NEWS-2015-09-17 2014-2015 Annual Report

KIRKLAND and DISTRICT
HOSPITAL
2014-2015 ANNUAL REPORT
OUR MISSION
“Working Together To Meet YOUR Health Care Needs”
OUR VALUES
We value our community, our partners and our staff.
In our actions we will be governed by:
Honesty and Integrity
Pursuit of Excellence
Continual Improvement and
Open Communication
OUR VISION
“The Kirkland and District Hospital will distinguish itself as a leader in rural and
northern health care and will be recognized for the commitment of its people and
partnerships in providing exceptional service.”
KIRKLAND and DISTRICT HOSPITAL
BOARD OF DIRECTORS 2014-2015
EXECUTIVE
Patty Quinn
Chair
Ted Butt
Vice-Chair
Lois Kozak, CEO
Secretary, Ex-officio
Barry Ryan
Treasurer
DIRECTORS
Brian Bronson
Lynda Clowater
David Dickinson
Marcel Joliat
Michelle Lafreniere
Serge Moreau
EX-OFFICIO MEMBERS
Dr. Mark Spiller
Chief of Staff
Dr. Antonio Visbal
President of
Medical Staff
An Weiler
CNO
Assistant Executive
Director
Melanie Davis
Integrated Director of
Finance
Doreen Sasseville
Auxiliary
Representative
Kirkland and District Hospital
Board of Directors
Board Chair Report 2014-2015
Patty Quinn, Chair
As Chair of the Kirkland & District Hospital Board and on behalf of our members, I have been granted this
occasion to report on the year ending March 31st, 2015. I am honored to share with you the strengths within
our hospital and the opportunities engaged by KDH to improve the delivery of health care in our
communities and our district.
One of the Board’s primary functions is to ensure the financial stability of the Hospital.
As per government regulation, the Hospital’s Annual Planning Submission (HAPS) must be delivered to the
North East Local Integration Network (NELHIN) to outline the Hospital’s budget for the 2015-2016 fiscal
year and what the expected financial results of that budget will be. After that, the Hospital Improvement
Plan (HIP) must be submitted to the NELHIN to demonstrate how the Hospital will balance its budget for the
2015-2016 fiscal year. Both of these documents were submitted as required and we are happy to report they
have been accepted by the NELHIN.
As an additional source of funding, the Hospital was successful in obtaining Hospital Infrastructure Renewal
Funds (HIRF) from the Ministry of Health and Long-Term Care (MHLTC). This money was used to
resurface a large portion of the Hospital’s roof as well as to retrofit wiring and exit lights throughout the
Hospital. We are once again happy to report that for our next fiscal year, the HIRF dollars have been
confirmed and our hopes are to complete the resurfacing of the roof. Our expectation is as these
improvements to the building envelope are completed, we will begin to see savings in our operational costs
such as hydro and natural gas.
In 2014/2015 the renovations were completed in the Laboratory and Pharmacy areas. The lab renovation
created a compact workspace utilizing lean principles. The layout and design includes enough space and
infrastructure to allow for potential growth. The pharmacy renovations focused on air quality and a negative
chemotherapy preparation room with a new, state of the art preparation hood. The renovations have
improved the way pharmacy staff prepare and provide chemotherapy and have enhanced safety for both
pharmacy staff and the patients receiving the final product. With the completed renewals of the facilities we
are now fully compliant. We are meeting or exceeding requirements and standards and are able to ensure
top-notch lab and pharmacy services for our patients. The large renovation did go over budget but we were
able to adjust and great results have been the outcome. The lab passed and received high accolades during
their last Accreditation process.
We also continue our journey to complete the Renovate a Room Project. We are now over 50% finished and
will continue to make this very important project a top priority over the next fiscal year.
