people - Trillium Health Centre Foundation

It’s all aboutpeople2010/11 Community Report

Trillium bythe NumbersPatient visits778,979Inpatientadmissions33,798Awards & Recognition2010/11A team approachto patient care:Angela Samms,RN and KevinCalilung, RPNOutpatient visits(excl. Emergency &Urgent Care Centre visits)307,075Outpatientdiagnostic tests330,801Emergency visits83,871Urgent CareCentre visits57,232Surgicalprocedures36,377Physicians715Staff4,305Volunteers1,100Beds790Budget$462.6 millionThree-Year Accreditation - Accreditation Canada completed its on-site survey and grantedTrillium Health Centre a three-year accreditation without condition. Six Trillium best practiceswere also recognized.Platinum Award for Quality Healthy Workplace - Trillium received the Platinum Awardfor Quality Healthy Workplace from the Ontario Hospital Association and the Ministry of Healthand Long-Term Care’s HealthForce Ontario.Best Workplaces in Canada - Trillium was named one of this year’s Best Workplaces inCanada by the Great Place to Work® Institute Canada, appearing along with other awardwinners in a special national report in The Globe and Mail.United Way Spirit Award - United Way of Peel Region presented Trillium Health Centre, TheCredit Valley Hospital and William Osler Health System with the Outstanding Employee CampaignAward for the first-ever Tri-Hospital United Way Challenge which raised more than $88,000.Workopolis Innovation in EmploymentBranding Award - Canadian HR Reporter andthe Human Resources Professionals Associationhonoured Trillium for its innovative Our PeoplePromise Campaign.“Nurse Jackson” Video Honoured - Trilliumwon the 2010 Out of the Box Award for theNurse Jackson infection control education video.Hamilton and Neighbouring Districts InfectionControl Community (HANDIC), a chapter ofHospital Infection Control Association (CHICA),recognized the video’s innovative, imaginativeideas for improving infection control practices.2trilliumhealthcentre.org/communityreport

A Message toOur CommunityThere is an African proverb that says, “It takes a village to raise a child.” When we talk abouthealth care we say, “It takes a community to care for patients.” That’s why each successstory in this report involves our entire Trillium community – our dedicated front-line healthprofessionals, physicians, support staff, volunteers, Foundation and donors – they all contributeto the care of every patient.Anne SadoChair, Board of DirectorsThis fiscal year has been one full of achievement as we continue to look for ways to overcomethe long-term challenges of health care. How can we improve the transition from home tohospital and back so that our Emergency department wait times come down? How do weprovide the very best care while a patient is in hospital? How can we get patients to the rightlevel of care quickly when their treatment is done so that we can help others in urgent need?And how do we cope with the changing demographics of our community that are increasingdemands on the health system?To meet these challenges, we need the support of everyone in our community.We cannot provide safe, high quality care without you. We are very grateful to:Janet Davidson, O.C.President and CEO• Our staff and physicians. You cannot expect excellent patient outcomes unless youhave a high degree of staff and physician engagement. Day in and day out, ourpeople show us that when you unleash the talent, skill and creativity of a team, thesky is the limit.• Our volunteers, who epitomize energy and enthusiasm. Each year, they contributemore than 80,000 hours to help our patients.• The Volunteers of Trillium Health Centre who made a bold decision to increase theirfundraising to provide a $10 million donation to help Trillium build its seniors strategy.• The Foundation and its volunteers who continuously connect our donors with theneeds of our health centre.Gopal Bhatnagar, MDChief of Staff• Our generous community that supports us at such a high level.• And finally, the volunteer members of our Board of Directors who spend hoursmaking sure the health centre is accountable to you, and sustainable.As leaders in our community, our Board, physicians and senior management team arecommitted to openness and transparency. We will continue to provide information to thepublic – our community – to show the value you receive for your investment in health care.Sincerely,Anne SadoChair, Board of DirectorsJanet Davidson, O.C.President and CEOGopal Bhatnagar, MDChief of Stafftrilliumhealthcentre.org/communityreport3

