St. Joe's Annual Report 2011-2012

Discover Highlights from the past year

Executive Letter



We are pleased to share with you all of our successes and accomplishments from the last year in our 2011/2012 Annual Report. We feel it is important to look back and reflect on all of the great work that the organization has undertaken to support our corporate objectives and success factors, so that we can look to the future and continue our journey towards our Vision to be Canada’s Best Community Teaching Hospital.

The last year was one of change and transition for St. Joe’s, especially with respect to our organization’s leadership. In April 2011 we welcomed our new Chief of Staff, Dr. Ted Rogovein, who has had a robust 20 year career at St. Joseph’s. Dr. Rogovein started with us as a Chief Medical Resident in the late 1980’s, and became Chief of the Intensive Care Unit in 1991 where he held post for 11 years. In 2005 he was appointed Chief of Medicine, and now Dr. Rogovein brings his experience, knowledge and leadership to the senior level of our organization as Chief of Staff, and works closely with our Board of Directors, Medical Advisory Committee and the Health Centre’s Senior Leadership Team to deliver on our commitment to The Best – the best care, delivered by the best people, provided at the best value and creating the best student experience.

In January of this year, Carolyn Baker stepped down from her role as President and CEO due to health reasons. Under Carolyn’s five years of leadership, an incredible amount of work was completed to position St. Joseph’s for continued success to deliver on our strategic priorities: Put Patients First, Enhance the Health of the Communities we Serve, Create a Culture of Inquiry and Innovation, Inspire our People and Use Resources Wisely. Many initiatives under her leadership focused on enhancing quality care, improving the way we work across the organization so that more time is dedicated to patient care, and improving patient flow within the hospital so that our patients received the right care, in the right place at the right time – 100% of the time. We are grateful for Carolyn’s passion and dedication to our organization and to the patients we care for. We will continue to build on the foundation she worked so hard to put in place as we strive to find more new and innovative ways to enhance patient care for the communities we serve.

Following Carolyn’s departure we welcomed Board of Directors member, Ellen Malcolmson, as Interim President. Over the last 9 months, Ellen’s collaborative manner and extensive experience in leading large organizations has helped us immensely during a time of uncertainty. She has supported the organization through the recruitment process for our next senior leader, and on September 17th, we officially welcomed Elizabeth (Liz) Buller as our new President and CEO. Liz is a senior leader with extensive health care administration experience in academic, community and faith-based hospital settings. Prior to her appointment at St. Joseph’s, she was the Executive Vice President of Clinical Operations and the Chief of Nursing & Professional Practice at William Osler Health System (Osler). Her extensive experience, values-based leadership style, strategic focus on health care excellence and proven ability to lead high performance teams make her a great fit for St. Joseph’s. As President and CEO, Liz will work with the Board of Directors, Senior Leadership Team, Chief of Staff and physician leaders, the Foundation and the entire interprofessional team to build on our tradition of delivering outstanding, safe, high quality, patient-centred care to the communities in Toronto's west end.

With the appointment of our new President and CEO, several more transitions were made within the Board of Directors. Ellen has now moved into her new role as Board Chair, succeeding our outgoing Board Chair, Richard Ross. Richard has been a member of the Health Centre’s Board for nine years and Chair for the last six years. We would like to take this opportunity to thank him for being such a dedicated and engaged leader to our organization.

Change can have a big impact on any organization, but the fact that St. Joe’s has continued to deliver on all of our priorities and commitments is a true testament to the hard work of our frontline health care providers, clinicians, administration and leadership team.

This annual report is dedicated to our 2,568 employees, 393 physicians and 260 volunteers that have proudly remained focused on providing safe quality patient care, and have helped to keep this organization moving forward without missing a beat.

Inside this report you will hear from our patients describing in their own words how important this hospital is to them and their families, and how our healthcare teams were there for them when they have needed help the most.

You will also have chance to read highlights of the incredible amount of work this organization has done.

