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Pursuing Learning,<br />

Innovation & Research<br />

ANNUAL COMMUNITY REPORT 1997-1998<br />

WORKING TOGETHER FOR A HEALTHY COMMUNITY


A Year of Pursuing Learning, Innovation & Research<br />

A Message from the Chairperson<br />

and the Chief Executive Officer<br />

The year 1997-1998 was a challenging one for the <strong>Regina</strong> <strong>Health</strong> District.<br />

Throughout all the changes in work practices and work places, your health<br />

care delivery and support team continued to learn and to grow.<br />

We pride ourselves on being a learning organization. We are constantly<br />

researching and acting on ways to make things better for our clients, residents<br />

and patients.<br />

All of us who work within the <strong>Regina</strong> <strong>Health</strong> District took pride this year in<br />

having the District held up as a model for all of Canada in the way we deliver<br />

integrated, client-centered care. The<br />

learning that went on through this<br />

accreditation process continues to<br />

make us better at what we do for you.<br />

Garf Stevenson and Glenn Bartlett review<br />

floorplans as new construction nears<br />

completion at the <strong>Regina</strong> General Hospital<br />

We learn as an organization but we<br />

also teach. Medical students from the<br />

University of Saskatchewan’s College<br />

of Medicine trained here throughout<br />

the year. The District also provided<br />

experience to students in other<br />

programs, in cooperation with<br />

educational institutions across<br />

Canada.<br />

Research and learning lead to innovation. Sometimes these innovations are<br />

on a large scale. The <strong>Regina</strong> <strong>Health</strong> District is recognized as unique in the<br />

country in having developed a completely coordinated approach to ensuring<br />

that our clients and patients are given the care they need, when and where<br />

they need it.<br />

The human touch is critical to the work of the <strong>Regina</strong> <strong>Health</strong> District. It is as<br />

vital to us to develop small innovations – such as lunch choices for patients in<br />

palliative care – as it is to create innovative systems to coordinate care.<br />

Ultimately, all lives are lived one day at a time. The quality of the care we give<br />

each day, and the compassion, understanding, and support we demonstrate to<br />

those in need, are the ultimate tests of whether our pursuit of learning,<br />

innovation and research has meaning.<br />

Table of Contents<br />

3 • Strategic Framework<br />

4 • Goals<br />

8 • Learning<br />

10 • Innovation<br />

12 • Research<br />

14 • Boundaries<br />

& Population Served<br />

16 • Services Offered<br />

18 • Organization<br />

& Leadership<br />

20 • Financial &<br />

Staffing Highlights<br />

21 • Statistical Review<br />

24 • Facilities & Services<br />

For further in<strong>format</strong>ion regarding<br />

material presented in the Annual<br />

Community Report, please contact<br />

the <strong>Regina</strong> <strong>Health</strong> District Public<br />

Affairs Department.<br />

PHONE<br />

(306) 766-5365<br />

FAX<br />

(306) 766-5414<br />

MAIL<br />

2180 - 23rd Avenue,<br />

<strong>Regina</strong>, SK S4S 0A5<br />

E-MAIL<br />

publicaffairs@reginahealth.sk.ca<br />

WEBSITE<br />

www.reginahealth.sk.ca<br />

Garf Stevenson<br />

Chairperson<br />

<strong>Regina</strong> District <strong>Health</strong> Board<br />

Glenn S. Bartlett<br />

President & Chief Executive Officer<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

COVER PHOTO:<br />

Paige Rorbeck pursuing learning at<br />

Wascana Rehabilitation Centre School.<br />

© Copyright 1998 <strong>Regina</strong> <strong>Health</strong> District<br />

2<br />

<strong>Regina</strong> <strong>Health</strong> District


The <strong>Regina</strong> <strong>Health</strong> District’s<br />

STRATEGIC<br />

FRAMEWORK<br />

Our Mission<br />

Working Together for a <strong>Health</strong>y Community<br />

The <strong>Regina</strong> <strong>Health</strong> District provides a comprehensive array of health<br />

services to its residents, and, through the provision of unique and<br />

specialized services, supports the health care needs of southern<br />

Saskatchewan.<br />

Our Goals<br />

Client-Centered Service<br />

• Provide accessible, holistic and<br />

culturally sensitive services that<br />

facilitate informed client choices.<br />

Integrated Services<br />

• Improve service delivery.<br />

Our Values<br />

Success will be achieved through commitment<br />

to our shared values.<br />

Respect<br />

All relationships, decisions and<br />

actions will be guided by<br />

honesty and fairness.<br />

Caring<br />

An attitude that is reflected in<br />

everything we do.<br />

Our Vision<br />

• delivering client-centered<br />

services that are accessible and<br />

responsive to the changing<br />

needs of our community.<br />

Participation<br />

Everyone has a role to play in<br />

building a healthy community.<br />

The <strong>Regina</strong> <strong>Health</strong> District will promote a<br />

healthier community by:<br />

Continuous Improvement<br />

Improvement will be guided<br />

by personal and organizational<br />

learning and growth.<br />

• creating an environment<br />

that fosters individual<br />

responsibility, teamwork<br />

and client satisfaction.<br />

Client Satisfaction<br />

• Improve our clients’ perception<br />

of our organization and service.<br />

Individual Responsibility<br />

and Teamwork<br />

• Promote health.<br />

• Promote individual responsibility<br />

and teamwork within our<br />

organization.<br />

Learning, Innovation<br />

and Research<br />

• Continuously improve our care<br />

and service through ongoing<br />

personal and organizational<br />

learning and growth.<br />

Needs-Based Services<br />

• Reduce inequities in health.<br />

• Prevent disease.<br />

• Create a healthy environment.<br />

• Encourage behaviours that<br />

support health.<br />

• Improve health services.<br />

• being a leader in the provision<br />

of integrated health services.<br />

• pursuing learning,<br />

innovation and research.<br />

Annual Community Report 1997-1998<br />

3


Working to reach our<br />

DISTRICT<br />

GOALS<br />

The <strong>Regina</strong> <strong>Health</strong> District<br />

aims to improve,<br />

continuously, the care and<br />

service it provides.<br />

It does this through<br />

ongoing learning, both for<br />

staff and for the<br />

organization as a whole.<br />

Ongoing learning guides the<br />

District to its goals in many<br />

ways. The District studies<br />

the outcomes of client care<br />

and audits the use of<br />

services, so it knows where<br />

to make improvement. The<br />

District also compares its<br />

performance with other<br />

health care organizations,<br />

striving to put in place the<br />

best practices in Canada. As<br />

well, at any given time,<br />

staff and professionals in<br />

the District have many<br />

ongoing research projects<br />

that will, ultimately,<br />

improve the care and<br />

service provided to clients.<br />

On these pages are some<br />

examples of how the<br />

District is reaching its goals<br />

through learning,<br />

innovation and research.<br />

4<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

Client-Centered Service<br />

“You are very focused on your clients”<br />

After visiting with staff and clients at <strong>Regina</strong> <strong>Health</strong> District sites in June<br />

1997, the survey team from the Canadian Council on <strong>Health</strong> Services<br />

Accreditation spoke to District board members and employees about their<br />

findings.<br />

Ruth Duffy, one of the surveyors, said that often staff are at the top of an<br />

organization and clients are at the bottom, but that’s not the case in this<br />

district.<br />

“We really felt that, after a week and a half with you, you have inverted this<br />

pyramid, this triangle, and, in fact, your clients are most important. We<br />

saw this everywhere we went. You are very focused on your clients . . . and<br />

everything else exists in support of those clients.”<br />

Duffy said that during its review, the Council saw approaches that are<br />

trend-setting for Canada.<br />

“I believe that this senior management team and Board, and, in fact, this<br />

organization, is really about to say to the rest of the country, ‘Look at us.<br />

This is the way to grow an integrated service delivery system in health care.<br />

Look at us, we’re the role model. We can show you how it’s supposed to be<br />

done.’ All of us will be watching and know you can do it.”<br />

Helping Our Youngest Clients<br />

Mothers and their newborns are now<br />

receiving more help with breastfeeding<br />

in the maternity area of the <strong>Regina</strong><br />

General Hospital.<br />

The <strong>Regina</strong> <strong>Health</strong> District surveyed new<br />

mothers in June 1997. The mothers said<br />

that they would have liked more<br />

consistent advice about breastfeeding,<br />

which is the best method of infant<br />

feeding.<br />

As a result, the District hired lactation<br />

consultants or breastfeeding specialists.<br />

The lactation consultants have two roles.<br />

They teach nurses about breastfeeding<br />

and provide guidelines to follow so that<br />

nurses are better able to help mothers<br />

and newborns. They also help the moms<br />

and babies who are having more serious<br />

problems.<br />

The District plans to continue surveying<br />

new mothers with the goal of learning<br />

how best to promote breastfeeding.<br />

Research resulted in improved service for<br />

mothers and newborns


Integrated Services<br />

Education Precedes Integration<br />

In the <strong>Regina</strong> <strong>Health</strong><br />

District, construction and<br />

renovation are making<br />

room to bring together<br />

hospital services, add new<br />

programs, and provide<br />

sophisticated new medical<br />

equipment for clients.<br />

The District’s goal is<br />

integrated services to<br />

enhance the health care<br />

provided to clients.<br />

One of the services to be<br />

integrated at the <strong>Regina</strong><br />

General Hospital is<br />

cardiosciences, which<br />

includes coronary care,<br />

cardiac surveillance and<br />

cardiac diagnostic units.<br />

While the new area was<br />

under construction, the<br />

District’s Education and<br />

Development Services<br />

Department brought<br />

cardiosciences<br />

staff together to make<br />

plans. In eight focus-group<br />

sessions, the 150 staff<br />

members discussed<br />

delivery of patient care,<br />

how the new unit will<br />

function, staff care,<br />

clarification of roles, and<br />

managing the move.<br />

As well, Clinical<br />

Development Educators<br />

updated the staff’s clinical<br />

skills, taught them how to<br />

manage the unit’s new<br />

equipment, and orientated<br />

them to their new site.<br />

The <strong>Regina</strong> <strong>Health</strong> District<br />

recognizes that integrating<br />

services is not as easy as<br />

putting hospital staff and<br />

equipment together in one<br />

location. The vital task of<br />

educating staff must be<br />

done before moves take<br />

place.<br />

The SWADD Study<br />

In order to achieve the goal of integrated services, the<br />

<strong>Regina</strong> <strong>Health</strong> District reorganized services and introduced<br />

