2013-2014 | ANNUAL REPORT

CHESLEY | DURHAM | KINCARDINE | WALKERTON

Your HEALTHis the CENTRE

of ourCARING

2013-2014 | ANNUAL REPORT

In 2013, South Bruce Grey Health Centre reached a milestone. April 1 marked the organization’s 15th anniversary.

In 1998, Chesley and District Memorial Hospital, Durham MemorialHospital, Kincardine and District General Hospital and the County ofBruce General Hospital amalgamated to form South Bruce GreyHealth Centre (SBGHC). Since that time, the SBGHC team hasworked hard to create an effective, vibrant, and fullyaccredited health care system.

Reaching this milestone has given us the opportunity topause and reflect on all that we have accomplished as anorganization. At the time, the decision to embark on thejourney of amalgamating four small hospitals was a bold move, butit has paid off. The efficiencies that this system has created and theresources that our facilities are able to share has afforded ourcommunities access to a much more sophisticated and high qualityhealth care system right here at home.

As we look ahead, we find ourselves in a new era with newchallenges. Financial pressures are increasing each year as costscontinue to rise and funding remains static. The Ministry of Health isadvocating for health care transformation; strengthening integrationand providing the right care, at the right place, at the right time.

In order to achieve this transformation, the provincial focus has beenplaced on the development of support services in the home andcommunity sector to provide appropriate care for patients who do

not need to be in hospital. Consequently, we are working hard withour community partners to build a strong continuum of care utilizingthe new services that have been introduced in the system.

As the health care system continues to evolve, we have to beprepared for more change and to focus on our core business - frontline health care.

When I arrived at SBGHC as CEO in September 2012, itbecame clear to me that we needed a plan. A forward-thinking, ambitious plan to guide our organization in thisnew era.

In September 2013, we released our Strategic Plan for 2013-2016,Partnering for Success. Working with our Board of Directors andcommunity stakeholders, we set four strategic directions focusing onsustainability, patient experiences and outcomes, integration andpartnerships, and leadership in rural health care to ensure that wemeet the needs of our communities now and in the future.

For the next three years, we will be working diligently to realize ourstrategic goals and objectives. We invite you to review our plan indetail, and we look forward to reporting back on our progress.

Paul RosebushPresident and CEO

John HaggartyChair, Board of Directors

Partnering for success

Visit http://www.sbghc.on.ca/A_History for the history of South Bruce Grey Health Centre.

15Celebrating

YEA

RS

Guiding the way

To be an innovative and forward-looking health care organization that responds proactively to the changingneeds of the rural communities that we serve. Our Boardand staff will be recognized for their commitment to creating local systems of integrated health services.

VISION

MISSIONTo provide high quality health care services to our rural communities by providing primary care, and some secondary care, with community and other health care providers.

INTEGRITY COMPASSION

ACCOUNTABILITYTEAMWORK

VALUES

EXCELLENCE

LEADERSHIP

Visit http://www.sbghc.on.ca/2013-08-23_Strategic_Plan_2013-2016.pdf to read our Strategic Plan.

A year in review: April 1, 2013-March 31,2014

Admissions

Patient Registrations

Emergency Visits

2,56260,96242,813

365 babies wereborn in our Family BirthingCentre in 2013-2014!

Visit http://www.youtube.com/user/SBGHealthCentre to take a video tour of our Family Birthing Centre.

Surgeries

Babies born

Staff

2,063365393

Visit http://www.sbghc.on.ca/Accountability/Finance to view our year end financial statements.

Financials

Ministry of Health and Long-Term Care $29,932,863

Ministry of Health and Long-Term Care - Physician Funding$6,640,764

Other Patient Revenue$3,033,937

Recoveries$2,199.993

Preferred Accommodation and Co-Payment$964,547

Amortization of Donations$624,637

Wages and Benefits $24,692,547

Physician Renumeration$8,567,177

Other Supplies and Services$7,340,183

Amortization of Equipment$1,536,691

Drugs and Medical Supplies$1,210,135

Revenue

Expenditures

Revenue$43,396,741

69%

15%

7%

5% 2%2%

Expenditures$43,346,733

57%

20%

17%

3%3%

Commitment to quality

Visit http://www.sbghc.on.ca/Performance___Patient_Safety/Quality_Improvement_Plan to view our Quality Improvement Plan.

In 2013-2014, all of our quality improvement targetswere met, including reducing wait times in our

Emergency Departments for patients who are being admitted and improving hand hygiene

compliance before patient contact.

of 1,625 best practice standards for quality, safety and efficiency were met in ourmost recent Accreditation Canada survey.