Thank you for taking a moment to share in our celebrations and recognition of all of the people who truly make St. Joe’s the best.

Ellen Malcolmson, Board Chair
Elizabeth Buller, President and CEO
Dr. Ted Rogovein, Chief of Staff



Ellen Malcolmson, Board Chair
Elizabeth Buller, President and CEO
Dr. Ted Rogovein, Chief of Staff



Your Stories



Features

Charting our course for the next three years

In 2011-2012 we launched our new, 3-year strategic plan. To chart our course for the next three years, we underwent an extensive strategic planning process that was broad and inclusive, gathering feedback from over 1,000 of our key internal and external stakeholders.

Read more feature stories

Through the planning process what we heard was that we didn’t need to shift our core strategies – our success factors - but our plan for the next three years needed to be attentive to the rapidly changing health care landscape. We maintained our key corporate success factors to Put Patients First, Enhance the Health of the Communities we Serve, Inspire our People, Create a Culture of Inquiry and Innovation and Use our Resources Wisely – this is what drives what we do each and every day in order to provide the highest level of patient and family-centred care to the communities of Toronto’s west end.

This process also gave us the opportunity to further define St. Joe’s Vision of Being Canada’s Best Community Teaching Hospital – and how that Vision translates into the work we do as an organization to deliver on our strategic commitments. When we talk about being “the best”, to us, it means the providing the best care, delivered by the best people, provided at the best value and creating the best student experience.

In the first year of our new strategy, we moved forward with a number of our key priorities, like the continuing redevelopment work on the new Our Lady of Mercy Wing; underwent the process of accreditation though The Canadian Council on Health Services Accreditation (CCHSA); strengthened our work in our quality strategy to focus the organization on key initiatives that support the delivery of high quality and safe care; and finding new ways to continue to make our patients and their partners in care and building genuine relationships.

We have a lot of work ahead of us as we work through our Strategic Plan, and we would like to thank our staff and physicians for their continued commitment to providing safe, quality care to our patients and their families. We also want to thank our community for your support as we continue on our journey together as your community teaching hospital that is here for you when you need us the most.



Engaging with our community

Community engagement is essential to the successful delivery of patient care at St. Joseph’s Health Centre. The Patient, Family and Community Engagement Department at St. Joseph's Health supports the organization through working to find and develop opportunities where patients, families and the broader community can be engaged in the activities of the Health Centre. By engaging with our community, we are able to better understand the needs of people who rely on us as their community hospital and deliver on our commitments to Put Patients First and Enhance the Health of the Communities we Serve.

Read more of our Community Engagement section

Community engagement is a process of working collaboratively with people and organizations in our community who are affiliated with us by the care they receive, geographic proximity, special interests, or other shared issues. It often involves partnerships and coalitions that help mobilize resources and influence systems, that change relationships among partners, and that serve as catalysts for developing and/or changing policies, programs, and practices.

The goal of the Patient, Family and Community Engagement Department is to support the Health Centre’s Mission, Vision, Values and strategic priorities by fostering engagement inside and outside the organization to enhance the health of the patients, families, and communities we serve. The Department brings a patient, family and community perspective to the Health Centre's planning, policies and programs; promotes reflection and analysis regarding collaboration practices; but also reaches out to bring a hospital perspective to community partners: engagement must be a two-way process.



Education

St. Joseph’s Health Centre continues to work on many initiatives to support our commitment to Creating a Culture of Inquiry and Innovation. We are pleased to share with you – our community of staff, physicians, patients, families and learners – our accomplishments from over the last year in our 2011/2012 Annual Report.

Creating a Culture of Inquiry and Innovation is really about how we make learning, teaching and professional development a priority in the work we do at St. Joe’s.

Read more of our Education section

Over the last year, we have seen a considerable amount of collaborative activity between the Office of Medical Education and the Interprofessional Education and Collaboration Department. This joint partnership and cohesive work in the areas of education and learning continues to move us forward in achieving our Vision to be Canada’s Best Community Teaching Hospital.