the System Wide Admission and Discharge Department<br />

(SWADD).<br />

SWADD was developed to ensure patients receive the best<br />

care possible. By having one department look after all<br />

admissions and discharges in the health care system, the<br />

District will improve access, coordination, continuity,<br />

communication and discharge processes.<br />

SWADD is a unique approach in Canadian health care, so<br />

it’s crucial to evaluate its impact systematically.<br />

During 1997 and 1998, the District gathered in<strong>format</strong>ion<br />

for a comprehensive study of the new department. The<br />

study will examine the effectiveness of SWADD in<br />

improving quality of care, access of patients to care,<br />

integration of services, health outcomes, and costs.<br />

The evaluation of SWADD goes beyond simply measuring<br />

its effectiveness. The study will also attempt to identify for<br />

which groups of patients and for what particular services<br />

SWADD works best.<br />

Client Satisfaction<br />

The District’s goal is to deliver client satisfaction<br />

Survey Tracks Client Satisfaction<br />

Research conducted in the <strong>Regina</strong> <strong>Health</strong><br />

District has shown that nine out of ten<br />

patients are highly satisfied with the care<br />

and service they received in hospital.<br />

The client survey was conducted in 1997<br />

by the Conference Board of Canada,<br />

which was invited by the District to do the<br />

research. The purpose of the research was<br />

to improve service to clients.<br />

The survey asked 1,800 clients about their<br />

hospital experiences, tracking their<br />

opinions on the different programs and<br />

services they received.<br />

An indicator called “total satisfaction” was<br />

developed to measure the combined<br />

results of answers to three separate<br />

questions. The questions related to client<br />

satisfaction with quality of care, the<br />

likelihood that clients would want to<br />

return to that site for treatment, and how<br />

they would describe the care they received<br />

to friends and relatives.<br />

Ninety-two percent of the clients surveyed<br />

said they were very highly or highly<br />

satisfied with the care and service they<br />

received in <strong>Regina</strong> <strong>Health</strong> District<br />

hospitals.<br />

Annual Community Report 1997-1998<br />

5


Individual Responsibility & Teamwork<br />

Working for a healthy smile<br />

Toothaches hurt, and, if the problem<br />

is serious, they’re expensive to treat.<br />

That’s why Public <strong>Health</strong> nurses with<br />

the <strong>Regina</strong> <strong>Health</strong> District designed<br />

a new program to prevent children<br />

from getting dental disease.<br />

They launched a program to get<br />

children at the Public School Board’s<br />

Early Learning Centre, and their<br />

families, to brush their teeth. They’re<br />

hoping it develops into a habit that<br />

will last a lifetime.<br />

The program got under way with a<br />

lot of help from teachers and a grant<br />

from Saskatchewan <strong>Health</strong>.<br />

Public <strong>Health</strong> Services developed the<br />

program after research showed that<br />

more than one third of the children<br />

at the Early Learning Centre already<br />

had problems with their teeth. That’s<br />

about 10 times more than the<br />

provincial average.<br />

The preschoolers brush their teeth<br />

twice a day at school. To encourage<br />

parents to take responsibility for<br />

dental care at home, the District<br />

supplies a dental care pack and<br />

teaches family members how to<br />

brush their teeth and why it’s<br />

important.<br />

The preschool dental project<br />

supports the District’s goal of<br />

encouraging individual responsibility<br />

for health while working in<br />

partnership with others in the<br />

community.<br />

Learning, Innovation & Research<br />

Providing Education and Experience<br />

The <strong>Regina</strong> <strong>Health</strong> District is more than a provider of health care<br />

services.<br />

The District is a teaching organization, providing hands-on experience<br />

to more than 100 students every year. This is done in partnership with<br />

universities and secondary education institutions across Canada.<br />

The learning partnerships are often innovative. A new Nursing Critical<br />

Care Course is being developed by the <strong>Regina</strong> <strong>Health</strong> District,<br />

Saskatoon District <strong>Health</strong> and Saskatchewan Institute of Applied<br />

Science and Technology (SIAST).<br />

In the course, nurses interested in working in critical<br />

care areas such as intensive and cardiac care units first<br />

do theoretical work, then do practical work under the guidance of<br />

skilled critical care nurses.<br />

In addition to nurses, the <strong>Regina</strong> <strong>Health</strong> District teaches researchers,<br />

therapists, pharmacists, dietitians, technologists, pastoral care<br />

providers, clinical psychologists, and administrators.<br />

Students refine their skills and prepare themselves for independent<br />

practice by working alongside competent, experienced professionals<br />

as they deliver care and services to our clients.<br />

The District provides learning and work experiences for co-op<br />

university students from across Canada in Engineering,<br />

Administration, Science, and Master of Business Administration<br />

(MBA) courses. The students are paid and work as employees during<br />

the four to eight-month-long work terms, which are part of their<br />

university curriculum.<br />

Researching the Facts<br />

Evidence-based medicine is<br />

about making decisions based on<br />

the facts, not on personal beliefs<br />

or guesswork. To come up with<br />

the factual basis for decision<br />

making, the <strong>Regina</strong> <strong>Health</strong><br />

District conducts scores of<br />

research studies each year.<br />

In 1997, the District’s Clinical<br />

Research and Development<br />

Program completed a study on<br />

those waiting for cataract<br />

surgery. Useful judgments on<br />

waiting periods for elective<br />

surgery require a good<br />

understanding of how waiting<br />

does – or does not – affect the<br />

outcomes for our patients.<br />

A group of 98 patients scheduled<br />

for cataract surgery, and their<br />

doctors, provided in<strong>format</strong>ion<br />

both before and after surgery.<br />

On average, patients waited just<br />

over 73 days for their surgery.<br />

Researchers asked how patients<br />

were coping. They wanted to<br />

find out if there were any<br />

difficulties in functioning,<br />

emotional distress associated<br />

with the wait, or any adverse<br />

effects on vision.<br />

The results of the research were<br />

very encouraging. Patients<br />

voiced little concern about the<br />

waiting period. Difficulties with<br />

visual and emotional functioning<br />

while waiting were rare, and<br />

slight when they did occur.<br />

Overall, the study on those<br />

waiting for cataract surgery<br />

showed that the waiting period<br />

did not have a negative impact<br />

on the outcome of the surgery.<br />

The District is encouraging individual<br />

responsponsibilty for health


Needs-Based Services<br />

Improving Service Through<br />

Research<br />

By doing research, the District gets<br />

an accurate and detailed picture of<br />

current services. This identifies<br />

opportunities to improve service<br />

and better meet patient needs.<br />

Every aspect of Operating Room<br />

(OR) services was examined in<br />

detail in 1997 as the <strong>Regina</strong> <strong>Health</strong><br />

District conducted an OR audit.<br />

The study collected detailed<br />

in<strong>format</strong>ion about utilization,<br />

processes, efficiencies and outcome<br />

of Operating Room services<br />

throughout the District.<br />

Many changes will be made as the<br />

District integrates and consolidates<br />

services at the <strong>Regina</strong> General and<br />

Pasqua Hospitals. The ultimate goal<br />

of integration in the District is to<br />

improve services. The OR audit will<br />

help physicians and staff make<br />

recommendations about how to<br />

increase the efficiency of OR<br />

services to meet the needs<br />

identified through the audit.<br />

Meeting the Needs of Patients<br />

Who Attend ER<br />

More than 100,000 patients go to<br />

emergency departments within the<br />

<strong>Regina</strong> <strong>Health</strong> District each year. They<br />

go for many different reasons – not all<br />

of them urgent.<br />

So what do the patients need? The<br />

<strong>Regina</strong> <strong>Health</strong> District did some<br />

research into that question in order to<br />

design a service to fit patients’ needs.<br />

While most visits to the Emergency<br />

Room (ER) are not planned, some are<br />

scheduled. These scheduled visits are<br />

for appointments made between<br />

doctors and patients.<br />

The Emergency Room Audit Task<br />

Force found that half of all ER cases in<br />

the District are not urgent. Fully 80%<br />

of scheduled visits were found not to<br />

be urgent.<br />

The Task Force recommended that<br />

non-urgent cases be redirected to<br />

Operating Room services were studied in detail in 1997<br />

ambulatory care areas, thus freeing the<br />

ERs for urgent cases.<br />

In response to the research findings,<br />

the District is developing new<br />

ambulatory care clinics at the Pasqua<br />

and <strong>Regina</strong> General hospitals.<br />

Ambulatory care can handle many of<br />

the non-urgent, scheduled treatments<br />

and consultations previously dealt<br />

with in the ERs. These include such<br />

procedures as cast removal and minor<br />

surgery.<br />

Having these procedures done in<br />

ambulatory care areas allows true<br />

emergency cases to be attended to<br />

more quickly and efficiently in the<br />

ERs.<br />

Using thorough research, the <strong>Regina</strong><br />

<strong>Health</strong> District works to understand<br />

patient needs. A sound understanding<br />

of these needs allows the District to<br />

continue to create better ways to<br />

meet them.<br />

Reaching<br />

Our Goals<br />

Through<br />

Learning,<br />

Innovation<br />

& Research<br />

Annual Community Report 1997-1998<br />

7


LEARNING<br />

Learning is on-going in the <strong>Regina</strong> <strong>Health</strong> District, encompassing education for medical professionals<br />