In 2014, the Board authorized a refresh of the 2011 operational review. The refresh took into account
changes that were implemented in 2011 and identified new areas presenting opportunities for Hospital
operations. Regular monthly reports to the Board from the Director of Finance indicate that the Hospital’s
managers are working towards identifying and acting on efficiencies in their departments and are using the
2014 Refresh to guide their decision making.
….2
With patient care and budget in mind, the Kirkland and District Hospital and the Englehart and District Hospital Boards engaged to further integration of services. Vacancies in key leadership positions presented a significant opportunity for the Boards. As a result of the discussions prompted by these vacancies, our hospitals’
Boards approved two motions. The first motion committed the hospitals to pursue a Partnership Agreement
through which we will develop shared statements of vision, mission and values and a single strategic plan to
chart our shared path forward. These documents will guide the actions of the Integrated CEO. The second
motion committed our hospitals to jointly recruit and retain this individual, within the context of a Partnership
Agreement. It is through these two motions we expect to enhance patient care and access, by more closely
coordinating the services that we provide to our patients. A shared Chief Executive Officer will help us to
achieve our shared goals.
In order to move ahead with this pledge of shared leadership, Kirkland and District Hospital and Englehart
and District Hospital were required to seek approval from the NELHIN. Through the incredible work of
Sharon vanValkenburg, a Project Manager hired by the two hospitals and funded through the NELHIN, we
submitted our proposal just before Christmas and were approved on February 4th. In their letter, the NELHIN
said, “We congratulate both your boards for working together to improve patient care, maximize collective
efficiencies, and ensure a common vision, set of values and strategic plan for North Temiskaming.”
With permission to proceed, it became 'full steam ahead'. We worked through the process of selecting an executive search firm to help us recruit. We have drafted our Partnership Agreement, which sets out the rules
concerning how the hospitals will work together and that document is now undergoing a legal review. We
expect to have a final copy by the end of July.
In the spirit of shared leadership and partnership, KDH hired Lois Kozak to become our Interim CEO. Lois is
also serving as the Interim CEO for the Englehart and District Hospital. With this arrangement we have leadership in place to help us set clear direction and we will have transformed many of the stumbling blocks enabling a smoother transition to a full-time Integrated CEO. Lois has certainly set a precedence. We will accept and expect nothing less than what Lois has brought to our organizations through her knowledge, leadership skills and mostly her dedication. We will be forever grateful that Lois accepted the proposal and ran
with it. We thank Lois for failing at retirement and surpassing our expectation in CEO qualities.
A second primary function of the Board is in relation to Quality. The Quality Committee is comprised of an
interesting and diverse cross section of representatives. At the table are KDH staff as well as community representatives from Kirkland District Family Health Team, the North East Community Care Access Centre
(CCAC) and the Canadian Mental Health Association (CMHA). Given this breadth of scope and depth to the
committee ensures the very best of patient care and safety for our in and out patients. Leading up to the Accreditation 2016 exercise the Quality Committee is confident that all of these recent and past accomplishments and adjustments will positively affect health care for our KDH communities. We would like to
acknowledge and thank our community partners for their active participation in this committee.
There have been two other individuals that have been unwavering in their support through our changes. The
Board also wishes to acknowledge the significant contributions of Dr. Spiller and Dr. Visbal. These two gentlemen have been fully engaged throughout this process, sharing their time and knowledge so generously.
Their guidance and forward thinking, in terms of the relationship between Physicians, Administration and the
Board, is rare. Dr. Spiller once said, “This just doesn’t happen everywhere.” Fortunately for all of us, it happens here.
….3
I am confident when I say, “this has been a year like no other in KDH’s history.” From the change of leadership in the fall of 2014 through to the creation of a new, leaner budget, the managers and employees of KDH
have proven they can take on unexpected challenges and rise to the occasion. We appreciate the work they
undertake every day to ensure our patients and visitors are always the primary focus. They acknowledge
there are more improvements to work towards and they continually find ways to work even smarter to do
more with less. We are fortunate at KDH to be an organization that would never become comfortable just
being better. KDH is filled with over achievers, always defying complacency.
Once again, we would like to acknowledge the outstanding contributions of the KDH Auxiliary and the KDH
Foundation. The dedication and enthusiasm of these remarkable volunteers is exhibited in our Hospital on a
daily basis. Every year our Hospital benefits from these seemingly tireless people. There are weekends involved, days involved, hours involved, but it is every minute of your volunteer time that touches our hearts.