So what does it mean to be the best? Part of that includes providing the best learning experience possible for our trainees and staff. We know that enhancing our culture that learns with, from and about one another will help us to provide the best care to the patients and families we are honoured to serve.

Given our continued focus on the importance of interprofessional education, collaboration and practice, the Office of Medical Education and the Interprofessional Education and Collaboration Department worked in partnership to create an Interprofessional Education (IPE) Strategic Plan.

This is the first plan of its kind for St. Joe’s and will help to focus all of our ideas, activities and plans to support education for staff and students, from all professions. It will provide us with a footprint and guide us to build on our successes in fostering the best learning environment for students and to support continuing education initiatives for our staff and physicians. It will also help to focus our work in developing new and innovative ways to enhance the teaching and learning atmosphere we provide.

To help guide the process, we used the Interprofessional Collaborative Organization Map and Preparedness Assessment (IP-COMPASS) tool, which is a quality improvement framework used to help hospitals become better prepared in providing intentional interprofessional learning experiences.

Through the process we identified the need to further enhance they way we recognize, celebrate and honour all of our physicians and staff that have given so much of their time and effort to support learning and their dedication to teaching the next generation of health professionals at St. Joe’s.

This year we established several new initiatives that we identified as part of the IP Strategic Plan including our Education Council, Academic Achievement Day and Interprofessional Award to recognize excellence in interprofessional practice and education.

The Education Council will serve as a venue for staff, physicians and students to discuss Health Centre-wide issues on education, essentially to move the organization forward in a consistent direction towards achieving our Vision. Representatives will include individuals from different professions across the hospital and in the months ahead we will be developing a Terms of Reference and formal membership.

Plans for our first Academic Achievement Day were also developed this year which solidified our dedication to recognizing our clinical teachers who have been awarded internally and externally by various organizations and showcasing best practice research.

As we continue to move our culture to embrace education – both clinical and interprofessional – the creation of our Academic Achievement Day will provide a more appropriate and inclusive recognition event and celebration. A number of these recognition practices have been ongoing at the Health Centre previously but with a more clinical and physician focus, as part of our Annual Clinical Day. In creating a new, stand alone event to celebrate all of our teachers, is just another way we are working to create an environment that reflects learning based on the core competencies of collaboration including knowledge of roles, trust and respect, appreciating differences and conflict resolution, willingness to share power, and shared decision making

We continue to build on our well established educational initiatives such as our Interprofessional Journal Club, Preceptor/Mentorship Program, our Annual Clinical Day and Interprofessional Skills Fair. Coming this winter is our third Interprofessional Conference on Arthritis Management, which is designed as a continuing education opportunity for family physicians, specialists and members of various health disciplines at the Health Centre. We continue to look at other similar events in other clinical areas because of the continued success of this conference as a way of enhancing our professional development activities.

With the many activities we offer at St. Joe’s to support learning, we continue to find ways to support the intreprofessional academic curriculum by accrediting activities through the University of Toronto’s Centre for Interprofessional Education. By accrediting our opportunities, not only does it enable our students to take part in important Health Centre wide initiatives but fully supports the academic requirements of our students.

In addition to providing funds for ongoing education through our Education Assistance Grant, this year we also established a scholarship with funding received by the Ministry of Training, Colleges and Universities called the MTCU Clinical Preceptor Award, to acknowledge clinicians – specifically in the areas of physiotherapy, occupational therapy and speech language pathology – who demonstrate excellence in teaching. We provided two recipients with $1,000 each to support ongoing educational opportunities such as attending professional development conferences related to their field of work.

It continues to be an exciting time for all of us at St. Joe’s in building more of our programs to support learning. One more way that we can continue to create innovation and new knowledge will be through the development of our on-site Learning Centre.