and staff, and the entire organization. The District is dedicated to continuous learning in order to<br />

improve client care and service.<br />

A Partnership for Children<br />

Describing a typical day at Wascana Rehabilitation Centre School is<br />

like describing the wind — always moving and changing.<br />

In other words, there is no “typical”<br />

day. The schedule is flexible and<br />

changes so that children attending<br />

the school can receive both intensive<br />

rehabilitation therapy and their<br />

education.<br />

Each child’s program is a collaborative<br />

effort, involving families, teachers and<br />

therapists, focusing on learning as well<br />

as treatment.<br />

students ages three through 22, in a<br />

combination of classroom<br />

instruction and individual tutorials.<br />

The children are referred for<br />

placement in the school by the<br />

Children’s Program team.<br />

Children attend the school<br />

for a short-term period of<br />

assessment, therapy and program<br />

planning in order to facilitate<br />

educational placement within<br />

their communities.<br />

Once the children leave the<br />

Wascana Rehabilitation Centre<br />

School to attend other educational<br />

programs, professional staff from<br />

the Children’s Program continue to<br />

consult with families and<br />

educational personnel in order to<br />

best meet the children’s needs.<br />

During the school day, the children<br />

are involved in a variety of therapy<br />

programs to meet their individual<br />

needs. When they are not in therapy,<br />

the children are in class working with<br />

the teachers and support staff toward<br />

their own educational goals.<br />

Learning is a priority for the children<br />

in the school, despite each child’s<br />

significant therapy needs.<br />

The Wascana Rehabilitation Centre<br />

School is a <strong>Regina</strong> Public School<br />

working in cooperation with the<br />

<strong>Regina</strong> <strong>Health</strong> District Wascana<br />

Rehabilitation Centre Children’s<br />

Program. This school is one of the<br />

<strong>Regina</strong> Hospital Schools that<br />

includes classrooms at the General<br />

and Pasqua hospitals, serving<br />

students in acute care on both the<br />

Pediatric and Adolescent units.<br />

The Wascana Rehabilitation Centre<br />

School offers programming for<br />

Children work with therapists and teachers at Wascana Rehabilitation Centre School<br />

8<br />

<strong>Regina</strong> <strong>Health</strong> District


Continuous Learning<br />

Opportunities<br />

In health care, the only constant is<br />

change. Every day, new equipment,<br />

drugs and treatments are being<br />

developed.<br />

In the <strong>Regina</strong> <strong>Health</strong> District, it’s the<br />

job of Education and Development<br />

Services to keep staff up to date with<br />

change. A team of educators provides<br />

programs to update employees’<br />

clinical and communication skills.<br />

The District’s 28 Clinical Development<br />

Educators are specialists in their<br />

areas. They keep staff current in new<br />

practices and help with future<br />

Teaching the Next Generation of Doctors<br />

Dedicated to learning, the <strong>Regina</strong> <strong>Health</strong> District is a partner in<br />

educating more than 60 medical students and residents each year<br />

from the University of Saskatchewan’s College of Medicine.<br />

The university’s largest program in<br />

the District is the <strong>Regina</strong> Division of<br />

the Department of Family Medicine.<br />

The 24 family medicine residents get<br />

experience in different areas of the<br />

hospital during their first year. In<br />

their second year, they spend most of<br />

their time within the Family<br />

Medicine Unit or in a rural site<br />

within the province.<br />

There are second-year medical<br />

students in the College’s Externship<br />

Program. They work in clinics in the<br />

summer months between their second<br />

and third year of medical school.<br />

The College of Medicine operates a<br />

program in the District to provide<br />

clinical experience for students in<br />

their fourth and final year of medical<br />

school. There are also postgraduate<br />

residents receiving education in the<br />

District in specialty programs.<br />

Many of these individuals return to<br />

provide specialty services in <strong>Regina</strong><br />

and for southern Saskatchewan after<br />

the completion of their postgraduate<br />

education. The education<br />

program is, therefore, important in<br />

itself and because it helps supply<br />

primary and specialist services for<br />

southern Saskatchewan.<br />

planning and delivery of care.<br />

Four District Educators strive to keep<br />

staff safe and healthy at work. They<br />

teach programs such as back<br />

management, emergency<br />

preparedness procedures and<br />

orientations for new staff. Four<br />

Education Consultants focus on<br />

leadership development and help<br />

teams plan for the future and work<br />

more effectively together.<br />

College of Medicine programs supply primary and specialist services for southern Saskatchewan<br />

Learning to Reflect the Community<br />

The <strong>Regina</strong> <strong>Health</strong> District’s goal of pursuing<br />

learning looks beyond the classroom to reflect<br />

the distinct cultures in our community.<br />

This goal led the District to form a partnership with<br />

the provincial government Department of<br />

Intergovernmental and Aboriginal Affairs. The<br />

agreement commits the District to developing a<br />

workplace that reflects the diversity of the community<br />

and clients we serve.<br />

Toward that goal, the District formed a partnership with<br />

Dumont Technical Institute and South West Human<br />

Resources to offer a Home Care Special Aide program to<br />

Aboriginal students.<br />

Graduates of the program work for the District’s Home<br />

Care division, which helps people remain independent in<br />

their own homes. Home Care Special Aides learn to work<br />

with people from all cultures and various levels of physical<br />

and mental ability.<br />

Annual Community Report 1997-1998<br />

9


INNOVATION<br />

Innovation means changing the way we think. It means finding better ways – large and small – to serve<br />

our clients, residents and patients. It means going beyond traditional boundaries, or recapturing old<br />

truths, so that all clients feel welcomed and included. It means creating breakthroughs that allow for<br />

better care, delivered more efficiently and effectively, to meet the needs of those we serve.<br />

