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On the Move to Peel MemorialInformation SessionJuly 5, 2016

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OUR VISIONPATIENT-INSPIRED HEALTH CARE WITHOUT BOUNDARIES

INNOVATIVE HEALTH CARE DELIVERED WITH COMPASSIONOUR MISSION

Respect, Excellence, Accountability, Diversity, InnovationOUR VALUES

OUR VISIONPATIENT-INSPIRED HEALTH CARE WITHOUT BOUNDARIESINNOVATIVE HEALTH CARE DELIVERED WITH COMPASSIONOUR MISSIONRespect, Excellence, Accountability, Diversity, InnovationOUR VALUES

PLEASE NOTE THIS SLIDE TAKES 4 CLICKS

MUST SAYS: [CLICK] Our vision is Patient-inspired health care without boundaries without boundaries speaks to the idea that our responsibility to patients doesnt end when they leave our four walls. From the patients perspective there should be no distinction between where the hospital ends and our partners take the lead.

[CLICK] Our mission is innovative healthcare delivered with compassion innovative speaks to the quality of the care we deliver; with compassion speaks to how we deliver that care; both are equally important

[CLICK] Our values describe the underpinnings of our organization respect, excellence, accountability, diversity and innovation

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Oslers Newest Hospital Site Peel Memorial Centre for Integrated Health and Wellness

ANNWe are only months away from substantial completion, which is the date Osler gets the keys to the building from the buildersThe building is nearly finished and its spectacularWeve all acknowledge was an awesome and rare opportunity we have before us and all of you have embraced this energy throughout this project The purpose of this part of the presentation is to recap the process and work that has been done during Phase 1 & 2 of this project

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The History of Peel Memorial1925Peel Memorial Hospital opens

Oct 2007Peel Memorial Hospital closes; Brampton Civic opens2010MOH approval to rebuildFeb 2012Demolition begins June 2014Construction beginsJuly 2015Building reaches highest point ~ Topping OffOct 2016 (anticipated)Building is completed

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ANNJust outline how we got here.

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PHASE 1:Outpatient care clinic visitsSurgeries that do not require overnight stay200,000 visits a year when fully opened16-hour per day/ 7-days a week High-tech diagnostics500 clinical and non-clinical staff

A New Type of Hospital

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ANN

1 Ambulatory Hospital More than 320,000 sf of building structureMore than 500 FTEs dedicated to the site200,000+ visits annually16-hour operating day, 7-days/week

Auditorium for education exercise classes, etc.Seniors wellness and rehabilitation clinics. - Community Capacity planning within the CW LHIN shows more services will be needed. Linkages to CCAC and other community partners.

Phase 1 (current project) focuses on the technological hub and ambulatory care services.

Phase 2 (future) primarily will comprise of inpatient Complex Continuing Care, Rehab beds. Phase 2 is currently scheduled to be at least two years after Phase 1.

2024/25 (future) Growth allowed for an additional inpatient component along with assorted programs and services.5

Convenient, practical alternative for non life threatening injuries and illnesses.

Bright, spacious waiting areasPrompt, high-quality medical attentionFlexible treatment rooms to support many types of treatments, such as stitches, fractures and mental health consultations

HIGHLIGHTS: Urgent Care Centre

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JO6

A family friendly environment with a focus on wellness and prevention to help mothers and children get a healthy start through: Prenatal, maternal and newborn care Obstetrical services Peripartum mental health Specialized paediatric clinics Gynaecological procedures and screening services HIGHLIGHTS: Women and Childrens Health

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JO

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The growing need for mental health and addictions services will be supported using an interdisciplinary team with a focus on children and youth, adults and seniors.

Some services include: Eating Disorders Clinic Addictions counsellingSeniors behavioural support Chronic disease management Rapid response

HIGHLIGHTS: Community Mental Health & Addictions

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JO

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Services for seniors will be delivered through collaboration with a network of health providers.

These include: Specialized geriatric and preventative clinics (e.g. Falls) Rehab services for seniors with complex medical, psychosocial and functional issues Support for prompt access to outreach and outpatient services to help seniors maintain independence

Facility has been designed to be easily accessible, and includes a bright courtyard that offers a supportive rehab environment for seniors

HIGHLIGHTS: Seniors Health and Rehabilitation

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JO

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At Peel Memorial, patients will have access to their specialists and have their day surgery all under one roof.

