Once again The Scarborough Hospital has shown excellence in quality of care according to data released by the Canadian Institute for Health Information (CIHI).
CIHI’s Canadian Hospital Reporting Project (CHRP) measures the performance of 600 acute care hospitals across Canada in 30 clinical and financial areas. TSH performed well overall among large community hospitals in Ontario and exceeded the national average on many clinical indicators.
Excellence in Nursing
The outstanding patient care provided by the nurses at The Scarborough Hospital has once again helped us achieve one of the lowest rates of nursing sensitive adverse events for medical patients.
A nurse sensitive indicator identifies outcomes that are improved when a nurse (RPN/RN) is actively involved in the provision of care. Nurse sensitive adverse events include falls prevention, pressure ulcer prevention, pain management and assessment, and intervention of patient fatigue.
“For the second year in a row our nurses have succeeded in keeping us at the top of our game,” says Rhonda Seidman-Carlson, Vice-President, Interprofessional Practice and Chief Nursing Executive. “The nurse-sensitive adverse event indicators are tracked in all medicine and surgical programs in Ontario, and our Medicine Program has led the province in this area two years in a row. Our rapid improvement events around pressure ulcers and falls have supported these results, as have our daily huddles and quality improvement activities. A call out to our wonderful TSH nurses.”
The hospital has demonstrated continued excellence in this indicator and our rates for vaginal birth after caesarean section (c-section) remain the best in the GTA.
As with any surgical procedure, there are risks associated with c-sections. The Obstetrics Department at The Scarborough Hospital makes it a point to offer mothers the option of a vaginal birth if they have previously had a c-section.
“The Scarborough Hospital delivers more than 5,000 babies per year, and continues to be a regional leader in Women’s Health services,” says Dr. Nathan Roth, Co-Medical Director of Obstetrics at TSH. “Our ongoing commitment is to provide the best and safest care.”
“Our success reflects our effective collaborative care model, combining patient choice with the expertise of our clinical professionals, and placing a high value on an interprofessional team approach,” says Dr. Georgina Wilcock, Co-Medical Director of Obstetrics at TSH.
The Scarborough Hospital is committed to evidenced-based, collaborative and quality care, which is reflected in our partnerships with our community family physicians, our patients and our teaching program that supports the next generation of health care providers including medical, midwifery and nursing students.
Low Re-admission Rates Following Knee Surgery
CIHI reported that The Scarborough Hospital’s 90-day readmission rates following knee surgery are among the lowest in the province.
“The surgical program at TSH continues to improve quality care without sacrificing patient safety,” says Dr. Michael Chapman, Corporate Chief of Surgery at The Scarborough Hospital. “We continue to provide the best for our patients and continue to make their experience the best possible.”
The exceptional work of our paediatric physicians and staff ensure that our young patients receive high quality care in an effort to keep our 30-day readmission rates one of the lowest in the province.
“We have an experienced and dedicated paediatric care team composed of paediatric nurses and child life specialists who spend a lot of time educating our families so they will be able to care for their child once they are discharged home,” says Dr. Peter Azzopardi, Chief of Paediatrics at The Scarborough Hospital. “They discuss medical treatments, but more importantly review signs and symptoms that would signal a need for rapid re-evaluation. They also review the basics like diet, fever control and what to expect on your first days home. Secondly, many of our discharged children return to the hospital for re-evaluation within one or two days.”
Dr. Azzopardi adds that many patients return for follow-up one or two days after discharge to the hospital’s Paediatric Day Clinics that run every day of the year at both sites. The clinics are located right on the inpatient floors and the families often reconnect with a caregiver they met during hospitalization.
This level of continuity of care was pioneered at The Scarborough Hospital, and demonstrates its commitment to ensure that children leaving the hospital will continue to remain ’under our care’ with a shared responsibility to ensure that their transition home is as smooth and as safe as possible.
“As a busy paediatric department, we are dedicated to keep children at home if at all possible,” says Dr. Azzopardi. “When they must be admitted, we want to keep the separation from home short and set plans in place to ensure that they will remain home after discharge.”