New Supports for Personal <strong>Health</strong><br />

What does providing computer time to write a resume have to do<br />

with health? Can teaching groups of young mothers how to buy<br />

groceries be called a health care service?<br />

The <strong>Regina</strong> <strong>Health</strong> District has<br />

programs which do both these things<br />

– and more. These programs are<br />

designed to increase a person’s<br />

opportunity for better income, better<br />

skills in coping with the demands of<br />

life, and improved self esteem.<br />

Studies have shown that<br />

improvements in factors such as<br />

these increase a person’s chance for<br />

better personal health.<br />

The <strong>Regina</strong> <strong>Health</strong> District’s<br />

community health centres are<br />

currently involved in programs that<br />

go a step beyond the obvious in<br />

health care promotion. Increasingly,<br />

the focus is turning to areas referred<br />

to as the “determinants of health.”<br />

These determinants involve the<br />

many factors that affect a person’s<br />

life. Included are individual<br />

behaviours, physical environments<br />

(including home, work, school,<br />

community and recreation), as well<br />

as social supports (including family,<br />

friends and community contacts),<br />

income, education, and<br />

employment.<br />

those mothers in improving their<br />

economic situation. Bringing<br />

together unemployed people from<br />

the community to discuss job<br />

interview techniques may allow<br />

them access to employment and<br />

whole new areas of social and<br />

workplace support. Organizing a<br />

feast where community members<br />

can come together to share their<br />

cultural traditions is one way the<br />

District can help build the selfesteem<br />

of those in need.<br />

The range of factors affecting<br />

individual health is vast. The <strong>Regina</strong><br />

<strong>Health</strong> District is working to<br />

integrate services and develop<br />

community partnerships that will<br />

continue addressing the<br />

determinants of health. Above all,<br />

health care in the District will<br />

continue to provide choices that help<br />

individuals and families take control<br />

of factors determining their<br />

own health.<br />

Determinants of <strong>Health</strong><br />

What are the broad determinants of<br />

health, the things which make and<br />

keep people healthy? The following<br />

list was prepared by the Federal,<br />

Provincial and Territorial Advisory<br />

Committee on Population <strong>Health</strong>.<br />

• Income & Social Status<br />

• Social Support Networks<br />

• Education<br />

• Employment & Working Conditions<br />

• Physical Environments<br />

• Biology & Genetic Endowment<br />

• Personal <strong>Health</strong> Practices<br />

& Coping Skills<br />

• <strong>Health</strong>y Child Development<br />

The District has aimed programs<br />

and services at helping individuals<br />

improve these areas. By teaching<br />

young mothers to shop well on a<br />

budget, the District is supporting<br />

Innovative programs go beyond the obvious<br />

in health care<br />

• <strong>Health</strong> Services<br />

Source: Strategies for Population <strong>Health</strong>:<br />

Investing in the <strong>Health</strong> of Canadians,<br />

September 1994<br />

10<br />

<strong>Regina</strong> <strong>Health</strong> District


Native Healing Centres are Unique<br />

Receiving health care in a hospital can be a stressful experience for<br />

anyone. It is even harder if you are not from the majority culture,<br />

speak a language other than English and have different beliefs<br />

about how to deal with your personal well-being.<br />

These are difficulties that can be<br />

faced by Native patients requiring<br />

hospital care.<br />

To respond, the <strong>Regina</strong> <strong>Health</strong><br />

District has initiated Native Healing<br />

Centres – a bold concept, unique in<br />

Canada – to help Native patients feel<br />

more comfortable receiving<br />

treatment.<br />

Under construction at the Pasqua<br />

and General hospitals, the centres<br />

take into account the cultural values<br />

and expectations of Aboriginal<br />

people.<br />

Instead of being built like standard<br />

counselling offices, the centres are<br />

circular, in keeping with the<br />

traditional medicine wheel or circle,<br />

which is an ancient symbol used by<br />

almost all the Native people of North<br />

and South America.<br />

Native counselling services offered at<br />

the centres are designed to reflect<br />

In 1998, however, they formed part of a study about the<br />

well-being of palliative care patients in Pasqua Hospital.<br />

the importance of nature, spirituality,<br />

prayer and the circle. They speak to<br />

the four primary points of the<br />

medicine circle – physical, mental,<br />

spiritual and emotional. They<br />

promote the traditional, humble<br />

way of life.<br />

The centres facilitate healing, prayer,<br />

teaching and other assistance<br />

required to maintain wellness in the<br />

individual and the community.<br />

A key to the healing centres’ concept<br />

is that they be constructed large<br />

enough to accommodate the many<br />

people who gather to support a<br />

member of the family or community<br />

requiring hospital care. They can<br />

meet there to talk with doctors, nurses<br />

and therapists about a client’s case.<br />

Such meetings may take the form of<br />

a traditional Native talking circle,<br />

where all those involved have an<br />

opportunity to express their<br />

The <strong>Regina</strong> <strong>Health</strong><br />

District’s Nutrition and<br />

Food Services started an<br />

innovative home-style meal<br />

service to find out if it<br />

would encourage palliative<br />

care patients to eat better.<br />

The answer was a<br />

resounding “yes.”<br />

The research found that<br />

patients who were able to<br />

choose any of the<br />

attractively presented foods<br />

concerns. A <strong>Regina</strong> <strong>Health</strong> District<br />

counsellor and a Native elder usually<br />

work together to facilitate the talking<br />

circle and to help resolve problems<br />

and issues.<br />

While designed specifically to help<br />

Aboriginal people deal with the<br />

hospital environment, Native<br />

Healing Centre services are available<br />

to all those seeking an alternative<br />

method of healing the physical,<br />

mental, spiritual or emotional<br />

aspects of their lives.<br />

Native Healing Centres help clients cope<br />

Innovation Leads to New Palliative Care Service<br />

China dishes, linen napkins, and bedside buffet service are not usual in a hospital research project.<br />

Choice enhances well-being<br />

from the buffet cart ate better. Eating well is important<br />

because it provides patients with more energy, which may<br />

enhance their feelings of well-being.<br />

A satisfying meal may also improve quality of life at a time<br />

when even the smallest pleasures are important.<br />

The project was so successful that the lunch service is<br />

now offered every day to patients on the nine-bed<br />

palliative care unit in Pasqua Hospital.<br />

The service consists of the sandwiches, soups, and<br />

desserts that are on the regular menu. They are brought<br />

in on a cart, buffet-style, to each patient, who chooses<br />

whatever he or she wants.<br />

Featuring linen napkins, the service provided a touch of<br />

class that family members and patients who participated<br />

in the research sincerely appreciated.<br />

Annual Community Report 1997-1998<br />

11


RESEARCH<br />

Clinical research that aims to improve services for clients begins by asking questions. How do<br />

<strong>Regina</strong> <strong>Health</strong> District programs and services actually operate? Are they efficient? Do they improve<br />

the quality of life? Are clients satisfied? Whether researchers are studying new drugs, the<br />

effectiveness of treatment programs, or factors that underlie specific health conditions, research<br />

in the District is dedicated to improving, continuously, the care and service provided to clients.<br />

Dedicated to Improving Service<br />

Is there room to improve the<br />

services the <strong>Regina</strong> <strong>Health</strong><br />

District provides?<br />

The District’s Section for Clinical<br />

Outcomes Research was formed in<br />

1997 to answer this question. It<br />

conducts and consults on studies<br />

designed to explore how well the<br />

District’s programs and services meet<br />

clients’ needs.<br />

The Section asks, do the services<br />

significantly improve quality of life?<br />

Physically? Emotionally? Socially?<br />

Which services are most effective?<br />

Which clients are – or are not –<br />

benefiting?<br />

For example, researchers have<br />

evaluated and continue to evaluate<br />

the District’s pain management<br />

programs, community health centres<br />

located in high need areas of <strong>Regina</strong>,<br />

acute care services such as cataract,<br />

hip-and-knee-replacement surgery,<br />

and hospital admission and<br />

discharge processes.<br />

The Section has also been involved<br />

in auditing services, such as<br />

Emergency and Operating Room<br />

services, in order to provide<br />

systematic and reliable in<strong>format</strong>ion<br />

on patient needs, efficiency of<br />

services, and outcomes.<br />

Some of the Section’s projects, such<br />

as utilization audits and research to<br />

understand the effect of waiting for<br />

cataract surgery, are featured in<br />

other sections of this Annual<br />

Community Report.<br />

Survey a Success<br />

It’s one thing to aim for client-centered<br />

service. It’s quite another to prove it.<br />

The <strong>Regina</strong> <strong>Health</strong> District’s objective is<br />

to do both.<br />

When the District adopted clientcentered<br />

service as a primary goal, a<br />

research tool was developed to measure<br />

how well the District meets its goal.<br />

That research tool is called the Client-<br />

Centered Care Survey and it is a success<br />

story in itself.<br />

The survey is easy for clients to complete<br />

yet provides accurate and adequate<br />

in<strong>format</strong>ion to researchers, pointing the<br />

District in the right direction when<br />

making improvements.<br />

In general, the more than 2,000 clients<br />

surveyed said they agreed that the<br />

District was providing client-centered<br />

care in all areas assessed. Clients’<br />

responses did, however, suggest that the<br />

District could improve in the area of<br />

transition – the move from the institution<br />

back to the community.<br />

The survey is drawing the attention<br />

of other health organizations in<br />

Saskatchewan and has been purchased<br />

for use in Alberta and Ontario.<br />

Staff are always looking for ways to serve clients better<br />

12<br />

<strong>Regina</strong> <strong>Health</strong> District


Looking Back, Looking Forward<br />

The <strong>Regina</strong> <strong>Health</strong> District invited surveyors from the Canadian<br />

Council on <strong>Health</strong> Services Accreditation to review our sites and<br />

services in June 1997.<br />

The research, analysis and review<br />

process of accreditation is a valuable<br />

look at the past and present,<br />

providing an effective way for health<br />

organizations to assess their<br />

performance against a set of<br />

national standards.<br />

At the same time, and equally as<br />

important, the review process<br />

provides a way for organizations to<br />

monitor their ongoing performance<br />

into the future.<br />

The Council reviewed 31 District<br />

facilities and met with teams of<br />

people who provide service. The<br />

Council also interviewed clients and<br />

families.<br />

Following the survey, which was the<br />

largest ever undertaken by the<br />

Council, the District was granted<br />

accreditation for the maximum three<br />

years. It was the District’s first<br />

accreditation as a regional<br />

organization.<br />

Researchers aim to improve the quality of life of people who need care<br />

Clinical Research Program Supports Vision<br />

At any given time, numerous research projects are<br />

under way in the <strong>Regina</strong> <strong>Health</strong> District into<br />

diverse areas of health.<br />

Whether researchers are evaluating new drugs for<br />

Alzheimer Disease or services for new mothers, the goal is<br />

the same. Ultimately, researchers aim to improve the<br />

quality of life of people who need health care.<br />

One of the District’s vision themes is to pursue research<br />

to promote health. In 1997, the District formed the<br />

Clinical Research and Development Program to support<br />

that vision. The Program maintains an environment of<br />

excellence in research and development.<br />

The Program also operates the Research Ethics<br />

Committee, which ensures that generally accepted ethical<br />

guidelines are followed. The review process protects the<br />

The accreditation review required<br />

considerable effort by more than<br />

300 staff from every service area in<br />

the District. Working in groups<br />

called Service Review Teams, staff<br />

collected the detailed in<strong>format</strong>ion<br />

that the Council required for the<br />

review.<br />

As they analyzed the in<strong>format</strong>ion,<br />

staff learned about strengths and<br />

opportunities for improvement in<br />

the services they provide to clients.<br />

They will continue to review<br />

processes with the goal of enhancing<br />

the quality of services to those who<br />

come to the District for care.<br />

rights and welfare of research participants and prevents<br />

potential problems for the researcher.<br />

Clinical research, such as drug testing, helps the District<br />

to improve the health care services provided to clients.<br />

In some cases, it provides an opportunity for treatment<br />

that would otherwise not be available to patients from<br />

southern Saskatchewan.<br />

Research also benefits the District as an organization.<br />

Provincial and federal research grants and grants from<br />

pharmaceutical companies create jobs in the District.<br />

Clinical research projects also enhance the reputation<br />

and prestige of the District in the medical community<br />

and amongst other health professionals. This helps the<br />

District attract the best people to join our health care<br />

team.<br />

Annual Community Report 1997-1998<br />

13


DISTRICT<br />

Boundaries & Population Served<br />

PROFILE<br />

The <strong>Regina</strong> <strong>Health</strong> District serves the second<br />

largest population in the province.<br />

Some 211,778 people covered by the Saskatchewan <strong>Health</strong> Insurance Plan live<br />

within the boundaries of the District itself. <strong>Regina</strong> is also the principal centre<br />

for specialized health care services in southern Saskatchewan.<br />

The District has formal service agreements with two neighbouring districts:<br />