The new Learning Centre will provide an expansion of teaching and educational space for of our medical trainees, health professional staff and students. By having an on-site, dedicated space to education, we can conduct workshops, seminars and other activities that are accessible to everyone at St. Joe’s. The new Learning Centre will be hub of all of our important educational activities and we are working closely with St. Joseph’s Health Centre Foundation to ensure that we are successful in fundraising initiatives to support the new Centre.

As we look back at all of our accomplishments from last year, it shows that we are dedicated to building educational excellence - an ongoing and very important priority for St. Joseph’s. We are proud to have a long and rich tradition of providing high quality and compassionate care and we also take pride in the fact that we have established a stellar reputation for learning and teaching excellence in a community hospital setting.

We see that reflected in the thousands of students we welcome each year, who chose to start their career through learning at St. Joe’s; and with the many staff and physicians that continually strive to enhance their professional skills to respond to changes in health care to support the organization’s committment to Put Patients First by providing the best care.

We look forward to the many ways we will continue to learn, innovate and inspire to achieve academic excellence and to support our work in achieving our Vision to be Canada’s Best Community Teaching Hospital.





Michael Heffer, Director of Pharmacy and Interprofessional Practice
Dr. Jerry Maniate, Director, Medical Education
Elizabeth McLaney, Director of Interprofessional Education and Collaboration
Mark Vimr, Executive Vice President Clinical Programs and Chief Nursing Executive




Financials

Expenses
Salaries, Wages and Benefits 61.0%
Medical Staff Remuneration 8.9%
Medical and Surgical Supplies 6.2%
Drugs and Medical Gases 4.7%
Other Supplies and Expenses 12.2%
Other Votes and Programs 2.4%
Amortization of Equipment and Buildings 4.6%


Revenues
MOHLTC Revenue 79.3%
Amortization of Capital Contributions 1.6%
Commercial and Miscellaneous Revenues 8.7%
OHIP and Third Parties 8.0%
MOHLTC Other Votes 2.4%

As a publicly funded institution, the Health Centre is committed to managing its resources efficiently and effectively, while providing the highest level of care to our patients. Following consultations with patients and their families, the Health Centre has adopted a “Declaration of Values” defining what our patients value in their care. Focusing on what matters most to our patients, allows us to better utilize resources to improve the quality of patient care that we provide. Through efficient resource management and cost controls, the Health Centre ended its fiscal year with a small operating surplus before building amortization, of $2.19 million, on operating revenues of $258.98 million.

The Health Centre is committed to the highest standards of accountability and transparency under the Broader Public Sector Accountability Act (BPSAA) and the Freedom of Information and Privacy Protection Act (FIPPA). FIPPA further protects the privacy of patients with respect to personal and financial information and provides them with a right of easier access to such information.

St. Joe’s continues to benchmark its financial performance to that of comparable hospitals and uses peer-comparison data during its budgeting and planning cycle to ensure that we continue to provide services to our community in a cost effective manner. The case costing system implemented at the Health Centre provides additional analytical tools to determine resource utilization in various patient care, ancillary and procedural areas and allows management to target key areas of opportunity within the organization. The Health Centre is a member of Plexxus, a not-for-profit company dedicated to providing shared services to 11 member hospitals in the areas of supply chain management and transactional finance. Savings resulting from shared services are reinvested to support patient care activities. A new financial reporting system currently being implemented with the assistance of ITS/Plexxus, will allow management to better monitor and analyze major expense drivers, improve internal reporting and controls, and enhance management decision making.

In order to better serve and meet the needs and expectations of our patient population and plan for the future, the Health Centre continues to remain focused on several key initiatives such as:

  • Investments in capital equipment and infrastructure to enhance our ability to deliver quality care using the latest medical advances, undertaking renovations and safety improvements to our current facility and increasing our capacity via space planning and new construction. The recent completion of a major redevelopment project of the new Our Lady of Mercy Wing, will provide us additional capacity to better serve our patients and their families.
  • Investments in communications and information technology as part of our e-Care initiative continue to ensure that our physicians and staff have faster and streamlined access to the information they need to better serve our patients.
  • Collaborating with our community partners and the Toronto Central Local Health Integration Network to improve and enhance access to care through the transfer of appropriate services out of the acute care setting and into the community
  • Investments in our staff by supporting their on-going education and training. Fostering an environment which encourages learning and innovation; teaching and communicating best practices so that staff can more effectively care for our patients and those in the community we serve.

