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Strategic Direction #1: "Provide Quality Services for Our Community" 

Objective #1

Obtain Ministry of Health approval to proceed with planning and tendering for the provision of renal dialysis services and commence construction.

Status as of January 2007

Hospital has met all planning submission timelines and awaiting MOH approvals for construction tendering by Spring 2007.  Verbal responses from Ministry staff positive for Spring 2007 tender timeline. 

Objective #2

Develop and implement a new model for Hospitalist services.

Status as of January 2007

New model developed, recruitment completed and implementation is proceeding.

Objective #3

Develop and submit a progress report to the Canadian Council for Health Services Accreditation (CCHSA) on:

a) Non-violent crisis intervention training.

b) Relocation of cleaning and processing of Operating Room instruments.

Status as of January 2007

Progress report submitted to CCHSA by November 30th deadline. 

a) Code White Policy revised and distributed summer 2006.  Training sessions held in Spring and Fall  2006.

b) Completed renovations to Operating Room sterilization room to  create a clean/soiled barrier.  Preliminary longer term plans for centralization of sterile processing have been developed and must be further investigated prior to submission of a proposal to the Ministry of Health.

Objective #4

Patient Safety Objectives:

a) Complete an assessment of the 21 Canadian Council for Health Services Accreditation (CCHSA) Patient Safety Required Organizational Practices (ROP) and identify an action plan for achieving “fully implemented” status for each ROP.

b) Establish the “Safer Healthcare Now Rapid Response Implementation Team” to develop a plan for rapid response.

Status as of January 2007:

a) An ROP Steering Committee has been established to ensure that ROPs are in place by September 2007, so that one year of monitoring will occur before Fall 2008 Accreditation survey.  Next step is to complete a gap analysis comparing current practices with CCHSA required evidence for each goal.  Weekly scheduled Patient Safety walkrounds commenced in January 2007.

b) Implementation Team has been meeting and plans in place to begin testing / pilot stages in February.

Strategic Direction #2: "Be the Workplace of Choice"

Objective #5

Complete development and implementation of recommendations from the 2005/06 Quality of Worklife  Survey and complete arrangements for new survey in the spring of 2007.

Status as of January 2007

Recommendation follow-up is currently in progress.  New survey will be conducted early in the 2007/08 fiscal year.

Objective #6

Implement a Professional Practice Council.

Status as of January 2007

Implemented.  Five meetings held as of January 2007. 

Objective #7

Complete facility improvements: 

a) Medical Floor layout improvements.  

b) Pharmacy Department expansion.

Status as of January 2007

a) Project completed.  

b) Renovations completed.

Strategic Direction #3: “Promote Leadership in System Integration & Transformation”

Objective #8

Lead at least two collaborative patient-care integration projects with community partners as follows:

a) Evaluate impact of implementation of the LTC and ER interface documentation project. 

b) Integrated Mental Health System. 

Status as of January 2007

a) To be evaluated in February 2007.

b) Completed. Implementation of common intake process initiated.

Objective #9

Participate with other hospitals in the planning, and where appropriate, implementation of regional integration initiatives for:

a) Supply Chain Management

b) TEN PACS (Regional Data Repository for Diagnostic Images)

c) Enterprise Master Patient Index (EMPI) Wait List Management System

d) Regional Infection Control Network (RICN)

e) Kronos Staff Scheduling

Status as of January 2007

a) RMH a member of Central Ontario Hospital Purchasing Association.  Have submitted a proposal to Ontario Buys for funding assistance to establish a regional supply chain management service.

b) Phase I (Planning) complete.  Government has provided $30.5M for completion of Phase II (Implementation).  Implementation timeline extends through 2008/09.

c) EMPI Mandatory conformance testing successfully completed by RMH in September 2006.  WTIS planning timelines met for November 2006 go-live date.  RMH now reporting waiting time information on-line.

d) RMH serving as Host Hospital for RICN. Regional Infection Control Network Coordinator has been hired.  Steering Committee constituted and includes V. Eskedjian,V.P. Diagnostics & Support and Leanne Harding, Infectious Disease Coordinator.  RICN strategic plan development in progress with expected completion in Spring 2007.

e) Implementation proceeding in phases. Phase One (344 employees utilizing new scheduling system) complete.  Phase Two (311 employees using new scheduling system) to be completed by Jun/07.  Phase Three will include remaining employees using new scheduling system—final completion Sept/07.

Strategic Direction #4: "Enhance Organizational Effectiveness"

Objective #10

Implement utilization improvement initiatives to achieve a Length of Stay (LOS) performance index of .85 (5% improvement).

Status as of January 2007

Have not yet achieved targeted length of stay due to growth in number of patients awaiting long term care placement.  Integrated discharge planning with CCAC has been initiated.  Other improvement strategies will implemented in last quarter.

Objective #11

Implement strategies to improve wait times for cataract surgery and hip and knee replacement surgery.

Status as of January 2007

All wait time targets being met.

RMH’s Wait Time Information Systems (WTIS) went live on November 20, 2006.  CT Wait Times also to be reported on line by March 2007.

RMH first hospital in province to report Operating Room efficiency data. Compared to American database RMH had excellent performance in all indicators: start time accuracy (first and subsequent), case duration, prime time utilization, % weekday add-ons.

Objective #12

Implement requirements for Trillium Gift of Life Network Legislation.

Status as of January 2007

Delayed indefinitely as per instructions from the Trillium Gift of Life Network.

Objective #13

Implement the following new systems:

a) Document management software solution (including electronic policies and procedures).

b) Ormed General Ledger Reporting product.

c) Medi-Solution Accounts Receivable product.

d) Replacement for the Materials Management and Accounts Payable product.

e) Pharmacy System.

f) Operating Room Management System.

Status as of January 2007

a) Training began in September 2006.  Data quality issues being addressed prior to hospital-wide rollout and training – February 2007. 

b) Implementation in progress.  Will be completed by March  2007.

c) Implementation complete.

d) Deferred -- Agreement negotiated for extended support for Materials Management and Accounts Payable from current software provider beyond March 2007 sunset.

e) Implementation planning underway.  Anticipate a Spring 2007 implementation.

f) Replacement deferred at this time with current software provider agreement for continued support beyond March 2007 sunset. 

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