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Board of Directors Meeting
Open Session
Tuesday January 28, 2020
Boardroom, Level 2 Administration
115 Delhi Street
Guelph, ON, N1E 4J4
Dinner available in the Boardroom starting at 5:30 p.m.
MISSION: To provide the highest quality care and experience for patientsand their families
a) Summary of Motions
1 min 4. Chair RemarksD. Mills
Information
a) Approval of Agenda - January 28, 2020
b) Approval of Minutes - November 26, 2019
c) President and CEO Report
5a. OPEN Agenda - January 28 2020.doc
5b. OPEN BOD Minutes - NOVEMBER 2019DRAFT.pdf
5c. OPEN CEO Report - January 2020.docx
1 min 5. Approval of Agenda and Consent AgendaD. Mills
Decision
1 min 1. Welcome and Call to OrderD. Mills
Information
1 min 2. Declaration of Conflict of InterestD. Mills
Information
45 min 3. Family Birthing Unit and Special Care Nursery TourLaurie Williamson
EducationSession
4a OPEN Motion Summary Sheet - January 28,2020.doc
OPEN GGH Board of Directors Meeting OPEN GGH Board of Directors Meeting - January 28, 2020- January 28, 2020
AGENDAAGENDA
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5d1. OPEN COS Report - January 2020.doc
d) Chief of Staff Report
5e1. OPEN Governance Report - January2020.doc
5e2. 1-009 CEO~COS Performance Evaluationand Compensation Review - January 2020.pdf
5e3 1-013 Committee Reports to the Board -January 2020.doc
e) Governance Committee Report
5d2. OPEN COS MAC Highlights - January2020.pdf
6a OPEN Quality Report - January 2020.doc
10 min 6. Quality Committee ReportM. Stanley
Information
5e4 1-028 Responsibilities of Chairs of BoardCommittees - January 2020.doc
6b. CIHI Your Health System Update GGHFY2018.pdf
1 min 7. Next Meeting - February 25, 2020D. Mills
Information
1 min Decision8. Meeting AdjournmentD. Mills
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BOARD OF DIRECTORS January 28, 2020
SUMMARY OF RECOMMENDED MOTIONS OPEN SESSION: AGENDA AND CONSENT AGENDA
a) Approval of Agenda – January 28, 2020 b) Approval of Minutes – November 26, 2019 c) President and CEO Report d) Chief of Staff Report e) Governance Committee Report
a) 1-009 CEO~COS Performance Evaluation and Compensation Review
It is recommended that the Board of Directors approve the policy 1-009 CEO~COS Performance Evaluation and Compensation Review Policy as presented.
b) 1-013 Committee Reports to the Board
It is recommended that the Board of Directors approve the policy 1-013 Committee Reports to the Board policy as presented.
c) 1-028 Responsibilities of Chairs of Board Committees
It is recommended that the Board of Directors approve the policy 1-028 Responsibilities of Chairs of Board Committees as presented.
It is recommended that the Board of Directors approve the Agenda and Consent Agenda as presented.