A Message fromthe FoundationPeter WillsonChair, Board of DirectorsSteve Hoscheit, CFREPresident and CEOWe have many moreaccomplishments toshare with you!Visit us online atwww.trilliumgiving.caand follow us onFacebook & Twitter!This has been a very exciting year at TrilliumHealth Centre Foundation.2010/11 marked the first year of the Giving110% campaign – the most ambitious in ourhistory, set to raise $110 million for hospitalwidepriorities at Trillium Health Centre.Inspired by those who go above and beyondevery day, the Giving 110% campaign willhelp us revitalize patient care spaces that aremore than 50 years old; invest in leadingedgeequipment and technology; improvepatient care and create best practices throughresearch and education.Our many extraordinary successes over thepast year are due to our generous communityand the Trillium family – our physicians,nurses, staff, volunteers and Board members.Without your support, we simply could notdo the work that we do.Some 2010/11 highlights include:• A precedent-setting $10 million giftannouncement from the Volunteers ofTrillium Health Centre for seniors healthand wellness.• The unveiling of the Mozaik of Life atTrillium-West Toronto – a permanentart installation measuring 12 x 65 feetthat features hundreds of Trillium’sextended family members.• Some truly inspiring legacy gifts,including one from a grateful patientso touched by the care he received atTrillium that, after giving to his familyand friends, he left a portion of hisestate to support an area of greatestneed at the hospital.• A very successful line-up of events –Trillium Diwali, Bike 4 Betty, the Pro-Amgolf tournament and a number of thirdparty fundraisers – that together raiseda record $1.3 million for Trillium HealthCentre.In total, the Foundation received more than27,000 gifts this year, a testament to thiscommunity’s commitment to sustainingquality, specialized care.So many lives are counting on our support.We continue to look to our community tohelp us make the future even brighter for theover 770,000 people who come through thehospital doors each year. The result will be afuture of quality and innovation that will takeTrillium’s care to new heights.Sincerely,Peter WillsonChair, Board of DirectorsTrillium Health Centre FoundationSteve Hoscheit, CFREPresident and CEOTrillium Health Centre Foundation4trilliumhealthcentre.org/communityreport

A Message from Volunteersof Trillium Health CentreMarianne Di LulloPresidentA gift for seniors care: Volunteers Carol MacKay, Rhoda Boland, Barbara Zelenczuk, Marianne Di Lulloand Percy Elliott celebrate the largest gift in the Foundation’s history.David VoyceExecutive Director“Helping Trillium lead inseniors-focused care.”Our community has one of the fastestgrowing populations of older adults inOntario. It is clear that the need for seniorsfocusedcare – today and tomorrow – hasnever been greater.The Volunteers of Trillium Health Centreunderstands this need and on November22, 2010 we announced an unprecedented$10 million gift to support the Foundation’sGiving 110% campaign and Trillium’s newseniors vision.As individuals, we cannot necessarily makemajor donations on our own, however, as agroup engaging the community, we can.Our gift, the largest donation in the Foundation’shistory, will help fund state-of-the-artequipment and technology, the revitalizationof space dedicated to seniors, as well as aresearch chair in seniors’ health and wellness.Our ability to succeed and providesubstantial support to seniors’ health andwellness programs lies with the generosityand commitment of Trillium’s dedicatedvolunteers, staff and Board members.The Volunteers of Trillium Health Centregenerate funds through numerous businessventures, including three Tim Hortonsfranchises and two gift shops. We continueto expand our revenue channels and lookforward to new and sustainable growth inthe coming year.We are very proud to play a role in helpingTrillium Health Centre realize its vision to bea leader in seniors-focused care.Marianne Di LulloPresidentVolunteers of Trillium Health CentreDavid VoyceExecutive DirectorVolunteers of Trillium Health CentreA newSeniors VisionTrillium will soon breakground on a seniorshealth and wellnesscomplex at the WestToronto location. Itwill feature expandedmedical clinics andoutpatient servicesto help seniors liveindependently at home,longer. The complex willalso serve as an agingin-placefacility. With aretirement residence,supportive housing andlong-term care all on thesame site, the complexwill provide older adultswith peace of mind anda place to call homethrough all of the laterstages of their lives.trilliumhealthcentre.org/communityreport5

