The Scarborough Hospital’s Clinical Action Plan is a five-year plan designed to identify long-term areas of growth and focus for the hospital based on the changing needs of the Scarborough community.

The Clinical Action Plan is focused putting the patient, not the organization first, and will help achieve the hospital’s mission to provide an outstanding care experience that meets the unique needs of each and every patient.

We have built the plan on a strong foundation of operational excellence. It provides us with a dynamic road map for the future with the patient experience at the very centre.

The plan was developed with input from staff, physicians, volunteers and members of the community. It belongs to all of us.

The Process

To develop the five-year plan, the hospital engaged staff, physicians, patients and the community. Everyone involved was asked to remain focused on creating the Ideal Patient Experience.

The final plan was developed in collaboration with these groups in many different aspects of the decision-making process including developing alternatives and identifying the preferred solution.

Nearly 3,000 stakeholders contributed, and were given the opportunity to vote on options at a public summit.

In the end, we developed a plan that the hospital and the community can be proud of.

Since the plan was finalized, the hospital has been at a number of community group meetings to talk about the clinical action plan and our vision for the future of The Scarborough Hospital.

The Final Plan

After extensive engagement, planning and evaluation, the hospital decided on six areas of focus for the next five years.

Chronic Disease Management

The vision for Chronic Disease Management at TSH is that every patient managing two or more chronic diseases will have easy access to all the services required to manage all of their disease. The program will begin by focusing on those with diabetes, and then expand to other chronic diseases over time.

Patients will be connected with a Patient Navigator who will be their contact person to co-ordinate access to all required services. The Patient Navigator will work with the patient to develop a plan, including access to community partners. They will also work with patients for follow up and maintenance of care.

Patients will have improved and consistent access to care. They will see all care providers during one visit to the hospital, instead of returning for several appointments. The result is decreased wait times and seamless care of multiple chronic diseases.

Comprehensive Cancer Program

The vision for the Comprehensive Cancer Program is that every cancer patient with the most commonly diagnosed cancers (breast, gynaecological, colorectal, lung, prostate and haematological malignancies) will receive high-quality care at their local hospital. The program will allow TSH to become the leader in cancer care for Scarborough. The program will begin with breast cancer patients and over time will expand to treatment of other cancers.

Patient Navigators at Diagnostic Assessment Units (DAUs) will ensure care is accessible and timely at each phase of the cancer journey, allowing for seamless care for our patients through every step of their cancer treatment. Patients can expect ongoing education and communication about their care plan.

The cancer system is complex, and the Navigator will be there to provide physical, psychosocial and emotional support. Patients will receive as much care as possible within the hospital. Referral to the regional cancer centre will only be made where appropriate and necessary.

Comprehensive Hospitalist Model

This is a team-based approach to provide care to all adult patients requiring acute care, with an emphasis on involving patients and their families in decision making. The right mix of healthcare practitioners will be assembled, based on the needs of the patient, from the moment they step into the hospital to the moment they are discharged. Our goal is to ensure the right practitioner, for the right patient at the right time.

Critical Care Response Team

The Critical Care Response Team (CCRT) is also designed to bring the right level of care to the right patient at the right time. Nurses on the units have direct access to a specialized Critical Care nurse who will provide immediate response and treatment at the patient’s bedside. By identifying and responding early to changes in a patient’s condition, and bringing this critical care expertise outside the walls of the Intensive Care Unit to other areas of the hospital, patients receive treatment faster, have less complications and experience better outcomes.

Paediatric Emergency Care

The Scarborough Hospital’s Emrgency Department is one of the busiest in Canada. To provide the best service for patients, the hospital’s goal is to provide high quality, easily accessible, family-centred care for infants, children and youth. Children visiting the Emergency Department will be cared for in a designated paediatric friendly environment by specially trained staff in the field of paediatric medicine and nursing. The hospital will also establish an after-hours clinic for patients from newborn to 15 years of age who come to the Emergency Department in the evenings.

Regional Anaesthetic and Acute Pain Program

This program focuses on the use of local freezing instead of general anaesthetic for total joint surgeries. Local freezing decreases a patient’s pain after surgery and results in fewer side effects and complications the patient might have had from a general anaesthetic. It will also decrease length of stay in the hospital following surgery and lead to shorter recovery times.