OPEN Session Adjournment
Item 4a
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AGENDA Board of Directors
Tuesday January 28, 2020 OPEN MEETING
6:00 p.m. Boardroom, Level 2
AGENDA ITEM LEAD ACTION TIME
1. Welcome and Call to Order D. Mills 1 min
2. Declaration of Conflict of Interest D. Mills Information 1 min
3. Family Birthing Unit and Special Care Nursery Tour L. Williamson Information 45 min
4. Chair’s Remarks
a) Summary of Motions
D. Mills Information 1 min
5. Approval of Agenda and Consent Agenda: a) Approval of Agenda – January 28, 2020 b) Approval of Minutes – November 26, 2019 c) President and CEO Report d) Chief of Staff Report e) Governance Committee Report
D. Mills
Decision 1 min
6. Quality Committee Report M. Stanley Information 10 min
7. Next Meeting:
February 25, 2020
D. Mills Information
8. Meeting Adjournment D. Mills Decision
Tour guide: Laurie Williamson Director Maternal/Newborn and Pediatric Services
Item 5a
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GUELPH GENERAL HOSPITAL - BOARD OF DIRECTORS COMMITTEE MEMBERSHIP 2019-2020
Administration & Facilities Committee David Kennedy - Chair Dr. Ian Philips* Fraser Edward David Forestell Dale Mills Melissa Skinner Marianne Walker Glenn Weppler – Community Member Mark Zonneveld – Community Member Rod Carroll – Resource Cheryl Cowden –Resource Gavin Webb – Resource
Audit Committee David Kennedy - Chair David Forestell Dale Mills Kathy Wilkie Brad Riley – Community Member Marianne Walker (non-voting) Cheryl Cowden-Resource Gavin Webb - Resource
Nominating Committee Dale Mills– Chair Brian Cowan Marianne Walker Kathy Wilkie
Governance Committee Ted Sehl – Chair Rena Hubers Dr. Ken McKenzie * Janet Kaufman Dale Mills Liz Sandals Marianne Walker
Quality Committee Matt Stanley- Chair Terry Campbell Dr. Joan Chan Brian Cowan Dr. Jennifer Caspers Dale Mills Sarah Sayyed Melissa Skinner Karen Suk-Patrick Marianne Walker Kathy Wilkie Lise Betteridge –Community Member Leslie Fleming –Community Member Julie Wilson - Resource
IT Advisory Committee Dale Mills – Chair Dr. Jennifer Caspers Fraser Edward Melissa Skinner Stephen Street – (NWHC Ex-Officio) Cam Yates (NWHC) Paul Smith – (NWHC) Community Member Gary Schumacher – (NWHC) Community Member Marianne Walker – Ex-Officio Gavin Webb Dale Maw – Resource
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BOARD OF DIRECTORS MEETING ATTENDANCE
2019-2020
Sept 24
Oct 29
Nov 26
Dec 9 Retreat
Jan 28
Feb 25
Mar 31
Apr 28
May 26
June 30
AGM
Dale Mills - Chair P P P
Terry Campbell P P P
Dr. Jennifer Caspers P P P
Dr. Joan Chan P P P
Brian Cowan P P P
Fraser Edward P P P
David Forestell P P P R
Rena Hubers P P P
Melissa Skinner P P P
Janet Kaufman P P P
David Kennedy P R P
Ian Philips – MSA President P P P
Liz Sandals P P P
Sara Sayyed P P P
Edward Sehl P P P
Matt Stanley P P P
Marianne Walker P P P
Kathy Wilkie – Vice Chair R P P
GUESTS:
Dr. Ken Mackenzie – VP MSA P P R R
Suzanne Bone P P P
Rod Carroll P P P
Gavin Webb P P P
Lindy Robinson - Recorder P P P
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Item 5b
MINUTES – OPEN MEETING - DRAFT Board of Directors
Tuesday November 26, 2019 Boardroom, Level 2
Present: D. Mills – Chair, T. Campbell, J. Caspers, J. Chan, B. Cowan, F. Edward, D.
Forestell, R. Hubers, J. Kaufman, D. Kennedy, D. Mills, I. Philips, L. Sandals, S. Sayyed, T. Sehl, M. Skinner, M. Stanley, M. Walker, K. Wilkie and L. Robinson - Recorder
Regrets: K. McKenzie Guests: S. Bone, G. Webb,
1. CALL TO ORDER
The meeting was called to order at 6:01 p.m. 2. DECLARATION OF CONFLICT OF INTEREST
No conflicts of interest were declared.