Comfort and caring: Social worker Shallah Jamal-Somani; Dr. Douglas Jay and Ruth JayLong-term carepatients to enjoyhealing gardenIntuitively, we knowthat gardens andnatural environmentsmake us feel better.Evidence shows thatgardens can actuallyreduce patient stress,anxiety and pain. Agenerous gift from theVolunteers of TrilliumHealth Centre to theFoundation will createa healing garden forComplex ContinuingCare patients, many ofwhom are seniors. Thegarden will provide ayear-round outdoorspace for interactionwith nature and agathering place forboth patients andtheir families.“It is much easier to copewith their support.”Ruth Jay loves music. She studied at TheRoyal Conservatory and used music toteach and inspire children for many years.Six years ago she was diagnosed withdementia and Alzheimer’s disease.Trillium Health Centre offers Seniors MentalHealth Outreach services that make anenormous difference for people like Ruthand her husband, Dr. Douglas Jay.With physician referral, Trillium’s communityhas access to an outreach program teamwhich consists of geriatric psychiatrists,nurses, occupational therapists and socialworkers. The family members are also viewedas part of the care team.The outreach team always remembers thatit is not just the patient who is dealing withthe mental illness.“Members of the outreach team visit usfrequently. They maintain a consistentconnection with us,” says Dr. Jay. “Theteam is concerned about the caregiver too.They always ask me how I’m doing. It ismuch easier to cope with their support.”The Mississauga Halton Local HealthIntegration Network (LHIN) recently designatedTrillium as the regional lead in two importantareas: Seniors Mental Health Outreach Servicesand Specialized Geriatric Services.Always sensitive to the specialized health careneeds of seniors, Trillium continues to evolveprograms and services for seniors. Trilliumrecently launched a number of new initiativesfor seniors, including:Expanded Seniors Medical OutreachService - Health professionals will visit frailseniors in their own homes to inquire abouttheir health, conduct assessments andprovide recommendations and follow-upwith their family physicians.New Continence Clinics - Many seniorsstruggle to deal with bladder or bowelconcerns. In addition to the Trillium–WestToronto location, new community-basedcontinence clinics have opened in Oakvilleand North Mississauga where seniors cancall directly to set up an appointment – nophysician referral is necessary. A third clinicwill be opening in Milton soon.6trilliumhealthcentre.org/communityreport

Hugs for healing hearts: Volunteer Gloria Dixon and patient Basanti MajumdarGiving 110%: Maila Recomanta Calabrese“Well-cared-for patients makewonderful volunteers.”Giving 110%Bursary AwardsGloria Dixon had open heart surgery. Sodid her mother, her father, and her brother.Appreciative of the wonderful care shereceived at Trillium, she wanted to give backby joining the Healing Hearts Volunteer team.Gloria’s experiences as a patient and afamily member make her ideally suited toher new role. “You can only be a HealingHearts Volunteer if you’ve had heart surgeryyourself,” says Gloria.Gloria visits patients before and after theirsurgery and supports families during theoperation. “I tell patients I’ve been throughthe surgery myself and explain how wellI’m doing and all the great things I’ve donesince. I give them advice, answer theirquestions and offer a compassionate ear,”says Gloria. “With family members, I letthem know I’ve been where they are andhelp them to understand what to expect.”Gloria finds her role very rewarding andknows patients and their families trulyvalue her support. “At the end of the day, Iknow I’ve made a difference when so manypeople thank me and give me a hug.”The care and compassion that volunteerslike Gloria provide is invaluable. The safe,quality patient care offered at Trillium wouldnot be possible without the countlesshours of support the 1,100 volunteers giveto patients, families, staff and physicians.From the patient bedside to the informationdesk, volunteers contribute to the healthand well-being of Trillium’s patients.“Well-cared-for patients such as Gloriamake wonderful volunteers,” says JanetDavidson O.C, president and CEO. “Ourvolunteers are important members of ourteam who give selflessly of their time tosupport our patients and staff.”The Foundation knowsthat continued learningsupports health care, soit launched the Giving110% Awards in 2010 tocelebrate Trillium staff whogo above and beyond.”After 20 years, I decidedto go back to school formy occupational healthand safety certificate,”says bursary recipientMaila RecomantaCalabrese, cardiacdatabase analyst. “Myschooling will enhancemy on-the-job learningand will be applied tomy role as co-chair ofTrillium’s Joint Health andSafety Committee.”Each year, 11 staffmembers will receiveGiving 110% Awards ofup to $1,100 towardshealth care education.trilliumhealthcentre.org/communityreport7