In November 2013, SBGHC was named as a top performer for patient experiencein a report released by the National Research Corporation Canada (NRCC).

At the 2013 Ontario Hospital Association (OHA) HealthAchieve conference, SBGHC received a Quality Health Care Workplace Award - Silver recognizing organizational efforts to improve health care workplaces in ways that contribute to quality of work life and the quality of the care and services delivered.

Our wait times for emergency visits and CT scans continue to be among the lowest in the province.

Our annual Quality Improvement Plan continues to drive change, improving access to care, patient-centered care, safety, effectiveness and integration.

99%

Visit http://www.sbghc.on.ca/Programs___Services for information on SBGHC's programs and services.Visit http://www.sbghc.on.ca/Performance___Patient_Safety/Quality_Improvement_Plan to view our Quality Improvement Plan.

Leading edge technology

Automated Medication Dispensing CartsThis year we have been planning the implementation of state of theart medication dispensing carts to automate the process of removal,storing and tracking narcotics and medications. The secure cabinetswill be connected to our electronic medical records to ensureaccuracy and medication safety. Implementation of this new systemis set for September 2014.

Electronic Medication Reconciliation (MedRec)Our streamlined process for developing a Best Possible MedicationHistory (BPMH) for our patients is now electronic. There can often bemajor discrepancies in what medications a patient presents with,what our records are, and what community pharmacy’s records are.MedRec requires certain checks and balances to ensure that anaccurate medication record is compiled that will follow the patientfrom admission to discharge, and on to alternate points of care.

Interactive Web-Based Assessment ToolsBased on best practice guidelines, interactive web-based assessmenttools were developed in 2013-2014 to improve patient outcomes inDementia, Delirium and Depression Management and Wound Care.

Cardiovascular Information System (CVIS)In November 2013, a Cardiovascular Information System (CVIS) wasadded to our electronic medical record, providing our physicians withonline access from anywhere to a patient’s complete cardiovascularmedical record. The system is currently live for electrocardiograms(ECG’s) and expansion plans are in place to include cardiac stresstesting, holter monitoring and pulmonary function testing.

CVIS has reduced the turnaround

time for an ECG report from an

average of 15 days to less than

24 hours.

SBGHC has been online with electronic medical records since 2008. The system continues to evolve, improving patient safety and quality of care along the way.

Visit http://www.sbghc.on.ca/Careers___Volunteers for information on our corporate volunteer program.

Durham & CommunityHealth Care Foundation

www.durhamfoundation.ca

Kincardine & CommunityHealth Care Foundation

www.kincardinefoundation.ca

Walkerton & DistrictHospital Foundation

www.walkertondistrictfoundation.ca

Find out more about our foundations and their efforts to raise funds for our hospitals by visiting the links below.

Raised by our supporting Foundations and Auxiliaries

289

36,658 Volunteer Hours

THANK YOUto our VOLUNTEERS, FOUNDATIONS andAUXILIARIES for their continued SUPPORT!

$679,000

Chesley & DistrictHealth Services Foundationwww.chesleyfoundation.ca

Corporate Volunteers

Visit http://www.sbghc.on.ca/Accountability/Governance__board_ for information on SBGHC's Board of Directors.

Walkerton & DistrictHospital Foundation

www.walkertondistrictfoundation.ca

Larry Allison

Martin Baumann

Sue Carruthers (Cross Board Representative - Grey Bruce Health Services)

Dr. R.J. Creighton (Medical Staff President)

John Haggarty (Chair)

Kate Kincaid (Chief Nursing Officer)

Betty MacDonald

Brent MacKinnon

Board of Directors

In memory of Don Bushell,

past Board Chairand valued

Board Member for 12 years

SBGHC Chesley39-2nd Street S.E.

Chesley, ON N0G 1L0

SBGHC Durham320 College Street

Durham, ON N0G 1R0

SBGHC Kincardine43 Queen Street

Kincardine, ON N2Z 1G6

SBGHC Walkerton21 McGivern St. W.

Walkerton, ON N0G 2V0

Stay connected with SBGHCat www.sbghc.on.ca

Tim Mancell

Kylie Pike

Nathan Rhody

Paul Rosebush (President and CEO)

Dr. Lisa Roth (Chief of Staff)

Nicola Ty

Chris Unruh

Allen Wickert (Vice Chair)

CHESLEY | DURHAM | KINCARDINE | WALKERTON

PUBLISHED JUNE 2014