3. EDUCATION SESSION –
a) Guelph Community Health Centre M. Devereaux provided a presentation on the Guelph Community Heath Centre. An overview was provided of:
• Mission, vision and values • Meaning of wellbeing • Priority groups • Organizational structure, locations and team • Strategic plan • Programs and services
A copy of the presentation was included in the package in additions two videos will be circulated to the members. A discussion took place regarding patients and the model of care between the Guelph Community Health Centre and the GFHT. R. Deveraux noted that the
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new forming Guelph and area OHT is an amazing opportunity in health equity and shared value of our organizations. D. Mills thanked R. Deveraux on her efforts and her organizations
4. CHAIRS REMARKS D. Mills reviewed the summary of motions.
5. APPROVAL OF THE AGENDA AND CONSENT AGENDA
a) Approval of Agenda – November 26, 2019 b) Approval of Minutes – October 29, 2019 c) President and CEO Report d) Chief of Staff Report e) Governance Committee Report
It was MOVED by K/ Wilkie SECONDED by T. Campbell that the Board of Directors approve the agenda and consent agenda as presented.
6. NEXT MEETING
The next meeting is scheduled for January 28, 2020 7. ADJOURNMENT It was MOVED by D. Kennedy to adjourn the meeting at 6:47 p.m. ______________________________ ________________________________ Chair – D. Mills Secretary – M. Walker
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REPORT OF THE PRESIDENT AND CEO BOARD OF DIRECTORS OPEN MEETING
NOVEMBER 26, 2019
Provide the safest and highest quality care
Mediation Safety We continue to roll out our electronic provider order entry project in a phased in approach as upgrades will be completed in February. Our team is still uncovering process issues that are being worked on. We are grateful to all of
the staff and physician support for this important project.
Reducing Patient Falls A falls prevention plan continues to be implemented with some success. With our growing and aging population, we are experiencing a need for additional strategies to help reduce falls such as medication reviews, rounding, visual cues, bed alarms, and standard work to prevent falls.
Support our Exceptional Staff
Injury related to Non Patient Handling Reduction
An area of focus this year is on reducing staff injury related to non-patient handling. Strategies include increased awareness and accountabilities
related to smart moves and safe lift training. Our goal is to reduce injury by 20%.
Create a coordinated high quality system of care with our partners.
Guelph and Area Ontario Health Team Update
Our Guelph and Area Ontario Health Team work groups are making progress towards developing and implementing their work plans. A meeting with the broader community partners is planned for next week to discuss our progress
and provide an opportunity to hear their innovative ideas. This week invited our OHT partners to a Master Planning session as we start thinking about the future of health care.
Heart Failure Readmission We continue to make good progress in reducing heart failure readmissions by working with our community partners. At the end of Q 2 we achieved a 33% reduction. As you
Item 5c
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know we are in the second year of a three year plan and we are optimistic we will continue to improve these rates.
Sustain our Financial Health
Over Capacity
We continue to experience high levels of inpatient activity. Overall our patient days are 4% higher than November 2017 and 14% higher than November 2016. For perspective, this means we have an average of 22 more patients in
hospital each day than we did 3 years ago and 7 more patients than we did 2 years ago. This demonstrates years of high growth in patient days aligned with the high growth of our community. I have attached articles that refers to the impact of our growth.
Hallway medicine 'new norm' at Guelph General Hospital, CEO says
https://www.cbc.ca/news/canada/kitchener-waterloo/hallway-medicine-unfortunate-reality-for-guelph-general-hospital-1.5435015
Some of Ontario's biggest hospitals are filled beyond capacity nearly every day, new data reveal
https://www.cbc.ca/news/canada/toronto/ontario-hospital-hallway-medicine-healthcare-beyond-capacity-1.5420434
Provincial Update
Ontario Hospitals amongst the Most Efficient
The Ontario Hospital Association has created a report that provides key information and context regarding Ontario hospitals’ long track record of efficiency as well as the significant pressures they are facing today. Please see attached Link.