More time for care: Diane Miles, RN; Sara Ste-Croix, RN, with patient Douglas HancherFunding equipmentfor quality care“They were always therewhen I needed them.”A priority for theFoundation is to put theright tools in the handsof Trillium’s healthcare professionals toimprove the patientexperience. With thecommunity’s generosity,Trillium has purchasedcare-enhancingequipment, such aselectronic whiteboardsand touch screens, togive staff access to vitalinformation instantly.Wireless nurse calldevices, which connectpatients directly totheir nurses, improveresponse times, reducepatient stress andeliminate disruptiveoverhead pages.Douglas Hancher had never stayedovernight in a hospital in his life and wasnot looking forward to it when he wentin for knee replacement surgery. Thatchanged when he arrived at the newinpatient wing at Trillium Health Centre.“It was beautiful,” Douglas says. “Nicebright colours. Spacious. Lots of light.Nobody likes to go into hospital, but thisfelt like a home away from home.”The new wing is more than just a prettyplace; it is the result of one of severalevidence-based initiatives at Trilliumdesigned to bring nurses closer to theirpatients and to increase the amountof time that caregivers spend at theirpatients’ bedsides. Research shows thatthe new wing design has increaseddirect patient-care time, reduced nursecall response time and improved patientsatisfaction scores significantly.Another initiative that is increasing stafftime at the bedside is called ReleasingTime to Care. Nurse Diane Miles explains,“Releasing Time to Care empowers usto look at our practices and implementchanges to improve our efficiency.”Small changes have made a big difference.“Because of the program,” Diane says, “Ican spend more time with my patients. I cansit and listen to their needs, both physicaland emotional. I can hold their hands. Itmakes them feel happier and safer. And Ilook forward to going to work.”Douglas has also noticed the impact.“During my stay, the nurses and the staffwere wonderful,” he recalls. “If I hadquestions, they took as much time as wasneeded to answer. And because there wasa nurses’ station right outside my door,they were quick to respond and alwaysthere when I needed them.”In 2011/12, another program calledCollaborative Care by Design will further addto the time staff can spend at their patients’bedsides through an interprofessional teamapproach to patient care.8trilliumhealthcentre.org/communityreport