Touchwood Qu’Appelle <strong>Health</strong> District and Pipestone <strong>Health</strong> District. As well<br />

as these two, there are 11 other southern districts from which clients or<br />

patients are regularly referred to the <strong>Regina</strong> <strong>Health</strong> District for treatment.<br />

Taken together, these populations add up to a service area of more than<br />

472,000 people.<br />

Cities, Towns and Villages in the<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

Alice Beach, Balgonie, Bethune, Buena<br />

Vista, Craven, Cupar, Dilke, Disley, Earl<br />

Grey, Edenwold, Etter’s Beach, Findlater,<br />

Francis, Glen Harbour, Grand Coulee,<br />

Grandview Beach, Holdfast, Imperial,<br />

Island View, Kannata Valley, Liberty,<br />

Lumsden, Lumsden Beach, Markinch,<br />

Milestone, North Grove, Odessa, Pense,<br />

Penzance, Pilot Butte, <strong>Regina</strong>, <strong>Regina</strong><br />

Beach, Sedley, Silton, Simpson, Southey,<br />

Sunset Cove, Vibank, Wee Too Beach,<br />

White City, Wilcox<br />

Population Pro<strong>file</strong> by Age Group and Gender,<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

AGE<br />

90+<br />

80-89<br />

70-79<br />

60-69<br />

50-59<br />

40-49<br />

30-39<br />

20-29<br />

10-19<br />

0-9<br />

MALES<br />

241<br />

1,899<br />

5,033<br />

7,151<br />

10,060<br />

16,049<br />

17,634<br />

15,260<br />

16,232<br />

14,890<br />

20 15 10 5 0 5 10 15 20<br />

NUMBERS IN THOUSANDS<br />

Source: Saskatchewan <strong>Health</strong>. Numbers refer to persons within the <strong>Regina</strong> <strong>Health</strong> District<br />

eligible for coverage under the Saskatchewan <strong>Health</strong> Insurance Plan as of June 30, 1998.<br />

Rural Municipalities in the <strong>Regina</strong> <strong>Health</strong> District<br />

FEMALES<br />

799<br />

3,772<br />

6,731<br />

7,778<br />

10,152<br />

16,091<br />

17,540<br />

15,020<br />

15,260<br />

14,186<br />

Big Arm 251, Bratt’s Lake 129, Caledonia 99, Cupar 218, Dufferin 190*, Edenwold 158,<br />

Francis 127, Lajord 128, Longlaketon 219, Lumsden 189, McKillop 220, Pense 160*, Sarnia<br />

221*, Sherwood 159, Wood Creek 281*, Wreford 280*<br />

* These RMs are only partly in the <strong>Regina</strong> <strong>Health</strong> District.<br />

Sources: Saskatchewan Municipal Government Department; Saskatchewan <strong>Health</strong><br />

Major Referring Districts<br />

in Southern Saskatchewan<br />

Serviced by the<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

<strong>Health</strong> District<br />

Population<br />

Assiniboine Valley 16,714<br />

East Central 30,474<br />

Living Sky 13,929<br />

Moose Jaw - Thunder Creek 46,100<br />

Moose Mountain 13,365<br />

North Valley 14,988<br />

Pipestone 20,199<br />

Rolling Hills 11,348<br />

South Central 20,300<br />

South Country 11,963<br />

South East 25,301<br />

Swift Current 20,400<br />

Touchwood Qu’Appelle 15,475<br />

Total Population 260,556<br />

Source: Saskatchewan <strong>Health</strong>. Numbers refer<br />

to persons within these districts eligible for<br />

coverage under the Saskatchewan <strong>Health</strong><br />

Insurance Plan as of June 30, 1998.<br />

14<br />

<strong>Regina</strong> <strong>Health</strong> District


REGINA HEALTH DISTRICT WARD MAP<br />

<strong>Regina</strong> Rural Wards<br />

Provincial Map<br />

Simpson<br />

Imperial<br />

Liberty<br />

2<br />

Etter's<br />

Beach<br />

N<br />

Serath<br />

REGINA<br />

Penzance<br />

Holdfast<br />

Lipp’s Beach<br />

Earl Grey<br />

Wee Too Beach<br />

22<br />

Alice Beach<br />

Glen Harbour<br />

Gibbs<br />

Grandview Beach<br />

Dilke<br />

342<br />

20<br />

Sunset Cove<br />

Silton<br />

Pelican Point<br />

<strong>Regina</strong> Beach<br />

Saskatchewan Beach<br />

2<br />

Buena Vista<br />

Kannata Valley<br />

Findlater<br />

Lumsden Beach<br />

354<br />

90<br />

Craven<br />

North Grove<br />

Bethune<br />

54<br />

Disley<br />

1<br />

Keystown<br />

1<br />

11<br />

Pense<br />

Lumsden<br />

Condie<br />

Sidmar<br />

°<br />

°<br />

39<br />

Wilcox<br />

°<br />

Grand<br />

Coulee<br />

8<br />

Tregarva<br />

Brora<br />

Armour<br />

°<br />

6<br />

Southey<br />

6<br />

Victoria<br />

Plains<br />

°<br />

REGINA<br />

IR 075<br />

Markinch<br />

White City<br />

Dreghorn °<br />

Jameson<br />

°<br />

Kathrinthal<br />

Richardson<br />

Colony°<br />

Rowatt<br />

Estlin<br />

Corrine<br />

Zehner<br />

46<br />

2<br />

Pilot<br />

Butte<br />

Edenwold<br />

Kronau<br />

Gray<br />

306<br />

364<br />

Balgonie<br />

Bechard<br />

Riceton<br />

Cupar<br />

°<br />

Davin<br />

Lajord<br />

Hutterite<br />

Colony<br />

Lajord<br />

33<br />

Sedley<br />

Francis<br />

Vibank<br />

35<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

Pipestone <strong>Health</strong> District<br />

Touchwood Qu’Appelle<br />

<strong>Health</strong> District<br />

Odessa<br />

48<br />

<strong>Regina</strong> Urban Wards<br />

Milestone<br />

3<br />

4<br />

Dummer<br />

6<br />

Parry<br />

7<br />

5<br />

6<br />

Annual Community Report 1997-1998<br />

15


DISTRICT<br />

Serving the Community<br />

PROFILE<br />

Community <strong>Health</strong><br />

Centres<br />

Al Ritchie <strong>Health</strong> Action Centre<br />

Provides primary health services to<br />

the Al Ritchie community in <strong>Regina</strong>.<br />

Programming emphasizes health<br />

promotion and seeks to address<br />

health problems through resident<br />

participation in program planning<br />

and implementation.<br />

Providing client-centred service is a continuing commitment of the <strong>Regina</strong> <strong>Health</strong> District<br />