You all give so generously of your time. Your dedication, your expertise and your talents, provide many people in our communities a better hospital experience. You each make a difference and we “THANK YOU”.
Hand in hand with the work of our volunteers is the tremendous support we receive from our communities as
they generously donate and raise funds for Hospital equipment. The contributions of our volunteers and our
citizens are significant to KDH’s successes.
The Board is also committed to working with a couple of key players. We are restating our relationship and
commitment to the Kirkland District Family Health Team. We have successfully recruited several new doctors to the community and they have all begun their family practices through the Family Health Team. We
have renewed a commitment to resolving the KDH, Teck Pioneer Residence and Extendicare roadway with
the Town of Kirkland Lake. Although we cannot divert health care dollars to road work, we can direct our
energies to finding a way to make it happen. We thank both the Town of Kirkland Lake and the Family
Health Team for being our strong allies and partners in the future of health care for our communities.
To my fellow board members,
This year we have learned that the business of the Board carries on despite change.
Our Board has had to cross the line of governance to operations and as we release our apron strings to Lois
and a new Integrated CEO we will have done all that we could to balance the need for interim leadership and
the responsibilities of hospital governance. We have been able to remain respectful of each other and the
roles we had to play. We have been patient. We have been successful getting through some very difficult
times and we have supported each other every step of the way. As your Chair, I am forever grateful to each
of you. As we continue this journey and are successful bringing the Partnership to fruition and hire a new
Integrated CEO, I believe having these experiences will ensure the Kirkland and District Hospital is well represented. There will be many more changes coming and having a strong board is great but it is a passion for
our hospital that is crucial. I have been blessed to be surrounded by each of you and our hospital will prosper because of your talents and dedication. Together we will re-establish our roles in hospital governance for
the new and ever changing hospital environment.
Thank You.
Patty Quinn
Board Chair, Kirkland & District Hospital
Kirkland and District Hospital Foundation
Annual Report
June 2015
Eugene Ivanov, President
Once again throughout 2014 the “Kirkland and District Hospital Foundation” continued to support the
“Kirkland and District Hospital” through its charitable fund raising efforts. All funds donated are used to enhance and to improve patient care at the Kirkland and District Hospital and specifically for the benefit of the
patients and the residents of Kirkland Lake and area.
I wish to acknowledge all of the Individuals, Families, Employers, Employees, Organizations and Corporations who have made donations to the Foundation in 2014. Our donor recognition wall, located in the Hospital lobby, serves as a testament to the many donors who have made contributions to our Foundation.
In 2014 the KDH Foundation committed funds for:
Renovate-a-Room Campaign
$15,316.36
Guided Colonoscopy
$53,327.23
KDH Activities Room – furniture and equipment
TOTAL
$2,335.26
$70,978.85
Progress continues on the “Renovate a Room Project” with 17 rooms now completed, accommodating 30
patients. There are 13 rooms (26 beds) remaining to be completed.
The KDH Foundation is a registered charity under the Income Tax Act and can issue official donation receipts for the gifts they receive from both individual and corporate donors.
I continue to be awestruck by the selfless generosity of our volunteer Board, the KDH staff and the many
contributors to our Hospital’s Foundation.
Cumulative donation total from 1999 to 2014 is $1,843,377.00.
On behalf of the Kirkland and District Hospital Foundation Board and the patients of the Kirkland and District Hospital, I extend a big “THANK YOU” to all of our many allies who continue to help us in facilitating
these significant improvements at Kirkland and District Hospital.
Eugene Ivanov
Chair – Kirkland and District Hospital Foundation
RENOVATE-A-ROOM CAMPAIGN
Fundraising for the Renovate-a-Room project saw a total of $536,750 raised. To date we have renovated 17 rooms: 6 private rooms, 7 semi-private rooms, and 4 three-bed wards. This equates to 32
beds now located in refurbished rooms. It remains our goal to complete three to four rooms each year
until the project is completed.
