon launched a multimedia campaign to remind patients about the importance of attending their medical appointments with the simple concept: attend your appointment or call to cancel and rebook. Campaign results were very positive, with a 50 per cent reduction in the number of missed appointments in the Fredericton area. This success translated into improvements in the daily work flow and productivity for employees, and improved efficiencies and overall patient care. Over the next few weeks posters will be distributed to clinics and hospitals, and watch for a social media blitz on our Twitter and Facebook pages. Missed appointments delay treatment for others. If you can’t make your appointment, . can someone else Les rendez-vous manqués entraînent des retards dans le traitement d’autres patients. vez Si vous ne pou senter, pas vous y prédonner nous pouvons -vous votre rendez sonne. à une autre per ook. cancel and reb Please call to er eler pour l’annul Veuillez nous appautre rendez-vous. et pour fixer un a www.HorizonNB.c How Can YOU Help? Use Missed Appointed information and products, including posters, to remind your patients of the impact of missed appointments. Make sure your service allows for ease of cancellation or rescheduling, and provide that information when the patient makes their appointment. For more information, check out the Missed Appointment page on Skyline. Patients agree: New registration process works patients were very satisfied. Of the 101 comments recorded, most were positive and constructive. Benefits of community engagement Focus groups, which included staff, physicians, and volunteers, as well as patients and community representatives, were held in 2015 to discuss the new registration process and hours of operation of the Blood Work Clinic, and the best way to communicate these changes. Products developed, thanks to the feedback received, included posters, flyers, letters to physician offices, public service announcements, and social media tweets and posts. Horizon thanks Blood Work Clinic’s staff for their contribution to the success of this process - Excerpts from comments received improvement initiative. A recent survey confirms patients appreciate the new registration process and hours of operation of the Dr. Everett Chalmers Regional Hospital’s Blood Work Clinic. The new process improves patient flow and reduces wait times for scheduled appointments in a lobby area that had been congested with patients waiting for service. Since April 2015, Professional Services within Horizon reduced the patient processing time by 25 to 30 minutes, on average. The patient processing time is now about 28 to 32 minutes, which demonstrates our commitment to providing patient and family centred care. “I think your new system is remarkably faster. Thanks.” “I just don’t like having my blood drawn. The staff was very comforting and nice.” “Keep up the good work.” “Did you notice an improvement”? Patients were recently surveyed to determine if they are satisfied with the new registration process and hours of operation. The survey’s length was kept short, containing only a few questions to ensure a good response rate. In a two-week period, from February 1 to 12, patients completed (or filled out) 761 surveys. Horizon staff assisted patients in completing the surveys, which were done on an iPad as they exited the clinic. Paper copies were also available. Respondents were generally satisfied with the clinic’s services, and 77 per cent noticed improvements in processing time since April of last year. The satisfaction rating was approximately 9 on a scale to 10, indicating Team members from Dr. Everett Chalmers Regional Hospital’s Blood Work Clinic and Horizon’s Quality and Process Improvement and Communications departments were applauded for their efforts in this project at a recognition event, which was attended by Gary Foley, Vice President, Professional Services. New Concussion Awareness Kit available for health care professionals The topic of concussions has increasingly received attention from mainstream media because of the publicity surrounding high profile professional athletes and their recent experiences. The NB Trauma Program has created a Concussion Awareness Kit for health care professionals containing the most evidencebased research on the assessment, treatment and post-treatment of concussions. The Concussion A concussion is a brain injury Awareness Kit which can be caused by any was developed blow to the head, face or neck, with the or a blow to the body which assistance of a causes a sudden jarring of multidisciplinary the head. According to 2014 team of data from the NB Trauma experienced Registry, the top five causes health care of concussion in this province professionals are due to: from New Brunswick, Falls with an interest Sports related in providing Hitting or being struck by evidence-based an object information on concussion Motor vehicle collisions assessment and Assaults management. The content of this kit includes resources for health care professionals such as a pocket concussion guidebook, a post-concussion symptom checklist and a list of concussion clinics in the province. The kit also includes resources for the public such as concussion guidelines for parents and guidelines for return to play after a concussion. It is strongly recommended any person who may have had a concussion be seen by a trained health care professional as soon as possible, regardless of the cause of the concussion. Printed copies of the kit have been mailed to select groups of health care professionals and the complete kit is available for download, for free, from the “What’s New” section of the NB Trauma Program website, NBTrauma.ca. About the NB Trauma Program The NB Trauma Program is a formalized