Cupar <strong>Health</strong> Centre<br />

Provides physician, registered<br />

nursing services, public health and<br />

community outreach services.<br />

Acute Care Services<br />

Pasqua Hospital<br />

A 251-bed acute care hospital<br />

specializing in ophthalmology and<br />

cancer services.<br />

Plains <strong>Health</strong> Centre<br />

A 153-bed acute care hospital<br />

specializing in neuroscience,<br />

cardioscience and trauma services.<br />

The Plains <strong>Health</strong> Centre will be<br />

closed in November 1998. All of<br />

the medical services, programs and<br />

expertise at the Plains <strong>Health</strong><br />

Centre will be transferred to newly<br />

constructed or renovated quarters<br />

at the other two hospitals.<br />

<strong>Regina</strong> General Hospital<br />

A 275-bed acute care hospital<br />

specializing in hemodialysis, high risk<br />

obstetrics, women’s and children’s<br />

health, and burn services.<br />

Rehabilitation and<br />

Specialized Long-Term<br />

Care Services<br />

Wascana Rehabilitation Centre<br />

Provides comprehensive medical<br />

rehabilitation programs for adults<br />

and children, and specialized longterm<br />

care. The Centre has a total of<br />

306 beds – 55 beds for rehabilitation<br />

inpatients, 197 beds for long-term<br />

care clients and 54 beds for<br />

Department of Veterans Affairs<br />

clients.<br />

Four Directions Community<br />

<strong>Health</strong> Centre<br />

Provides health education and<br />

prevention programs, immunization<br />

services, prenatal outreach programs<br />

and community development<br />

initiatives to Aboriginal and non-<br />

Aboriginal residents in North-Central<br />

<strong>Regina</strong>.<br />

Long Lake Valley Integrated<br />

Facility<br />

An 18-bed facility providing shortterm<br />

and long-term care, and a wide<br />

range of outreach programs. The<br />

centre offers prevention and<br />

education programs, respite and<br />

day care services.<br />

Southey <strong>Health</strong> Action Centre<br />

Coordinates health services,<br />

education and promotion activities<br />

in the Southey area.<br />

16<br />

<strong>Regina</strong> <strong>Health</strong> District


Community Services<br />

Public <strong>Health</strong> Services<br />

Focuses on health promotion, health<br />

protection and disease prevention.<br />

<strong>Health</strong>y choices are promoted in the<br />

areas of nutrition, tobacco, injury<br />

prevention, physical activity, sexual<br />

health and dental health. Specific<br />

programs, including education and<br />

support, are provided in the areas of<br />

prenatal, newborn, preschool,<br />

school age and seniors’ health.<br />

Immunization is provided for<br />

infants, children, adults, seniors and<br />

travelers. Clinical services include<br />

child health clinics, a sexually<br />

transmitted disease (STD) clinic,<br />

podiatry, speech language pathology<br />

and early childhood psychology.<br />

Communicable disease control is<br />

provided through investigations,<br />

public education, and inspections of<br />

restaurants, swimming pools,<br />

grocery stores, beauty salons, arenas<br />

and other public facilities.<br />

Public <strong>Health</strong> Services also supports<br />

individuals through the <strong>Health</strong><br />

In<strong>format</strong>ion/Advice Line and<br />

supports communities in taking<br />

control of health and developing<br />

healthy public policies such as<br />

smoking bylaws.<br />

Alcohol and Drug Services<br />

Provides a variety of recovery<br />

services to clients suffering from, or<br />

affected by, chemical addiction.<br />

Services are offered on a day-patient<br />

or out-patient basis and include<br />

comprehensive motivational<br />

assessment and recovery planning,<br />

referral, intervention services,<br />

education, consultative services,<br />

individual, couple, family and group<br />

therapy.<br />

Emergency Medical Services<br />

Provides essential out-of-hospital<br />

care. There are three Emergency<br />

Medical Services (EMS) stations in<br />

<strong>Regina</strong> and non-profit, contracted<br />

volunteer ambulance services in<br />

Cupar, Imperial and Milestone. EMS<br />

also trains volunteers in rural<br />

communities to be First Responders.<br />

All EMS services are coordinated<br />

through a central communications<br />

centre with a District-wide toll-free<br />

number (310-5000) outside the City<br />

of <strong>Regina</strong> and 9-1-1 within the city.<br />

Native Counselling Services<br />

Using the wellness model, Native<br />

Counselling Services assists clients in<br />

finding and maintaining a healthy,<br />

well-balanced lifestyle. The Elder<br />

plays a key role in lifestyle<br />

management, offering an alternative<br />

for the client seeking traditional<br />

Aboriginal approaches to health care.<br />

Home Care Services<br />

Provides a range of services to assist<br />

individuals in living independently in<br />

the community. Services provided<br />

are intended to supplement and<br />

support the efforts of both clients<br />

and their families. This support may<br />

range from a few hours of service a<br />

month to daily assistance with<br />

personal care and other activities of<br />

daily living. Home care also provides<br />

respite care and palliative care. It<br />

provides support for people<br />

following discharge from hospital<br />

and for those waiting to be admitted<br />

to an institution. Services include<br />

homemaking, meal delivery, nursing<br />

treatments, physical therapy,<br />

occupational therapy, social work,<br />

community support, and the<br />

coordination of 500 volunteers.<br />

Mental <strong>Health</strong> Services<br />

Provides a comprehensive and<br />

integrated range of inpatient, day<br />

hospital and community services to<br />

individuals and families with serious<br />

mental health concerns. Inpatient<br />

services are supplied by Psychiatric<br />

Units of the <strong>Regina</strong> General and<br />

Pasqua hospitals and the Adolescent<br />

Unit at the <strong>Regina</strong> General. In<br />

October 1998, inpatient services and<br />

a new day hospital program will be<br />

consolidated in newly constructed<br />

space at the <strong>Regina</strong> General<br />

Hospital.<br />

Community mental health services<br />

are provided through the Mental<br />

<strong>Health</strong> Clinic for those over 18 years<br />

of age, through Child and Youth<br />

Services for those under 18, and<br />

through community-based<br />

organizations.<br />

Long-Term Care Services<br />

The <strong>Regina</strong> <strong>Health</strong> District<br />

coordinates all long-term care<br />

services in the District, a total of<br />

1,532 beds. Within the Wascana<br />

Rehabilitation Centre, this total<br />

includes 54 beds for Department of<br />

Veterans Affairs clients and 197<br />

specialized long-term care beds.<br />

Most long-term care beds are in<br />

special care homes. The District has<br />

service agreements with 10 special<br />

care homes to provide services for<br />

clients who require more care and<br />

supervision than can be provided in<br />

their own homes.<br />

Note: All numbers and service allocations are as of March 31, 1998.<br />

Annual Community Report 1997-1998<br />

17


DISTRICT<br />

Organization & Leadership<br />

PROFILE<br />

<strong>Regina</strong> District <strong>Health</strong> Board<br />

as at March 31, 1998<br />

Garf Stevenson<br />

Chairperson, Appointed<br />

Retired president of the<br />

Saskatchewan Wheat Pool<br />

Lives in <strong>Regina</strong><br />

Member of the Finance Committee,<br />

Quality Care/Service Committee<br />

and Project ‘98 Steering<br />

Committee<br />

Sharon Garratt<br />

Vice Chairperson<br />

Appointed<br />

<strong>Health</strong> promotion coordinator,<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