/ https://www.oha.com/Documents/Ontario%20Hospitals%20-%20Leaders%20in%20Efficiency.pdf
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REPORT OF THE CHIEF OF STAFF BOARD OF DIRECTORS OPEN MEETING
January 28, 2020
FOR INFORMATION
MAC Highlights
The Medical Advisory Committee met on December 2, 2019. The MAC Highlights are attached for your information.
J. Caspers Chief of Staff
Item 5d1
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January 2020
Chief of Staff Dr. Jennifer Caspers
President & CEO Marianne Walker
VP Patient Services and CNE
Melissa Skinner
President of the MSA Dr. Ian Phillips
Director Quality and Professional
Practice Julie Wilson
Department Quality Report
DI – Dr. S. Patel
Professional Staff Recognition: Special Acknowledgements: Dr. Donovan (OB/GYN), Dr. Scott (OB/GYN), Dr. Horspool (OB/GYN), Dr. Knowles (OB/GYN), FBU nurses, 4W nurses, Paediatric nurses, Dr. Cameron (ED), Shelly (RN), ER nurses, Social Workers, MH nurses
Gifts of Gratitude: Dr. Ken Reed (Surg), Dr. Marcel Parent (Hosp), Dr. Jennifer Caspers x 2 (Paeds) and Ms. Lindy Robinson, Ms. Katie Bedo and Ms. Lori Forbes (Administration)
Trillium Gift of Life Network: GGH received the Provincial Conversion Rate Award for “outstanding efforts to integrate organ and tissue donation into quality end-of-life care in 2018/19”.
Emergency Preparedness: Code Orange protocol: Stage 1 (Emergency Department Only) and Code Orange Stage 2 (Hospital Wide – an event which cannot be handled by the Emergency Department alone and full activation of hospital resources is required).
Guelph Physician Association Update: The Guelph Physician and Area Association is moving ahead. Working on formalized structure with nominations for physicians within the community. GGH will likely have 3 representatives in this association (possibly the MSA executives).
GGH Professional Staff Association: Renovations to the surgeons’ lounge will potentially take place over March Break 2020.
CMaRS (Electronic Reappointment Application): The 2020/2021 reapplication process will be starting again mid-February 2020. Department Chiefs have been asked to identify, in advance, if there are any Professional Staff within their department who will not require a reapplication package.
MAC Spotlight Issue: An article from the Canadian Medical Association titled “Connecting Behaviours and Occupational Stressors to Psychological Outcomes” will be included for mandatory review within the annual reapplication package.
New WiFi Network: The GGH WLANGSIS WiFi network will be decommissioned as of January 27th, 2020. Professional Staff are asked to take their personal devices that connect to the WiFi to the ITSM Department to be converted to the replacement network.
Vanessa’s Law: Vanessa’s Law came into effect December 16, 2019. This law introduces mandatory reporting of serious adverse drug reactions and medical device incidents. Any incidents need to be reported through the hospital’s incident reporting system. The Quality Department will notify Health Canada of any medical device incidents and the Pharmacy Department will notify Health Canada of any adverse drug reactions.
Consent for Video/Audio Recording: Clinical staff must give their express consent to be recorded (either audio or video recording). Please see the Hospital-Wide Policy #2-070 “Guidelines for Taking and Using Clinical Images” for more information.
Item 5d2
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REPORT OF THE GOVERNANCE COMMITTEE BOARD OF DIRECTORS OPEN MEETING
January 28, 2020
The Committee met on Tuesday January 14, 2020
FOR ACTION
Polices and Procedures
The committee reviewed the attached policies and procedures:
a) 1-009 CEO~COS Performance Evaluation and Compensation Review
It is recommended that the Board of Directors approve the policy 1-009 CEO~COS Performance Evaluation and Compensation Review Policy as presented.
b) 1-013 Committee Reports to the Board
It is recommended that the Board of Directors approve the policy 1-013 Committee Reports to the Board policy as presented.
c) 1-028 Responsibilities of Chairs of Board Committees
It is recommended that the Board of Directors approve the policy 1-028 Responsibilities of Chairs of Board Committees as presented.