The Kirkland and District Hospital and the Kirkland and District Hospital Foundation would like to
extend their sincere thanks to businesses and individuals in the community for their support of this
project. We would also like to mention our own amazing Hospital employees who, through 50/50
draws and Casual Friday donations, donated $15,000 to this project
Rooms 4422, 4423 and 4424 are starting the week of June 8, 2015
Complete
To Be Completed
406—1 bed (Hospice Room)
401—2 bed
432—1 bed
402—2 bed
431—2 bed
405—2 bed
429—3 bed ward
407—2 bed
430—2 bed
408—1 bed
428—3 bed ward
409—1 bed
427—2 bed
419—2 bed
418—2 bed
420—2 bed
416—1 bed
421—2 bed
415—1 bed
422—3 bed ward
414—2 bed
423—3 bed ward
413—2 bed
424—2 bed
411—3 bed ward
433—2 bed
410—2 bed
425—1 bed
426—1 bed
Total Rooms: 17
Total Rooms: 13
Total Beds:
Total Beds:
32
26
RENOVATE-A-ROOM PHOTOS
BEFORE AND AFTER!
KIRKLAND AND DISTRICT HOSPITAL
AUXILIARY 2014-2015
PRESIDENT’S ANNUAL REPORT
2015
Thank you to our many volunteers who have given freely of their time to make our organization so
successful. At present, we have approximately 50 active members who work in the Gift Shop, sell
Nevada and Raffle tickets, and help at the 18-20 Bingo events held each year.
This past year we were able to raise enough money through the above activities to donate over
$40,000 to our Hospital for much-needed equipment including 6 cardiology stethoscopes, a
laparoscopic instrument set, a laryngoscope set, a tympanometry kit, a max-move lift, pressure
relief mattresses, tilt recliners, rollator walkers and two Evac-chairs. Tracy French, Manager of
Patient Care at the Kirkland and District Hospital, has informed us that our Audiologist called to
express his thanks to the Auxiliary for purchasing the tympanometry machine. His gratitude, and
the fact that this machine will help to provide enhanced patient care, lets us know how important
our purchases are to the Hospital.
Our Auxiliary did not attend the Gift Show in Toronto last year; in the interests of saving money,
the Auxiliary will be moving to on-line ordering.
The Hospital’s Board generously paid for our Annual Volunteer Christmas dinner in December
2014. The Auxiliary is very appreciative of the Board’s support!
I applaud our Hospital Administration, the Board of Directors, and the Hospital’s staff for their
continued support of our Auxiliary activities. I would especially like to thank each and every one
of our dedicated volunteers. Without them, we would not be able to exist.
Respectfully submitted,
Diane Heard, President
Kirkland and District Hospital Auxiliary
AUXILIARY DONATIONS 2014-2015
Photos from top left:
1. Two rollator walkers were purchased for the Physiotherapy Department. L. to
r.: Judy Leduc, Auxiliary, Andrea Giroux, Physiotherapist, Judy Gervais, Auxiliary. Seated: Rose Gaston, Auxiliary
2. A maxi-lift and 4 tilt recliners were purchased for 4th floor nursing. L. to r.:
Judy Leduc, Judy Gervais, Sharon DiSano, RN and Colleen Fagan, Ward
Clerk, Rose Gaston.
3. Six stethoscopes were purchased for our Emerg. Nurses: L. to r.: Rose Gaston,
Judy Leduc, Shanda Taillon, Darlene Hutchinson, Emily King, Judy Gervais
4. Dr. Robert Ballagh (seated) and his assistant, Audiologist Johann Pinto,
demonstrate the new Tympanometry machine acquired for Dr. Ballagh’s otolaryngology (Ear, Nose, Throat) clinics. Dr. Ballagh made a point of calling us
to express his thanks to the volunteers for this purchase.
KIRKLAND AND DISTRICT HOSPITAL
CEO Annual Report 2014/2015
It is my pleasure to present the Annual Report to the Board of Directors on behalf of the Kirkland and District Hospital (KDH) management team and staff.
The 2014-2015 year presented many challenges and opportunities for KDH.
With a change in leadership in the fall of 2014, I was asked in February 2015 by
the Board of Directors to step in as Interim Chief Executive Officer. The dedication of the Board of Directors,
the management team, the physicians and the staff at KDH is most evident as they continue to strive for the
best possible health care for our patients.