Lives in Milestone<br />

Chairperson of the Quality<br />

Care/Service Committee<br />

Borden Bachynski<br />

Elected, Ward 6<br />

Physician<br />

Lives in <strong>Regina</strong><br />

Member of the Finance<br />

Committee<br />

Anita Bergman<br />

Elected, Ward 1<br />

Psychometrist and play therapist,<br />

SCEP Centre<br />

Lives in Lumsden<br />

Chairperson of the Ethics<br />

Committee and the Policy<br />

Committee<br />

Mary Anne Cameron *<br />

Appointed<br />

Human services worker<br />

Lives in Lebret<br />

Member of the Quality<br />

Care/Service Committee<br />

* Deceased September 22, 1998<br />

Tom Crosby<br />

Elected, Ward 4<br />

Special care aide<br />

Lives in <strong>Regina</strong><br />

Member of the Quality<br />

Care/Service Committee<br />

Pat Edenoste<br />

Elected, Ward 2<br />

Community volunteer<br />

Lives in Earl Grey<br />

Member of the Project ‘98<br />

Steering Committee<br />

Margaret Fern<br />

Elected, Ward 7<br />

Consultant on health, social policy<br />

and labour issues<br />

Lives in <strong>Regina</strong><br />

Chairperson of the Finance<br />

Committee<br />

Tyronne Fisher<br />

Appointed<br />

Medical social worker, <strong>Regina</strong><br />

<strong>Health</strong> District<br />

Lives in <strong>Regina</strong><br />

Member of the Quality<br />

Care/Service Committee<br />

John Hylton<br />

Elected, Ward 5<br />

Executive director, Canadian<br />

Mental <strong>Health</strong> Association of<br />

Saskatchewan<br />

Lives in <strong>Regina</strong><br />

Member of the Finance<br />

Committee and the Policy<br />

Committee<br />

Bryan Leier<br />

Elected, Ward 8<br />

Business owner<br />

Lives in Sedley<br />

Member of the Project ‘98<br />

Steering Committee and the Policy<br />

Committee<br />

Donald Miller<br />

Appointed<br />

Lawyer<br />

Lives in <strong>Regina</strong><br />

Member of the Ethics Committee<br />

Steve Paul<br />

Elected, Ward 3<br />

Laboratory technologist, <strong>Regina</strong><br />

<strong>Health</strong> District<br />

Lives in <strong>Regina</strong><br />

Member of the Quality<br />

Care/Service Committee<br />

Brian Rourke<br />

Appointed<br />

Farmer and lawyer<br />

Lives in Morse<br />

Chairperson of the Project ‘98<br />

Steering Committee and Member<br />

of the Finance Committee<br />

District Management Team<br />

Glenn S. Bartlett<br />

President &<br />

Chief Executive Officer<br />

John Allen<br />

Vice President, Finance &<br />

Program Support<br />

Dick Chinn<br />

Vice President,<br />

Operations - Medical<br />

Roy A. Derrick<br />

Director, Public Affairs<br />

Donna Evans<br />

Director, Project ‘98<br />

Duncan Fisher<br />

Vice President,<br />

Integrated Clinical Services - B<br />

Dr. E.F. Abd-Elmessih<br />

President<br />

Dr. M. Fink<br />

Vice President<br />

Denise Hardenne<br />

Vice President,<br />

Integrated Clinical Services -<br />

Chiris Histed<br />

Director, Corporate Planning,<br />

Quality Improvement<br />

& Risk Management<br />

and Board Secretary<br />

Dr. B.W. Laursen<br />

Chairperson,<br />

Medical Advisory Committee<br />

Norma Reynolds<br />

Vice President, Resource<br />

& Development Services<br />

Dr. O.P. Sood<br />

Vice President,<br />

Medical Services<br />

Medical Advisory Committee **<br />

Dr. B.W. Laursen<br />

Chairperson<br />

Dr. E.F. Abd-Elmessih<br />

Dr. E. Alport<br />

Dr. T.K. Belgaumkar<br />

Dr. W.G. Brown<br />

Dr. G. Carson<br />

Dr. M.S. Cherry<br />

** Excludes ex officio membership<br />

from RHD administration<br />

Dr. R. Devaraj<br />

Dr. M. Fink<br />

Dr. L.A. Firth<br />

Dr. P. Luke<br />

Dr. R.M. McKay<br />

Dr. C. Messer<br />

Dr. M. Ogrady<br />

Dr. V.K. Trivedi<br />

Medical Staff Association<br />

Executive Members<br />

Dr. R. Cameron<br />

Dr. R. Devaraj<br />

Dr. K. Govender<br />

Dr. R. Knaus<br />

Dr. R. Soni<br />

18<br />

<strong>Regina</strong> <strong>Health</strong> District


The <strong>Regina</strong> District <strong>Health</strong> Board<br />

BACK ROW, L TO R<br />

Brian Rourke,<br />

Garf Stevenson,<br />

John Hylton,<br />

Donald Miller,<br />

Bryan Leier,<br />

Mary Anne Cameron,<br />

Tyronne Fisher,<br />

Margaret Fern,<br />

Tom Crosby<br />

FRONT ROW, L TO R<br />

Anita Bergman,<br />

Bordon Bachynski,<br />

Steve Paul,<br />

Sharon Garratt,<br />

Pat Edenoste<br />

Hospitals of <strong>Regina</strong><br />

Foundation<br />

<strong>Regina</strong> District <strong>Health</strong> Board<br />

Medical Advisory<br />

Committee<br />

President &<br />

Chief Executive Officer<br />

Client<br />

Representative<br />

Board Secretary<br />

Integrated Clinical<br />

Services - A<br />

Ambulatory/Emergency<br />

Care Services<br />

Critical Care & Cardiosciences<br />

Management Services<br />

(Utilization Management)<br />

Medical Care Services<br />

Neurosciences & Adult<br />

Rehabilitation Program<br />

Pharmaceutical Services<br />

Resource Management<br />

Surgical Services<br />

Therapies & Functional<br />

Rehabilitation Program<br />

Women & Children’s <strong>Health</strong><br />

Integrated Clinical<br />

Services - B<br />

Alcohol & Drug Services<br />

Emergency Medical Services<br />

Home Care<br />

Long Term Care<br />

Mental <strong>Health</strong><br />

Native Counselling<br />

Palliative Care<br />

Public <strong>Health</strong><br />

Operations - Medical<br />

& Medical Services<br />

Cardio-Neuro Diagnostics<br />

Clinical Engineering<br />

Clinical Research &<br />

Development<br />

<strong>Health</strong> Records<br />

Laboratory Medicine<br />

Medical Education<br />

Medical Services<br />

Administration<br />

Nuclear Medicine<br />

Pulmonary Function/Sleep<br />

Disorders<br />

Radiology<br />

Research<br />

Respiratory Services<br />

System Wide<br />

Admission/Discharge<br />

Resource &<br />

Development Services<br />

Education & Development<br />

Employee <strong>Health</strong> & Safety<br />

<strong>Health</strong> Sciences Library<br />

Human Resources<br />

Public Affairs<br />

Spiritual Care & Volunteers<br />

Finance & Program<br />

Support<br />

Finance<br />

In<strong>format</strong>ion Technology<br />

Laundry Services<br />

Materials Management<br />

Nutrition & Food Services<br />

Property Management<br />

Project ‘98<br />

Corporate Planning,<br />

Quality Improvement<br />

& Risk Management<br />

NOTE: On these two pages, positions held and organizational<br />

relationships reflect the situation as of March 31, 1998.<br />

Annual Community Report 1997-1998<br />

19


DISTRICT<br />

Financial & Staffing Highlights<br />

PROFILE<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

Operating Expenses 1997/98<br />

(Actuals by service area)<br />

1.5%<br />

Resource &<br />

Development<br />

Services<br />

0.5%<br />

District<br />

Services<br />

<strong>Regina</strong> <strong>Health</strong> District Operating Expenses<br />

1995/96 Actuals 1996/97 Actuals 1997/98 Actuals<br />

Integrated Clinical Services - A 103,074,766 103,890,412 97,813,237<br />

Integrated Clinical Services - B 68,570,909 73,774,549 79,328,448<br />

Operations - Medical 53,393,949 54,924,178 61,753,287<br />

Finance & Program Support 48,799,553 47,404,178 47,901,950<br />

Resource & Development Services 5,605,148 5,595,167 4,418,678<br />

District Services 975,542 1,311,525 1,471,600<br />

Total $280,419,867 $286,900,009 $292,687,200<br />

A copy of 1997/98 audited financial statements is available upon request.<br />

16.4%<br />

Finance &<br />

Program<br />

Support<br />

33.4%<br />

Integrated<br />

Clinical<br />

Services - A<br />

21.1%<br />

Operations<br />

- Medical<br />

<strong>Regina</strong> <strong>Health</strong> District<br />

Staff 1997/98<br />

(Percent Full Time Equivalents<br />

by service area, March 31/98)<br />

27.1%<br />

Integrated<br />

Clinical<br />

Services - B<br />

<strong>Regina</strong> <strong>Health</strong> District Staff (Actual Full Time Equivalents, excluding physicians)<br />

March 31/96 March 31/97 March 31/98<br />

Integrated Clinical Services - A 1,824 1,815 1,771<br />

Integrated Clinical Services - B 781 864 925<br />

Operations - Medical 609 613 673<br />

Finance & Program Support 979 934 912<br />

Resource & Development Services 76 81 70<br />

District Services 4 11 13<br />

Total 4,273 4,318 4,364<br />

20.9%<br />

Finance &<br />

Program<br />

Support<br />

1.6%<br />

Resource &<br />

Development<br />

Services<br />

15.4%<br />

Operations<br />

- Medical<br />

0.3%<br />

District<br />

Services<br />

21.2%<br />

Integrated<br />

Clinical<br />

Services - B<br />

40.6%<br />

Integrated<br />

Clinical<br />

Services - A<br />

<strong>Regina</strong> <strong>Health</strong> District Medical Staff<br />

March 31/96 March 31/97 March 31/98<br />

Active 320 313 316<br />

Associate 41 31 42<br />

Locum 3 9 4<br />

Visiting Consultant 15 17 20<br />

District Affiliates 28 24 26<br />

Totals 407 394 408<br />

20<br />

<strong>Regina</strong> <strong>Health</strong> District


STATISTICAL<br />

REVIEW<br />

Public <strong>Health</strong><br />

Communicable Disease Control<br />

1995 1996 1997<br />

COMMUNICABLE DISEASES<br />

Total Number of Cases 489 724 619<br />

Number of Cases - Pertussis 48 66 155<br />

Number of Cases - Hepatitis C 156 189 168<br />

SEXUALLY TRANSMITTED DISEASES<br />

Total Number of Cases 709 849 715<br />

Podiatry Program<br />

TOTAL TREATMENTS<br />

1995/96 6,896<br />

1996/97 7,281<br />

1997/98 7,308<br />

The above numbers include <strong>Regina</strong>,<br />

Pipestone, and Touchwood Qu’Appelle<br />

health districts.<br />

Immunization<br />

1995/96 1996/97 1997/98<br />

Number of Doses - Child <strong>Health</strong> Clinics 16,523 17,914 19,468<br />

Number of Children Immunized in School 7,128 10,392 21,825*<br />

Coverage Rates for Hepatitis B 93.6% 90.1% 84.4%<br />

Influenza Coverage Rates - Those Over 65 58.9% 61.6% 64.7%<br />

* increase due to one-time second dose measles campaign in all high schools<br />