Respectfully submitted, Ted Sehl Chair
Item 5e1
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BOARD OF DIRECTORS
POLICY: Chief Executive Officer and Chief of Staff Performance Evaluation and Compensation
Number: 1-009
Page 1 of 4
Item
Developed by: Governance Committee
Review or Revision by: Governance Committee
Approval Date: Initial: Feb 26, 2013 (Combined CEO and COS Policies) Revised: May 2016, January 2020
Review or Revision Date: Every Three Years
Approved by:
Board of Directors
Signature(s):
Policy Statement
The Board shall be charged with the responsibility for the performance evaluation and compensation review of the Chief Executive Officer (CEO) and the Chief of Staff (COS).
The Board shall delegate the performance evaluation to the Governance Committee, and when the process has been completed the results shall be reported to the Board for approval.
1. CEO/COS Evaluation
The annual performance appraisal process for the CEO/COS is designed to meeta number of objectives:
• To recognize accomplishments, improve performance and, consequently,ensure the delivery of optimal patient care by Guelph General Hospital.
• To develop and understand relationships between the CEO/COS and theBoard.
• To ensure that the goals of the Hospital are being met through theCEO/COS.
• To provide a baseline of the skills, performance and competence of theCEO/COS in order to ensure and measure future professional growth.
• To provide a structured process for the development of mutually agreedobjectives and feedback on their execution.
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BOARD OF DIRECTORS
POLICY: Chief Executive Officer and Chief of Staff Performance Evaluation and Compensation
Number: 1-009
Page 2 of 4
Item
• To fulfil the contractual requirements between the CEO/COS and theHospital with regard to successful compliance with annual objectives andresultant compensation adjustments.
2. Special Evaluation Review Procedure
If for a special reason the Board decides that there should be a specialperformance review of the CEO/COS prior to the next scheduled annual review,a procedure appropriate to the reason for the special review shall be developedat that time.
3. Compensation Review
The Governance Committee shall review annually, and recommend to the Board,the compensation for the CEO/COS under the terms of the CEO/COS contractand as per applicable legislation and regulations allow. . The process may shallinclude:
• Collect the compensation levels for CEO/COS in the comparable hospitals inOntario;
• Review the terms of the CEO/COS contract; and• Recommend the compensation level to the Board relating it to the terms of
the contract and explaining those terms, including any legislativerequirements of the Ministry of Health and Long-Term Care.
4. Annual Evaluation Review Process:
Under the direction of the Governance Committee, the performance evaluationprocess is as follows:
4.1 In April of each year, the CEO/COS will provide an update on theachievement of the approved Performance goals and objectives, Quality Improvement Plan (QIP) and any other major accomplishments. This report will be presented to the Governance Committee and then to the Board.
4.2 In January/MarchApril of each year, the Governance Committee will determine the appropriate evaluation methodology that will be used to complete the evaluation. The Governance Committee may consider a full 360-degree evaluation or a condensed evaluation.
4.3 If a 360-degree evaluation is selected, the following steps are taken to identify participants:
Formatted: Font: 11 pt
Commented [WM1]: Provides additional time.
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BOARD OF DIRECTORS
POLICY: Chief Executive Officer and Chief of Staff Performance Evaluation and Compensation
Number: 1-009
Page 3 of 4
Item
4.3.1 In Marchy, the Governance Committee, in consultation with the CEO/COS, and Vice President Human Resources, will determine the sources of input into the evaluation and approve participants.