Our ranking as a top tier Health Care Centre and our continued strong performance financially as well as in service quality and patient satisfaction is due to the untiring efforts of our staff, physicians and volunteers assisted by the dedicated work of the St. Joseph’s Health Centre Foundation and its generous and committed donors.



Foundation

Thank you!

You are making great care close to home possible for our friends and neighbours in our community. Thanks to you, the 500,000 people living in our neighbourhood can turn to St. Joseph’s when they need help the most.

Read more of our Foundation section

Your support this past year has helped build and open new facilities like the Our Lady of Mercy Wing, which was an $18.3 million fundraising project. As you visit the new wing you will see the four new floors that you have made possible and the difference giving has made. This is where babies will be born (1,000 more than we can now), parents will bring their children for care, where adults will recover from surgery or a medical condition, and where seniors will get care so they can return home quickly.

Your gifts have also helped purchase needed equipment like the new specialty mattresses that are now in use in our busy Emergency department, and new technology that was installed in our labs last year to help speed up patient test results. Your donations also helped our health professionals pursue training and education opportunities.

At St. Joe’s, we are thankful to have a great team of expert and caring staff and physicians. Your donations give our health professionals many of the tools, space and support they need to provide the very best care to every patient who comes through our doors.

In 2011/2012, donor support totalled almost $2.6 million. This funding is so important for our community hospital so that our expert team of caring staff and physicians can treat so many with care, using the most up-to-date technology.

Looking ahead, there are always ways we can make things better for our friends and neighbours who need care. For example, your support can help us renovate our Just for Kids Clinic, Toronto’s first walk-in clinic based in a hospital. We are turning two examination rooms into four so our paediatric teams can see more children faster, and to make the space work better for kids and their parents.

We are also raising funds to purchase an Endo-Bronchial Ultrasound, which helps our doctors diagnose lung conditions faster in a way that is completely non-invasive. Other priorities include building a Learning Centre to help our healthcare teams stay up-to-date on the latest in medical best practices, further renovations to our patient care spaces, and equipment that is essential for all of our teams when looking after our friends and neighbours.

Your support is critical and we hope you will let your family and friends know about St. Joe’s and the work we are doing to care for our community. Please click here to donate online now and to learn more about how you can help – whether it’s by making a gift, volunteering or hosting an event to raise funds for our hospital. If you have any questions, please call us at 416-530-6704.



Marilynne Day-Linton
Chair, Board of Directors, St. Joseph’s Health Centre Foundation



Maria Dyck
President, St. Joseph’s Health Centre Foundation



Governance

Board of Directors

Richard Ross, Chair
Carolyn Baker, President and CEO
Kathy Bouey
Joe Calderone
Rev. Nino Cavoto
Marko Duic
Sister Roberta Freeman
John Hadfield
John Hinds
Don Kennedy
Shoba Khetrapal
Michael Lang
Ellen Malcolmson
Michael McTeague
Pamela Nowina
Mario Piccinin
Almerinda Rebelo
Ted Rogovein
John Spekkens
Mark Vimr

Foundation Board of Directors

Marilynne Day-Linton, Chair
Peter Barnicke
Pat Bolland
Tamara Bratty
John Bujouves
Tony Cauch
Larry Chapman
John Clarke
Brenda Drinkwalter
Louise Hucal
David Johnston
Ken Manget
Dr. Peter Menikefs
Michael Sutton
Maria Dyck, President
Patrick Walsh
Yaseen Nimjee
Gary Selke
Michael Talmage
David Kincaid