partnership that includes Horizon Health Network, Vitalité Health Network, Ambulance New Brunswick and the New Brunswick Department of Health. It has been created to provide provincial leadership and coordination of injury prevention, clinical care, education and research related to serious and critical injuries in New Brunswick. Public campaign to encourage patients to use health care services wisely At many hospitals, too many patients who feel mildly ill are visiting emergency rooms while they should be cared for at a facility and/or by health care providers in their community. A new public education campaign hopes to help our patients make more informed choices about where to go to receive appropriate health care for what’s ailing them. The need for this campaign was sparked by triage nurses at The Moncton Hospital, and will begin in early July and possibly implemented in other emergency rooms and will be possibly implemented in the future. Triage nurses will inform patients who triage as Level 4 or 5 about appropriate health care services in the community. If the patient agrees, the nurse will then make them an appointment with their family physician or at an after-hours/walkin clinic. A recent survey asked almost 300 patients in the waiting area at The Moncton Hospital’s Emergency Department why they were visiting. The survey found most patients: • Were unaware of how/when to access primary care in the community; • Did not have a family doctor but never heard of Patient Connect NB; • Did not attempt to contact their family doctor because they believed they wouldn’t be seen right away; • Were unaware of the services provided by allied health care providers, like pharmacists and physiotherapists; and • Were willing to wait even though they realized their symptoms were not urgent. Accordingly the campaign will promote awareness of community health care services, such as Tele-Care, after-hours /walk-in clinics, pharmacists and physiotherapists, and Patient Connect NB. Ultimately, the campaign hopes to change behaviours of those who visit emergency rooms, as well as to encourage better communication between acute care staff and community partners. National conference will showcase Horizon’s leadership in patient care Horizon Health Network is hosting its inaugural National Patient and Family Centred Conference, Experience, Nov. 7 and 8, in Moncton at the Delta Beausejour. Presentations from international, national and regional health care leaders and decision makers will address innovation in patient and family centred care practices and deliver presentations highlighting the following themes: • Building a Culture of Patient and Family Centred Care; • Quality and Safety; • Patient Engagement Care Decisions and Family; and • Patient Experience (Customer Service). Conference sessions will be offered in both official languages with the aid of simultaneous translation services sponsored by the New Brunswick Department of Health. Professor Sir Liam Donaldson, an internationally renowned champion of patient safety and public health, will give the keynote address. Sir Donaldson is currently the Envoy for Patient Safety for the World Health Organization. Other speakers include Dr. Ward Flemons, Dr. Joshua Tupper, Liz Crocker, Michelina Mancuso, Dr. Camille Haddad, Dawn Haddad, RN, and Vincent Dumez. “Conference registration has been open for two months, and already we have numerous registrants,” says Margaret Melanson, VP Quality and Patient Centred Care and Chair of the Experience Conference Steering Committee. “We look forward to this conference fostering thought-provoking dialogue among leaders and participants, inspiring us all to move forward in the quest to provide exceptional care to every person every day.” Abstracts for short, or “rapid fire,” and poster presentations can be submitted via the Experience Conference website until July 17. For more information, to review the biographies of our speakers or to register, please visit pfccexperience.ca. Together we can inspire continuous improvement and lead in providing exceptional patient centred care. 15 How about those values? You know the ones I’m talking about. The ones we are all committed to living in our everyday work tasks to provide Exceptional Care to Every Person, Every Day. The ones that have helped us provide support to our team members, our patients and their families, and everyone that enters a Horizon facility. Let’s commit to those values as a team – as One Horizon. 18 | Our Values Commitment Charter WE SHOW EMPATHY, COMPASSION, AND RESPECT. We treat others the same way we would like to be treated. VALUES CO MMITMENT CHARTER Team/Depar tment Name WE SHOW We treat othe WE STRIVE FOR EXCELLENCE. We work in a manner that reflects our commitment to the delivery of exceptional customer service and care. WE ARE ALL LEADERS, YET WE WORK AS A TEAM. We take responsibility and initiative to support each other in achieving Horizon’s goals. EMPATHY, rs the same We Will: Date COMPASSIO N, AND RE ld like way we wou WE STRIV E FOR EXCE LL We work in ENCE. a manner that reflects our We Will: commitmen t to the deli WE ARE AL We take resp We Will: L LEADERS, onsibility and very of exce YET WE W initiative to support each ORK AS A other in ach WE ACT WITH INTEGRITY, AND ARE ACCOUNTABLE. We keep our promises and honour our commitments. SPECT. to be treated. ptional cust omer service TEAM. ieving Horizon ’s goals. T O WE ACT W ITH INTEGR ITY, AND AR We keep our promises and E honor our com We Will: mitments. and care. ACCOUNTA BLE. Va fol Ch the opp Please have each team mem ber sign this and post in Values Com staff lunch mitment Cha or break area rter that you s or any plac have created e that staff together assembles Cons follow REGU Regula Daily/W with sh