Funding from the Ministry of Health and Long-Term Care remained at the 1% level for the 2014-2015 fiscal
year. While we are grateful for this funding, it necessitated a long, hard look at our budget. An operational
refresh conducted in early 2014 will be used to inform our decision-making and our Hospital managers have
been asked to review their budgets with this document in mind.
With increases in most areas of the budget, including those over which we have no control (electricity, heating, transportation, salaries, etc.) the Hospital ended the 2014-2015 fiscal year with a deficit of $613,406.
However, the recent audit by KPMG indicated that two unusual non-recurring cost items pushed us into a deficit position. These one-time employee costs are not expected to occur again. Absent those costs our financial
operations were actually balanced and the Hospital achieved a small surplus of approximately $17,000. Major
revenue streams were the Hospital Infrastructure Renewal Funds amounting to $398,862 and the MOLHTC
grants of $20,790,097.
Through the dedicated efforts of Helene Studholme, Physician Recruitment Co-ordinator, our physician complement grew by three in 2014-2015. With the addition of a fourth physician in April we now have 10 physicians, including Dr. Antonio Visbal (President of Medical Staff and resident surgeon), Dr. Mark Spiller (Chief
of Staff) and Dr. Nathan Ek (GP/Anesthetist). While we are still in need of additional family practice physicians we are pleased with the number of physicians who are locating to our community. We are very optimistic that a GP anesthetist will soon be joining our group.
Kirkland and District Hospital is a proud partner of the Trillium Gift of Life Network (TGLN) which works to
save lives through organ and tissue donation. As a partner in Ontario’s Routine Notification program, the hospital is required to report every impending patient death in ventilated units to TGLN so that their specially
trained staff can identify potential donors and approach families to re-affirm consent.
There have been 2 new initiatives started that I am very excited to share.
The Virtual Critical Care Unit uses the latest in videoconferencing technology and electronic medical records
sharing to connect Health Sciences North (HSN) with smaller Critical Care units and Emergency Departments
at hospital across north-eastern Ontario. A team of Intensive Care physicians, specially trained nurses and
ICU respiratory therapists based at HSN are available for around the clock consultations for critically ill patients at participating hospitals. Other allied health professionals such as dieticians and pharmacists are also
available for consultation during scheduled hours.
…………...2
This new technology has already been used here at KDH making for timelier and easier transfer of patients to
the appropriate facility as the VCC team helps make the arrangements for transfer if it is deemed appropriate.
The other new initiative is the PATH Program which was introduced by the NE LHIN. Priority Assistance to
Transition Home (PATH) is helping seniors return home from hospital safely, smoothly and comfortably.
This program is new to the Timiskaming District. Personal Support Workers will accompany patients home
and can help by picking up groceries, prescriptions or medical equipment or supplies and can provide some
light meal preparation and housekeeping as well as connect seniors with referrals to community services that
are available. Hospital staff can refer patients to this program once a discharge date has been established.
The PATH program supports patients who are at least 55 years old and are medically stable. An added goal of
the program is to assist in reducing the Length of Stay for these patients.
KDH is aligned with a group of hospitals and health care organizations collectively referred to as Network 13.
The group includes agencies within Temiskaming and Cochrane Districts and allows KDH to partner with all
health service providers from the James Bay coast to Chapleau and to the Quebec Border. Examples include
the NE Lab Cluster and NORrad Pacs.
KDH is a member of the Timiskaming Health Link. This multiservice provider group focuses on the highest
5% of user of heath care services with a goal of improving the quality of care to these patients. The LACE
(Length of stay, Acuity, Co--morbidities, Emergency Department visits) tool kit is now being filled out for all
admitted patients within the acute care setting. This is a validated risk assessment tool, which is used to help
identify patients who might benefit from more intense post-discharge care, and thus reduce hospital readmissions. These patients are those with the multiple, complex conditions such as Chronic Obstructive Pulmonary
Disease (COPD), and Congestive Heart Failure (CHF). The goal is to develop a structure to enable providers
to identify patients, put in place a plan for the high needs COPD patients and put these patients on a proper
care map. This will result in fewer emergency department visits, fewer primary care visits, and fewer hospital
admissions.