Every second counts: Dr. Marc Pope, vascular surgeon; Umberto and Antonietta RizzaCommunity donorsbuy essentialmicroscopeWith a matching giftfrom the Rotary Clubof Etobicoke andgenerous supportfrom the community,the Foundation raisedfunds for the purchaseof a much-neededsurgical microscope toreplace one that wasmore than 20 yearsold. This powerfultool will enable 400more neurosurgicalprocedures, and over200 ear, nose andthroat procedures, peryear. This will reducewait times for patients.10“We had the rightpeople on our side.”With no time to lose, Umberto Rizza wasrushed to Trillium Health Centre where hewas treated for a massive stroke. His wife,Antonietta, was by his side during theentire ordeal. She too had received lifesavingvascular care at Trillium just a fewyears earlier.“Umberto and I knew we had the rightpeople on our side and that we were in thebest place,” she says.Trillium is a Regional Stroke Centre, whichmeans people calling 911 with strokesymptoms come directly to the healthcentre for urgent assessment and, incertain cases, a clot busting agent calledtPA. In these situations, time is critical. Itis important to get patients the treatmentthey need as quickly as possible tominimize motor or cognitive damage.But getting tPA on time was only the firstof three hurdles Umberto had to overcome.While in hospital, he was also found tohave severe heart disease and a largeabdominal aortic aneurysm. He underwentheart bypass surgery followed by aorticaneurysm repair six months later.trilliumhealthcentre.org/communityreport“Stroke is often associated with heartattack and other vascular disease, suchas abdominal aortic aneurysms,” explainsDr. Marc Pope, vascular surgeon anddirector of the Vascular Laboratory. “Theyshare the same risk factors, such as highblood pressure, high cholesterol, diabetes,smoking and lack of exercise.”As the Regional Centre for Neurosciences,Trillium provides patients with highlyspecialized programs for neurosurgery,stroke, neurology and spine. Strokepatients receive integrated care, whichmeans the same team follows the patientfrom admission through to discharge –including rehabilitation services – and theninto the Regional Stroke Prevention Clinic.The team also ensures stroke survivorsreceive the care they need once they returnto the community. Through this program,Trillium follows up with stroke survivors,speaking with them at 3-, 6- and 18-monthintervals to understand how they arecoping and offering necessary supports.When asked to remark on the treatmenthe received from Trillium, Umberto’s eyesfill with tears as he holds two thumbs up toshow his gratitude.

Financial OverviewFor a copy of the full audited financial reports please visit www.trilliumhealthcentre.org/communityreportTrillium Health CentreIn fiscal 2010/11, for the third consecutive year, Trillium Health Centre met its budget plan and was able to balance operationsas well as meet its commitment to its working capital recovery plan. Trillium’s operational funding from the Ministry of Healthand Long-Term Care increased due to Post-Construction Operating Plan (PCOP) funds involving the new inpatient expansion,favourable performance regarding wait times, Emergency Pay-for-Results and Cardiac services. Additional funding was alsoreceived for growth, Aging-at-Home initiatives and being designated the regional lead for Specialized Geriatric Services andGeriatric Mental Health. Trillium continues to proactively reinvest in facility and equipment upgrades along with new capitalinitiatives such as a new seniors complex and the Mississauga Academy of Medicine, affiliated with the University of Toronto.Trillium continues to implement cost efficiencies throughout the organization.Operating Revenue of $462.6M81% Ministry of Health &Long-Term Care10% Other Agencies5% Other Income3% Special Programs1% AmortizationDistribution of Operating Funds65% Salaries, Wages &Employee Benefits14% Other Supplies &Expenses12% Medical, Surgical & Drugs4% Amortization Equipment3% Special Programs2% Continuing Care ServicesTrillium Health Centre FoundationIn fiscal 2010/11 Trillium Health Centre Foundation recorded a strong fundraising performance within the currentmarketplace with $22.4 million raised in cash and pledges supporting Trillium Health Centre. A disbursement of $4.83million was transferred to Trillium in fiscal 2010/11 which funded major projects such as digital mammography diagnosticequipment and the revitalization of spaces dedicated to Mental Health Services. The balance went towards the replacement ofessential medical equipment and to education and special programs.Revenue SourcesDisbursements to Trillium Health Centre41% Leadership Giving12% Planned Giving12% Annual Giving12% Special Events11% Direct Marketing8% Other Sources4% Investment Income76% Medical Equipment12% Hospital CapitalExpansion7% Special Programs5% Education SupportVolunteers of Trillium Health CentreIn fiscal 2010/11 $1,415,109 was raised through fundraising, operations and services. Total donations to the Health Centre and theFoundation in fiscal 2010/11 were $1,024,984.Net Income56% Tim Hortons27% Property Management7% Lotteries5% Gift Shops3% Vendor Program2% Other SourcesDisbursements to Health Centre and Foundation87% Giving 110% Campaign-Seniors Health & MRI11% Giving 110% Campaign-Hospital Equipment1% Hospital Operations1% Ken White Endowmenttrilliumhealthcentre.org/communityreport11