4.3.2 The individuals to participate in the 360-degree performance evaluation may consist of a cross-section of those who have worked with the President and CEO/COS. as follows:
President and CEO Chief of Staff Senior Management Team Senior Management Team Chief of Staff President and CEO President and CEO of another hospital Chief of staff from another hospital President of the Medical Staff President of the Medical Staff Member of the Professional Staff Members of the Professional Staff Community Partner Community Partner Members of the Board of Directors Members of the Board of Directors Senior Director, Director Senior Director, Director
4.4 If a condensed evaluation is selected the following steps are taken to identify participants:
4.4.1 In Marchy, the CEO/COS will suggest a list of participants for approval.
4.4.2 The Governance Committee will approve the list of participants.
4.5 The CEO/COS completes a self-assessment questionnaire.
4.6 In April/May May, the on-line survey distribution will be managed by the President and CEO’s Executive Assistant.
4.7 The on-line survey results and the President and CEO/COS self-assessment will be forwarded directly to the Chair of the Governance Committee and the Board Chair.
4.8 At the May/June Governance Committee meeting, the Chair of the Governance Committee or delegate will share the summary results of the evaluation survey and the self-assessment.
4.9 Prior to the May/June Board of Directors meeting, the Chair of the Governance Committee and the Board Chair will discuss the summary results of the evaluation and self-assessment with the CEO and the COS.
Commented [WM2]: The list may change as the OHT is implemented. Keeps the list more flexible.
Formatted: Indent: Left: 2.54 cm, Hanging: 1.11 cm
Commented [WM3]: Since the G&OS report is to be completed in April, the survey is to be completed after this report is provided to the Board.
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BOARD OF DIRECTORS
POLICY: Chief Executive Officer and Chief of Staff Performance Evaluation and Compensation
Number: 1-009
Page 4 of 4
Item
4.10 At the May/June Board of Directors meeting, the Chair of the Governance Committee or delegate will report the results of the evaluation.
4.11 Utilizing the results of the evaluation, the CEO/COS will finalize Performance Goals and Objectives for the following year.
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BOARD OF DIRECTORS
POLICY: COMMITTEE REPORTS TO THE BOARD Number: 1-013
Page 1 of 2
Item 9b5e3
Developed by: Governance Committee
Review or Revision by: Governance Committee
Approval Date: Initial: September 2007 Reviewed/Revised Date: November 2010, November 19, 2013, November 2016, January 2020Nov 2019
Review or Revision Date: Every Three Years
Approved by:
Board of Directors
Signature(s)
Disclaimer: Any PRINTED version of this document is only accurate up to the date of printing. Always refer to the Policies and Procedures Intranet site for the most current versions of documents in effect.
Policy Statement
Committees act in an advisory capacity to the Board, and it is therefore necessary that the Board receive reports following each meeting.
Policy
Committee reports are presented in writing and included in the Board package. The reports highlight items for action and items for information. There may be times when reports must be verbal due to the timing of the meeting. Supplementary written reports will be posted on Board Effects as soon as possible and will be available in hard copy at the beginning of the Board meeting if required
The focus of the reports is to plan for the future and to offer for discussion issues, which require Board input and approval.
Committee reports received by the Board for information or discussion, do not require a Board motion.
Board members are required to read the committee reports before the meeting, noting any questions to be raised. To accommodate discussion, it may be appropriate to contact the committee Chair in advance of the meeting.
Formatted: Font color: Red
Commented [WM1]: A review of governance practices
indicates that a Board motion to receive/accept committee
reports for information is not required, and that doing so
actually takes away from important/critical motions.
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BOARD OF DIRECTORS
POLICY: COMMITTEE REPORTS TO THE BOARD Number: 1-013
Page 2 of 2
Item 9b5e3
The Chair is responsible to identify any items included in the committee report that should be excluded from the Consent Agenda of the Board meeting. The Quality Committee report will consistently be excluded from the Consent Agenda.