Day Surgery includes:Cataract surgeryKnee scoping proceduresScopes (endoscopy and cystoscopy)Gynaecology proceduresMinor procedures

HIGHLIGHTS: Day Procedures

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JO

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Promoting health, wellness and chronic disease management through education, self management, and interdisciplinary care for diabetes, cardiovascular disease, kidney disease, asthma and much more

Some services include: Cardiac education Dialysis Pulmonary Rehab Asthma clinic Diabetes clinics Urgent medical clinic

HIGHLIGHTS: Chronic Disease Management

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JO

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iCDM: Integrated Chronic Disease Management

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JO

The challenge that we originally posed to ourselves was to design an integrated chronic disease management model of care at PMC that will help to improve the health of patients through effective secondary prevention

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Examples:UCC specialist consults exploring psychiatry, dermatology, wound, vascularChronic disease management exploring various opportunities including apps like Medly to support remote monitoring, use of MyChart, video home visits, etc.Appointment reminders and remote pre-registrationSeniors continuation of virtual outreach to LTC homes

Virtual Enablers

SpecialistClinicianPatient

@ PMC@ PMC@ BCH / EGH / CommunityVIRTUAL TOOLS

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JO or Ann?Overview of some of the technology that will come to be at Peel

Leveraging existing systems MeditechPicisPulsecheck Syngo

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Remote Patient RegistrationHome Computer Tablets Smartphones KiosksRegistration Clerks

Technology Enablers - Example

Patient PortalOne-stop shop for patients

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JO or Ann?

Check-in for Clinic visit from mobile device while en route

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Ask Ann: The latest at Peel Memorial

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PMC Go-Live SequencingSeptOctNov DecJan 2017FebMarApr

Urgent Care

Mental Health Offsite Services

Cardiac

Medicine

Mental Health*

DI, Lab, Pharmacy

RespiratoryDialysis

Diabetes

Seniors & Rehab

Women

Ambulatory Procedures

IT

HIM

ARC

Registration

Security

Housekeeping & Food services

Non-Clinical

ClinicalPHASE 1PHASE 2PHASE 3ChildrenUpdated May 24, 2016

Mental Health** The go-live of Mental Health & Addiction services is staggered across the three phasesMaterials managementPortering & Linen services

Staffing office

Medical device reprocessing (MDR)

Volunteers

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Ann

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Align with Vision: patient-inspired health care without boundariesAlign with ValuesIntegrate all necessary planning and operational workflows to optimize smart building technologies through ICAT strategyNo compromise of patient or staff safety or quality of careOptimize work flows, including LEAN principlesOperational pause period no new discretionary corporate initiatives Include management and physicians MRPs in planning and implementationTransition Guiding PrinciplesTo ensure high quality patient care and service is achieved on opening day

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Ann

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Transition Planning Activities Model of Care

Operations Planning

Recruitment

IS Software & Documentation

Master Schedules

Training

Physical Move & SetupRolesFTEs/HeadcountsService delivery designWork flowsPatient flowsMock runsJob descriptionsInterviewsE-documentation / Scanning Chart accessibility across sites Meditech buildsPatient scheduling Develop staff schedulesDevelop materialsclinical & equipment trainingDevelop move planSet up equipment and supplies1235678

Equipment & TestingEquipment procurement Test and commission4

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Ann

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Solidifying move schedules move date vs go-live dateDepartmental walk-throughs underwaySchedule optimization project, chronic disease management clinic development, specialty consult processEquipment all tender packages in market or closed, awarding contracts. Equipment delivery on larger, built-in itemsBuilding systems commissioningIT network and systems commissioningInternal and external communication activityWhere We Are Today

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Ann

Move date clarification,Deficiency walk throughsClinical models of care and operational developmentsRecruitment Job fairs (1800 resumes)Equipment some deferral of plug and play and rolling stock until after SCCommunications Peel Progress newsletter, ads on local newspapers, July 5 PMC Town Hall19

Comprehensive recruitment and transition strategy

Some staff will move with existing programs and servicesRecruiting new clinical and non-clinical staff across our hospitals

Expedited hires (management, educators, resource nurses, IS) nearing completion Specialty/high risk recruitment underway

All jobs posted on Oslernet

New positions posted internally firstPriority given to qualified internal candidatesFair, equitable as per Osler policies, procedures and Collective Agreements

Planning underway for staff and physician orientation

Recruitment Update

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ChristineComprehensive recruitment and transition strategy for Osler is currently underway Some staff will move to Peel with their existing programs and servicesAlso recruit and hire new clinical and non-clinical staff across our hospitals. The hiring process for the expedited hires (Key management and infrastructure opportunities) are nearing completion specialty / high risk recruitment underwayAll jobs will be posted on Oslernet.All Osler opportunities fair, equitable and in keeping with our policies, procedures and Collective Agreements. New positions will first be posted internally and priority will be given to qualified internal candidates. Planning is also currently underway for staff and physician orientation so folks that are moving are ready in their new surroundings at Peel.20

Submit now online at town.halls@williamoslerhs.caQuestions?

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Ann

Remind folks they can submit their questions through the town hall mailbox at any point during the presentation.21

Q. Will there be staff parking in a garage and outside at Peel?

Q. What food and retail choices will be at Peel (e.g. Tim Hortons, variety store, gift shop)?

Questions?

Submit now online at town.halls@williamoslerhs.ca

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Ann, Jo and Christine to take questions from the floor and online.22