Board of Directors and Executive TeamOfficers of the BoardAnne Sado, ChairWilliam Rogers, Vice ChairNicholas Zelenczuk, TreasurerLloyd Posno, SecretaryDirectorsJanice BakerSubhash BhandariSacha GhaiMaureen JensenJ. Fred KuntzEdward SellersAlan TorrieEx-Officio Directors (Voting)Marianne Di Lullo, President,Volunteers of Trillium Health CentrePeter Willson, Chair, Trillium HealthCentre Foundation Board of DirectorsEx-Officio Directors (Non-Voting)Gopal Bhatnagar, MD, Chief of StaffPatti Cochrane, Vice President, PatientServices and Quality / Chief Nursing OfficerJanet Davidson, O.C., President & CEOJamie Newman, MD,Vice President,Medical Staff AssociationLeon Rivlin, MD, President, Medical StaffAssociationExecutive TeamJanet Davidson, O.C., President and CEOGopal Bhatnagar, MD, Chief of StaffRuby Brown, Executive Vice President andChief Operating OfficerMay Chang, Vice President, CorporateServices and Chief Financial OfficerPatti Cochrane, Vice President, PatientServices and Quality / Chief Nursing OfficerCyndy De Giusti, Chief CommunicationsOfficerStephen Hall, Shared Vice President andChief Information OfficerNorman Hill, MD, Vice President, Medicaland Academic Affairs, and Shared SeniorExecutive Lead, Medical EducationMorag McLean, Shared Vice President,People Services and OrganizationalEffectivenessScott McLeod, Vice President, Strategyand Business TransformationTrillium Health Centre Foundation Board of DirectorsOfficers of the BoardPeter Willson, ChairDavid A. Lazzarato, Vice ChairDavid Regan, TreasurerPeter Birkness, SecretaryPast ChairKim WarburtonHonorary DirectorsHarold G. Shipp, Honorary ChairGerald E. BeasleyDirectorsRalph ChiodoLena DemarcoAjaz U. Haque, CAGary McIsaac, MDE. Gay MitchellBill MoirRonald R. NolanAnil ShahWilliam G. StarEthel TaylorDavid H. WilkesEx-Officio MembersJanet Davidson, O.C., President and CEO,Trillium Health CentreSteve Hoscheit, CFRE, President and CEO,Trillium Health Centre FoundationWilliam Rogers, Vice Chair, Trillium HealthCentre Board of DirectorsAnne Sado, Chair, Trillium Health CentreBoard of DirectorsBarbara Zelenczuk, Director, Volunteers ofTrillium Health Centre Board of DirectorsVolunteers of Trillium Health Centre Board of DirectorsMarianne Di Lullo, PresidentAjay Chadha, TreasurerPat Comartin, SecretaryPercy Elliott, Past PresidentFaye FalconerUmar FarooqJoseph FerraroJacqueline JabbourDoug MabeeCarol MacKayDebjani MookerjeeMargaret PowerNavpreet RanaMark StevensBarbara ZelenczukNames listed are as of March 31, 2011Trillium Health Centre– MississaugaTrillium Health Centre– West TorontoTrillium Health CentreFoundationVolunteers ofTrillium Health Centre100 Queensway WestMississauga, ON L5B 1B8905.848.7100www.trilliumhealthcentre.org150 Sherway DriveToronto, ON M9C 1A5905.848-7100www.trilliumhealthcentre.org100 Queensway WestMississauga, ON L5B 1B8905.848.7575www.trilliumgiving.ca150 Sherway DriveToronto, ON M9C 1A5905.848.7276www.trilliumhealthcentre.org/volunteers