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BOARD OF DIRECTORS
POLICY: Responsibilities of Chairs of Board Committees Number: 1-028
Page 1 of 2
Item 9c5e4
Formatted: Font: 11 pt
Formatted: Font: 11 pt
Developed by: Governance Committee
Review or Revision by: Governance Committee
Approval Date: Initial: September 2003 Review or Revision Date: Sept 2007, May 2010, May 28, 2013, November 2016, January 2020
Review or Revision Date: Every 3 Years
Approved by:
Board of Directors
Signature(s):
Disclaimer: Any PRINTED version of this document is only accurate up to the date of printing. Always refer to the Policies and Procedures Intranet site for the most current versions of documents in effect.
Policy Statement
To facilitate the achievement of Board Committee goals, each Board Committee chairperson is responsible for the following processes:
Policy
Facilitate Successful Meetings
- To review draft Agenda prepared with hospital Administration for each committee meeting.
- To preside over committee meetings, seeing that each meeting functions effectively and achieves what it sets out to do.
- To encourage participation and input from all committee members. - To report any behaviours of committee member(s) to the Board Chair that
contravene the Board polices (e.g. attendance).
Goal Setting/Work Plan
- To ensure a process of establishing a work plan which relates to the annual goals and objectives of the Board and Terms of Reference of the committees.
- To review the Terms of Reference of the committee at least every three (3) years, and recommend any changes for approval by the Board.
- Work plan is to be approved by the Committee and provided for information to the Board.
Formatted: Font color: Red
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BOARD OF DIRECTORS
POLICY: Responsibilities of Chairs of Board Committees Number: 1-028
Page 2 of 2
Item 9c5e4
Formatted: Font: 11 pt
Formatted: Font: 11 pt
Committee Member Orientation
- To plan for and assist in the orientation of new committee members in conjunction with the hospital Administrative resource person.
Report to the Board
Refer to Policy 1-013 Committee Reports to the Board
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REPORT OF THE QUALITY COMMITTEE BOARD OF DIRECTORS OPEN MEETING
January 28, 2020
The Committee met on Thursday January 9, 2020
FOR INFORMATION
Canadian Institute for Health Information Report
M. Walker referenced the CIHI Health Indicators for 2018-2019 report. It was noted GGH faired very well. The top 3 above average indicators are:
1. Emergency Department Wait Time for Physician Initial Assessment (90%Spent Less, in Hours) 2.8
2. Total Time Spent in Emergency Department for Admitted Patients (90%Spent Less, in Hours) 18.0
3. Hospital Deaths (HSMR) 79
A copy of the report is attached for reference.
Respectfully submitted, Matt Stanley Chair, Quality Committee
Item 6a
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Canadian Institute for Health Information
cihi.ca @cihi_icis
Your Health SystemHealth Indicators Update
FY2018-2019 Data
Overall Results for Guelph General Hospital
Item 6b
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Contextual measures for Guelph General Hospital
Page 25 of 35
Overall Results for Guelph General Hospital
3 Indicators Above Average:
Emergency Department Wait Time for Physician Initial Assessment (90% Spent Less, in Hours) 2.8
Total Time Spent in Emergency Department for Admitted Patients (90% Spent Less, in Hours) 18.0
Hospital Deaths (HSMR) 79
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4
Emergency Department Wait Time for Physician Initial Assessment (90% Spent Less, in Hours)
Compare Results
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5
Emergency Department Wait Time for Physician Initial Assessment (90% Spent Less, in Hours)
Trend Over Time
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6
Total Time Spent in Emergency Department for Admitted Patients (90% Spent Less, in Hours)
Compare Results
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7
Total Time Spent in Emergency Department for Admitted Patients (90% Spent Less, in Hours)
Trend Over Time
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8
Hospital Deaths (HSMR) details
Compare Results
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9
Hospital Deaths (HSMR) details
Trend Over Time
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10
Pediatric Patients Readmitted to Hospital details CIHI Media Release Indicator
Compare Data Trend Over Time
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11
Obstetric Trauma (With Instrument) detailsHistorical Interest Indicator
Compare Data Trend Over Time
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