We are continuing to pursue more integration initiatives with our neighboring hospitals, such as in the area of
Information Technologies. An agreement between the 3 hospitals (KDH, EDH and Temiskaming Hospital)
has been signed which will allow for more effective and efficient advances in the IT department.
The “Renovate-a-Room” project work has progressed well this past year. The Hospital now has 17 rooms
completed equating to 32 beds. There are 13 rooms (26 beds) left to be completed and of those, 3 rooms (8
beds) were begun in early June and should be completed before the end of the summer. This project will be a
priority moving forward.
The Hospital Foundation Board and the Hospital Auxiliary were once again instrumental in raising community funds for patient care. In 2014-2015, these generous donations allowed the Hospital to purchase over
$112,000 in much needed medical equipment.
We are reminded repeatedly that the only constant is change and I believe those words have never been more
applicable than in the times we are facing right now.
It is up to us to lead it.
We owe it to our communities to create a system in partnership with our funders that is accessible and affordable for our patients. Perhaps it will be a re-design or it may not look the same as it always was.
……….3
I believe that EDH and KDH, through their partnership, are demonstrating a commitment to health care for
the patients we collectively serve in the district of Temiskaming.
The days of planning health care in isolation are behind us. As we advance forward on the same path with a
common plan, only then will our patients be provided with the health care they deserve at the right time in the
right place by the right provider.
We will continue to advance integration, laying the foundation in preparation for the new leadership coming in
the fall.
It has been a pleasure to step in and be part of the journey.
Respectfully submitted,
Lois Kozak
Interim Integrated Chief Executive Officer
KIRKLAND AND DISTRICT HOSPITAL STATISTICAL REPORT
Year ending
Year ending
March 31 2015
March 31 2014
Admissions
Patient Days
1,319
12,710
1,264
11,682
Diagnostic Imaging Examinations
Emergency Visits
OBSP Visits
Oncologoy Visits
Physiotherapy Visits
Respiratory Therapy Visits
Specialist Visits
Surgical Operations
13,228
16,834
589
726
4,250
6,912
3,616
2,292
12,061
15,319
654
548
4,575
5,631
3,738
2,164
Total Meals served (includes TPR)
137,891
134,130
Total Cost of Food (includes TPR)
Full Time Staff
Part Time Staff
Paid Hours of Work
Natural Gas Costs
Natural Gas Consumed
Hydro Costs
Hydro Usage
Water
Water Usage
$308,267
149
93
369,977
$203,872
886,485 cu mt
$375,062
3,003,097 kwh
$36,877
12,984,671 gal
$302,107
150
92
367,407
$224,346
1,059,493 cu mt
$367,877
3,101,328 kwh
$33,480
11,435,528 gal
Kirkland and District Hospital
Chief of Staff Report
2014-2015
Dr. Mark Spiller
The Medical Staff of the Kirkland and District Hospital would like to thank the Board of the
Hospital and the community for their support over the past year. We also would like to
acknowledge the management, the nurses and all of the support staff at the hospital that work so
hard to help us deliver health care to the residents of this region.
The most consistent thing in Health Care is change and Kirkland Lake is no exception.
Discussion between Englehart and District Hospital and Kirkland and District Hospital progressed with respect to working together to improve care and find efficiencies. This resulted in
hiring an Interim CEO to manage both facilities. We welcomed Lois Kozak to this position and
things have gone extremely well.
New physicians Dr. Rys, Dr. Robertson, and Dr. Petrariu have started new practices and have
been welcome additions to the medical staff.
We also look forward to future possible additions to the medical staff in the coming year.
The physicians of Kirkland Lake appreciate the encouragement they receive and will continue
to provide as many services as possible to the community.
Mark Spiller, M.D.,
Chief of Staff
Kirkland and District Hospital
KIRKLAND AND DISTRICT HOSPITAL
FINANCIAL STATEMENTS FOR THE YEAR ENDED
MARCH 31, 2015
Prepared by KPMG
A complete copy of these financial statements can be found
on the Hospital’s website under “About KDH—Financial
Accountability; Financial Statements”