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Quarterly - Trillium Health Centre

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<strong>Quarterly</strong><br />

a newsletter from the President and CEO – PAGE 2<br />

Shift<br />

a column of news briefs about changes,<br />

challenges, people and projects<br />

Spotlight on<br />

Breakfast with the President<br />

Coffee, muffins and conversation are<br />

on the agenda once a month when<br />

Janet Davidson invites 12 to 15 randomly<br />

selected <strong>Trillium</strong> employees,<br />

physicians and volunteers to join her<br />

for breakfast.<br />

After providing a “where we are now”<br />

update, Janet invites guests to discuss<br />

whatever is on their minds.<br />

“I wanted an opportunity to spend<br />

time with employees, physicians and<br />

volunteers who work throughout the<br />

hospital – to get to know them better<br />

as people and to hear about their daily<br />

work, their ideas, achievements and,<br />

yes, their con cerns, first hand. I appreciate<br />

how frank the conversations have<br />

been,” she says. “I also hope they get<br />

to know each other a little better.” ◆<br />

Celebrating our Volunteers<br />

They are 1,000 people strong and last<br />

year they donated more than 100,000<br />

hours of their time to support <strong>Trillium</strong><br />

<strong>Health</strong> <strong>Centre</strong> programs. They are<br />

<strong>Trillium</strong>'s volunteers, honoured April 22<br />

at a Recognition Dinner in conjunction<br />

with National Volunteer Week.<br />

Ann Mackay, who has served <strong>Trillium</strong><br />

and its predecessor Queensway<br />

General Hospital for 55 years, received<br />

a special award from President and<br />

CEO Janet Davidson and Mississauga’s<br />

Mayor Hazel McCallion. Barbara Peden,<br />

Margot Sabow and Barbara Patterson<br />

were also recognized for their 50, 45<br />

and 40 years of service respectively.<br />

Other special awards included the<br />

Student Volunteer of the Year Award,<br />

presented to Pereya Kulasegaram.<br />

At the dinner, fellow volunteer and<br />

Board Chair Anne Sado, told guests that<br />

<strong>Trillium</strong> <strong>Health</strong> <strong>Centre</strong> – and its two<br />

predecessors – was founded on the<br />

strength and dedication of volunteers.<br />

“They started from scratch,” she said.<br />

“Without their efforts, then and<br />

now, <strong>Trillium</strong> would not be what it is<br />

today.” ◆<br />

Big Dots<br />

<strong>Trillium</strong> <strong>Health</strong> <strong>Centre</strong> follows the dots.<br />

“Big Dots” are a short-cut to better<br />

performance management: If you want<br />

to accurately and objectively assess<br />

how an organization is doing in terms<br />

of its vision, progress is measured in<br />

numbers.<br />

<strong>Trillium</strong> monitors its performance –<br />

hand hygiene compliance rates or central<br />

line infection rates, for example<br />

– by calculating percentages. Those<br />

percentages are included in charts and<br />

become points on a line, month over<br />

month, year over year. These points or<br />

“dots” are reliable indicators of actual<br />

performance compared to the targets<br />

we have set for ourselves or have been<br />

set for us.<br />

In the area of Quality and Patient Safety,<br />

the Big Dots are focused on hospital<br />

standardized mortality ratio, emergency<br />

department wait times, pressure<br />

ulcers and patient satisfaction. ◆<br />

Seniors Symposium<br />

“Transforming Seniors Care: Within,<br />

Between and Beyond”, a conference<br />

focused on moving from ideas to<br />

action in health care for older adults,<br />

will take place June 23 and 24 at<br />

<strong>Trillium</strong> <strong>Health</strong> <strong>Centre</strong>.<br />

Seniors health and wellness is a key<br />

longer-term strategy at <strong>Trillium</strong>.<br />

“We’re committed to exploring opportunities<br />

to advance excellence in<br />

seniors’ health,” says Patti Cochrane,<br />

Vice President, Patient Services &<br />

Quality and Chief Nursing Officer.<br />

A keynote speaker for the event, which<br />

is expected to draw more than 100<br />

participants from health care, educational<br />

and community service organizations<br />

in the Mississauga Halton area,<br />

will be Dennis Kodner, Ph.D., a noted<br />

gerontologist and eldercare innovator.<br />

Dr. Barbara Clive, a geriatrician at The<br />

Credit Valley Hospital and Geriatric<br />

Lead for the Mississauga Halton LHIN,<br />

will also speak. ◆<br />

Positive Deviance<br />

Solutions to a community’s most<br />

difficult problems are often<br />

hidden in plain sight.<br />

That’s the underlying philosophy of Positive<br />

Deviance (PD), a change methodology pioneered<br />

in Vietnam nearly two decades ago in a last-ditch<br />

effort to combat the malnutrition that afflicted<br />

65 per cent of the country’s children. Today, PD is<br />

being put to work in the service of reducing rates<br />

of hospital-acquired infections among patients.<br />

In the 1990s, Tufts University nutrition professor,<br />

Marian Zeitlin documented the existence of<br />

“Positive Deviant” children in poor communities<br />

– children who were better nourished than others.<br />

Despite being limited to the same resources as<br />

others in the community, the children fared better<br />

because of their parents’ exceptional behaviour<br />

and practices. Dr. Zeitlin’s work led to a sustained<br />

65 to 80% reduction in childhood mal nutrition<br />

in Vietnamese communities and, in the years<br />

since, the approach has significantly reduced<br />

childhood malnutrition in 41 countries around<br />

the world. PD has also been used to reduce high<br />

school drop out rates, teen-aged pregnancies and<br />

prevent HIV/AIDS in sex workers.<br />

Now, <strong>Trillium</strong> is one of six Canadian sites for<br />

the Canadian PD Project, an 18-month pilot<br />

designed to determine if Positive Deviance<br />

can help Canadian hospitals tackle C-diff and<br />

MRSAs. The <strong>Trillium</strong> PD team is led by Louise<br />

Koyanagi, lead nurse at <strong>Trillium</strong>’s Betty Wallace<br />

Women’s <strong>Health</strong> <strong>Centre</strong>.<br />

“Positive Deviance is a practical, strength-based<br />

approach that looks not at what’s going wrong<br />

but at what’s going right. It leads us to think about<br />

existing resources in a different way. Individuals<br />

and units will be able to overcome the problem of<br />

infection rates without special resources,” Louise<br />

Koyanagi says.<br />

“The purpose of the project is not to give people<br />

ideas but rather to allow them to discover their own<br />

existing Positive Deviant practices and apply them<br />

universally.”<br />

www.trilliumhealthcentre.org

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