Credit Valley Hospital

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Cal Gutkin Quality Award Nominees | Awards 2007/08

The Cal Gutkin Award

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The Dr. Calvin Gutkin Award was established in 1995 to recognize outstanding achievement by a hospital team or individual who has made a significant quality improvement. The following submissions were made for the 2008 award.

A Collaborative Approach to the Facilitation of Heart Healthy Lifestyle Choices by Cardiac Patients

There is significant evidence that cardiac events are reduced by effective and sustained lifestyle modification. The multi-disciplinary team employed a collaborative approach to improving patient lifestyles through education on disease, symptom and risk factor management. They then engage patients in strategies to transfer their learnings into application, in order to reduce cardiac morbidity and mortality.


Credit Valley Hospital Patient Flow

Credit Valley Hospital identified a need to address extensive length of stays for admitted medical patients in the Emergency department (ERA patients). Partnering with 3M Canada, Lean Six Sigma methodology was used to evaluate and implement process efficiencies for this patient group. Specific interventions included a Discharge Centre, Faxed admission report, an electronic bed board, a new method of assigning patients to inpatient beds, a “Ticket to Home” program and the separation of the bed cleaning function. Significant time reductions were achieved showing more than a 21% improvement in overall non-productive bed time.


A Critical Analysis of Systemic Therapy Delivery (The Stream Team)

The “Stream Team” project is an end to end process review of how chemotherapy and follow up services are provided to our patients. The team reviewed all processes from the time the patient arrives for their first appointment to the time they receive their chemotherapy. Identified gaps were addressed through process review experimentation.


MOREOB (Managing Obstetrical Risk Efficiently) in Labour and Delivery

The MOREOB Program is a continuous patient safety improvement program for physicians and nurses focusing on teamwork and communication to manage clinical risk and adverse events. MOREOB helps the patient care team build a new practice model in which all disciplines work and learn together to create a Community of Practice (COP) rich in knowledge and experience. Results from the evaluation of the MOREOB Program demonstrate that an effective and sustainable patient safety culture has been established with 75% reporting that the program has been effective in improving patient safety, and 86% reporting that they would recommend the program.


Perinatal Immunization Project

Ensuring that perinatal patients are properly immunized is a priority for the obstetrical and paediatric programs at Credit Valley Hospital. In 2007, an interdepartmental evaluation of antenatal screening and post partum immunization of perinatal patients took place that resulted in enhancements to this patient safety initiative. Results demonstrated a 23% improvement in the communication of antenatal blood work information being available for care providers.


The Provision of Decision Support and Information Management using CVH’s Business Intelligence Tool

A centralized approach to decision support, data analysis and reporting to increase integration among key analytical resources and enhance organizational support for internal and external data requirements, information management and evidence based decision making.


Reducing Hospital Acquired Clostridium Difficile at CVH

There has been an increase in the incidence and severity of Clostridium difficile-associated disease (CDAD) throughout North America. In part, this is attributable to the emergence of a hypervirulent strain known as “NAP1” (North American Pulsovar 1). Characteristics of this epidemic strain include the presence of binary toxin, resistance to clindamycin and floroquinolones, and potential for increased adverse events. In view of its changing epidemiology, Hospital Infection Prevention and Control (IPAC), Environmental Services, Nursing and Quality and Risk Management departments collaborated to reduce rates of hospital acquired C. difficile. The rate was 3.78 cases per 1000 admissions in July 2007 and showed steady trend down to 1.23 cases per 1000 admissions by December 2007. Cases were reviewed in July 2007 and recommendations were made to make improvements to prevent and control hospital acquired C. difficile. From this, a small working group was formed to implement the recommendations or bundle of evidence based practices.


Restraint Minimization

The Restraint Minimization project involved the complete re-development of the policy / procedure, practice and education around restraint use for those patients who do not fall under the Mental Health Act. The project involved the creation of a hospital wide philosophy of least restraint. Outcomes from audits on restraint use in the hospital have demonstrated a general decline in the use of restraints, there have been no unapproved restraints being utilized and that there has been a noted improvement in the use of alternatives for restraint.


Slow Stream Rehab Program

The ComplexContinuingCare/Rehab Program identified the need to shift the focus on CCC to accommodate patients requiring Slow Stream Rehab (also known as Low Tolerance Long Duration Rehab). A proposal to establish a Slow Stream Rehab Program utilizing 14 beds on 1E CCC was approved and implemented to assist the flow of patients through the hospital, freeing up beds on 1D rehabilitation and acute care units. The goal for many patients in the Slow Stream Rehab is discharge home or transition to a lower level or care.

See PowerPoint Slide of Nominees



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