Hearing Services<br />

- Hearing Aid Plan<br />

TOTAL NUMBER OF AUDIOLOGICAL &<br />

HEARING AID SERVICES PROVIDED<br />

1995/96 12,539<br />

1996/97 10,893<br />

1997/98 16,240<br />

The above numbers include services<br />

provided to southern Saskatchewan.<br />

Environmental <strong>Health</strong> Program<br />

1995/96 1996/97 1997/98<br />

Percentage of Food-Related Inspections<br />

Uncovering at Least One Identified Problem 22.5% 27.4% 25.1%<br />

Number of Complaints 1,733 1,958 1,570<br />

Nutrition Program<br />

1995/96 1996/97 1997/98<br />

Number of Clients 2,218 2,034 2,261<br />

Number of Participants in Group Presentations 2,954 2,560 2,335<br />

Annual Community Report 1997-1998<br />

21


STATISTICAL<br />

REVIEW<br />

Institutional Care<br />

1994/95 1995/96 1996/97 1997/98<br />

Admissions 37,969 37,330 34,691 34,244<br />

Patient Days 359,885 346,480 329,782 323,090<br />

Average Daily Census (total system) 986 947 904 885<br />

Average Daily Census (acute care only) 683 647 608 589<br />

Average Length of Stay (days - acute care only) 6.96 6.65 6.69 6.65<br />

Newborn Days 14,699 14,399 13,798 12,129<br />

Delivery Room Cases 3,427 3,289 3,206 2,982<br />

Emergency Visits 103,356 99,948 100,808 102,570<br />

Radiology Examinations 147,038 141,917 139,530 139,498<br />

CT Scanner Examinations 20,257 20,469 20,752 22,585<br />

Nuclear Medicine Procedures 10,733 11,117 10,796 11,043<br />

Physical Therapy Visits (acute care only) 77,685 74,535 75,096 68,697<br />

Occupational Therapy Visits (acute care only) 11,063 12,553 12,396 11,676<br />

Outpatient Registrations 183,614 195,761 199,713 200,603<br />

Home Care<br />

1994/95 1995/96 1996/97 1997/98<br />

Admissions 2,004 3,172 3,010 3,419<br />

Average Monthly Clients 2,334 2,066 2,428 2,436<br />

Nursing Hours 29,108 37,698 50,705 53,738<br />

Homemaking Hours 145,925 167,224 208,876 195,894<br />

Number of Meals 37,696 42,009 43,851 43,602<br />

Occupational Therapy Hours 2,926 3,711 4,088 4,728<br />

Physical Therapy Hours 4,636 5,092 5,535 6,558<br />

Support Hours 11,473 13,405 17,601 18,342<br />

Social Work Hours 3,374 3,553 3,775 3,880<br />

Diet Counselling Hours 789 843 934 504<br />

Volunteer Services - Hours 15,226 18,507 18,931 16,442<br />

Laboratory Services - Visits 2,504 3,480 4,917 2,052<br />

22 <strong>Regina</strong> <strong>Health</strong> District


STATISTICAL<br />

REVIEW<br />

Acute Care Surgery<br />

1994/95 1995/96 1996/97 1997/98<br />

Inpatient Surgery - Day of Admission 7,089 7,265 7,499 7,733<br />

Inpatient Surgery - Non Day of Admission 9,957 8,388 7,190 6,506<br />

Outpatient Surgery - Operating Room 12,663 12,834 12,770 12,625<br />

Outpatient Surgery - Hospital Clinic 16,013 15,895 12,971 11,787<br />

Pre-Admission Clinic Visits 7,400 7,897 8,228 8,777<br />

Emergency Medical Services<br />

<strong>Regina</strong> EMS Response<br />

Time 1997/98<br />

13-14<br />

12-13<br />

11-12<br />

10-11<br />

9-10<br />

8-9<br />

7-8<br />

6-7<br />

5-6<br />

0.0%<br />

0.8%<br />

1.0%<br />

1.4%<br />

5.1%<br />

6.1%<br />

12.2%<br />

18.3%<br />

20.5%<br />

<strong>Regina</strong> EMS Response<br />

Time Under 9 Minutes<br />

YEAR<br />

PERCENT<br />

1995/96 95<br />

1996/97 95<br />

1997/98 91<br />

<strong>Regina</strong> EMS<br />

1994/95 1995/96 1996/97 1997/98<br />

Rural Response 363 411 426 467<br />

Out of District 89 152 145 117<br />

Interfacility 1,921 2,074 2,512 3,338<br />

Urban Responses 8,582 8,867 9,592 9,369<br />

No Transport Calls 2,690 3,254 3,554 3,654<br />

Total Calls 13,645 14,758 16,229 16,945<br />

TIME IN MINUTES<br />

4-5<br />

20.0%<br />

3-4<br />

10.5%<br />

2-3<br />

3.4%<br />

1-2<br />

0.7%<br />

0 5 10 15 20<br />

PERCENTAGE OF CALLS<br />

Contracted EMS Providers<br />

(CUPAR, IMPERIAL, MILESTONE)<br />

1994/95 1995/96 1996/97 1997/98<br />

No Transport 0 4 18 5<br />

Emergency Responses 161 170 191 221<br />

Non-Emergency Responses 142 134 122 111<br />

Total Calls 303 308 331 337<br />

Annual Community Report 1997-1998<br />

23


The <strong>Regina</strong> <strong>Health</strong> District<br />

FACILITIES<br />

& SERVICES<br />

Emergency Ambulance Services<br />

In <strong>Regina</strong> 9-1-1<br />

Outside <strong>Regina</strong> 310-5000<br />

Acute Care Facilities<br />

Pasqua Hospital 766-2222<br />

4101 Dewdney Avenue, S4T 1A5<br />

<strong>Regina</strong> General Hospital 766-4444<br />

1440 - 14th Avenue, S4P 0W5<br />

Alcohol and Drug Services<br />

2110 Hamilton Street, S4P 2E3 766-7910<br />

Client Representative<br />

2180 - 23rd Avenue, S4S 0A5 766-5553<br />

Community <strong>Health</strong> Centres<br />

Al Ritchie <strong>Health</strong> Action Centre 766-7660<br />

325 Victoria Avenue, <strong>Regina</strong>, SK, S4N 0P5<br />

Cupar <strong>Health</strong> Centre 723-4300<br />

Box 100, Cupar, SK, S0G 0Y0<br />

Four Directions Community <strong>Health</strong> Centre 766-7780<br />

3510 - 5th Avenue, <strong>Regina</strong>, SK, S4T 0M2<br />

Long Lake Valley Integrated Facility 963-2210<br />

Box 180, Imperial, SK, S0G 2J0<br />

Southey <strong>Health</strong> Action Centre 726-2239<br />

Box 519, Southey, SK, S0G 4P0<br />

General In<strong>format</strong>ion 766-5287<br />

Home Care Services 766-7200<br />

Long-Term Care In<strong>format</strong>ion 766-7200<br />

Mental <strong>Health</strong> Services<br />

Mental <strong>Health</strong> Clinic 766-7800<br />

2110 Hamilton Street, S4P 0A5<br />

Child and Youth Services 766-7400<br />

1601 College Avenue, S4P 3V7<br />

Metabolic & Diabetes Education Centre<br />

(MEDEC) 2110 Hamilton Street, S4P 2E3 766-7599<br />

Poison Control Centre<br />

(in <strong>Regina</strong>) 766-4545<br />

(outside <strong>Regina</strong>) 1-800-667-4545<br />

Public <strong>Health</strong> Services<br />

General Inquiries 766-7777<br />

After hours and weekends 766-7773<br />

Active Living Program 766-7731<br />

Child <strong>Health</strong> Clinics<br />

Central <strong>Regina</strong> (2110 Hamilton Street) 766-7777<br />

East <strong>Regina</strong> (1911 Park Street) 766-7776<br />

North <strong>Regina</strong> (204 Wascana Street) 766-7778<br />

Rural Appointments 766-7775<br />

Communicable Diseases 766-7790<br />

Dental <strong>Health</strong> Education 766-7655<br />

Early Childhood Psychology 766-7706<br />

Environmental <strong>Health</strong> 766-7755<br />

Fifty Plus (Senior <strong>Health</strong>) Promotion 766-7766<br />

Food Permits/Foodborne Illness Investigation 766-7755<br />

<strong>Health</strong>iest Babies Possible Program 766-7677<br />

<strong>Health</strong> In<strong>format</strong>ion/Advice Line 766-7700<br />

<strong>Health</strong> Promotion 766-7655<br />

Hearing Aid Plan 766-7555<br />

Heart <strong>Health</strong>y Partners 766-7616<br />

HIV/AIDS Anonymous Testing (in <strong>Regina</strong>) 766-7779<br />

(outside <strong>Regina</strong>) 1-800-268-9888<br />

Immunization In<strong>format</strong>ion 766-7666<br />

Medical <strong>Health</strong> Officer 766-7770<br />

Needle Exchange Program 766-7799<br />

Nutrition 766-7777<br />

Plumbing Permits/Regulations - Rural 766-7705<br />

Podiatry Clinic 766-7722<br />

Prenatal Classes 766-7733<br />

Public <strong>Health</strong> Inspectors (in <strong>Regina</strong>) 766-7755<br />

(outside <strong>Regina</strong>) 1 (306) 766-7705<br />

Public <strong>Health</strong> Nursing 766-7733<br />

Quit Smoking Program 766-7655<br />

Sexually Transmitted Disease Clinic 766-7788<br />

Speech Language Pathologist 766-7706<br />

Street Project 766-7799<br />

Sunrise <strong>Health</strong> Program 766-7744<br />

Young Parents Mentoring Program 766-7740<br />

System Wide Admission/Discharge 766-7200<br />

Wascana Rehabilitation Centre 766-5100<br />

2180 - 23rd Avenue, S4S 0A5<br />

Welcome Home Program 766-3700<br />

Women’s <strong>Health</strong> Centre 766-4860<br />

www.reginahealth.sk.ca<br />

24<br />

<strong>Regina</strong> <strong>Health</strong> District

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