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Accountability

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(WHCA) – North Wellington Health Care and Groves Memorial Community Hospital formed an administrative alliance in 2005.

The Wellington Health Care Alliance shares the Chief Executive Officer and a senior management team.This alliance allows all three hospitals to work closely together to provide a broad range of services and quality care to our communities.

Working together we have a stronger voice for rural health care.

Attestations

Please click here to see GMCH's BPSAA Attestation

Please click here to see GMCH's Criticall Attestation.

Audited Financial Statements

Please click here to view GMCH's 2012/13 audited financial statement.

Pleasce click here to view GMCH's 2013/14 audited finanical statement.

Please click here to view the GMCH's 2014/15 audited financial statement.

Please click here to view the GMCH's 2015/16 audited finanical statement

Expense Policy and Signed Attestations

Groves Memorial Community Hospital’s Expense Policy sets out rules and principles for the reimbursement of expenses to ensure fair and reasonable practices; and to provide a framework of accountability to guide the effective oversight of resources in the reimbursement of expenses.

To access Groves Memorial Community Hospital’s Expense Policy please click here.

To access the BPSAA Compliance Signed Attestation plese click here.

To access Attestation of Compliance with CritiCall Ontario Obligations click here.

Expense Reports

In accordance with the Broader Public Service Accountability Act, all hospitals are required to post executive expenses.

The public disclosure of such expenses is posted on a semi-annual basis. These reports will include information on travel, meals and hospitality expenses made by every member of the Board of Directors and our Senior Management team. Wellington Health Care Alliance staff expenses are paid by North Wellington Health Care. The expenses are then split 50-50 with Groves Memorial Community Hospital. Please click on the name below to access expense reports.

Wellington Health Care Alliance Senior Management Team Expense Reports

Jerome Quenneville
President and CEO
 
Diane Wilkinson
Vice President Patient Services/Chief Nursing Executive
 
Stephen Street
Vice President Corporate Services & Planning (CIO\CPO)
 
Marsha Martin
Chief Financial Officer
 
Sherri Ferguson
Chief Human Resources Officer
 
Stephanie Pearsall
Vice President Patient Services/Chief Nursing Executive
 
Lisette Columbus
Acting-Vice President Patient Services/Chief Nursing Executive
 
Dan Coghlan
Vice President Corporate Services & Planning (CIO\CPO)
 
GMCH Board of Directors Expense Reports
Gord Feniak
 
John Podmore
Joanne Evans Young
Rich Schroeder
 
Dr. Patrick Otto
 
Joanne Young Evans
 
Paul Dray
 
Howard Dobson
 
Ian Hornsby
 
 

Employment Contracts

Please find below the Wellington Health Care Alliance Senior Management Team’s employment contracts.

The purpose of publicly and proactively disclosing the employment contracts is to demonstrate the Senior Management Team’s commitment to be transparent and accountable to the communities they serve.

Please click on the name of the individual below to access the contract.

Stephen Street
President and CEO

Vice President, Patient Care Services and Chief Nursing Executive
 
Marsha Martin
Chief Financial Officer

Sherri Ferguson
Chief Human Resources Officer

Green Energy Act

Infection Prevention and Control Reporting

Patient Safety

Surgical Safety Checklist

A surgical safety checklist is a patient safety communication tool that is used by a team of operating room professionals (nurses, surgeons, anesthesiologists, and others) to discuss important details about each surgical case. In many ways, the surgical checklist is similar to an airline pilot’s checklist used just before take-off. It is a final check prior to surgery used to make sure everyone knows the important medical information they need to know about the patient, all equipment is available and in working order, and everyone is ready to proceed.

PATIENT SAFETY INDICATOR REPORT

Surgical Safety Checklist Compliance - Groves Memorial Community Hospital

July 2010 93.2%
January 2011 97.68%
July 2011 88.89%
January 2012 87.73%
July 2012 90.59%
January 2013 93.57%
July 2013 95.39%
January 2014 93.06%
July 2014 97.49%
January 2015 97.82%
July 2015 98.29%
January 2016  98.40%
July 2016 98.50%
January 2017 98.30%

                                                    

Infection prevention and control reporting

Clostridium difficile Associated Disease (CDAD)

Clostridium difficile is one of many types of bacteria that can be found in feces and has been a known cause of hospital-associated diarrhea for about 30 years. C. diff is found in the intestine, occurring naturally in three to five percent of adults. It can be picked up on the hands from exposure to contamination in the environment and gets into the stomach once the mouth is touched, or if food is handled and then swallowed.

 What do we do at Groves to prevent Clostridium difficile infections?

  • We promote hand hygiene and work hard to provide clean environments to  prevent infection all the time.
  • We monitor closely for new cases and watch for signs of transmission among patients.
  • We implement control measures (use of single rooms, careful hand hygiene, gowning, use of gloves, enhanced environmental cleaning) at the first sign of symptoms.  The precautions continue until patients are no long infectious.
  • We provide ongoing education to health care, nutritional services, maintenance and housekeeping staff in our hospitals.
  • We use antibiotics with care.

 If you require anything further you can contact Trina Kamm, Infection Prevention & Control at tkamm@gmch.fergus.net or at 519-843-2010 Ext. 217.

 CDiff Reporting - GMCH

 

Rate of GMCH acquired CDAD/1,000 patient days

Number of GMCH acquired CDAD cases
Apr 2017 0 0
Mar 2017 0 0
Feb 2017 0.968 1
Jan 2017 0 0
Dec 2016 0 0
Nov 2016 0 0
Oct 2016 0 0
Sept2016 0 0
Aug2016 0 0
July2016  0 0
June2016 0 0
May2016 0 0
April2016 0 0
Mar2016 0 0
Feb.2016 0 0
Jan.2016 0 0
Dec.2015 0 0
Nov.2015 0 0
Oct.2015 0 0
Sept2015 0 0
Aug 2015 0 0
July2015  0 0
Jun 2015 0 0
May2015 0 0
Apr 2015 0 0
Mar 2015 0 0
Feb 2015 0 0
Jan 2015 0.79 1
Dec 2014 0 0
Nov 2014 0 0
Oct 2014 0 0
Sep 2014 0 0
Aug 2014 0 0
Jul 2014 0 0
Jun 2014 0 0
Ma 2014 0 0
Apr 2014 0 0
Mar 2014 0 0
Feb 2014 0 0
Jan 2014 0 0

 

Methicillin-resistant Staphylococcus Aureas (MRSA)/Vancomycin-resistant Enterococcus (VRE)

Bacteraemia means an infection in the blood stream. Cases of MRSA and VRE bacteraemia mean that the patients have confirmed bloodstream infections with either of these bacteria as proven through laboratory testing.

MRSA/VRE Reporting – GMCH

  Rate of GMCH acquired MRSA bacteraemia per 1,000 patient days Number of GMCH acquired MRSA bacteraemia cases
Jan-Feb 2013 0 0
March - June 2013 0 0
July - Sept 2013 0 0
Oct - Dec 2013 0 0
Jan - Mar 2014 0 0
Apr - June 2014 0.34 1
July - Sept 2014 0 0
Oct - Dec 2014 0 0
Jan - Mar 2015 0.81 1
Apr - June 2015 0 0
July - Sept. 2015 0 0
Oct. - Dec. 2015 0 0
Jan - March 2016  0 0
April - June 2016  0 0
July - Sept. 2016 0 0
Oct - Dec 2016 0 0
Jan - March 2017 0 0
  Rate of GMCH acquired VRE bacteraemia per 1,000 patient days Number of GMCH acquired VRE bacteraemia cases
Jan-Feb 2013 0 0
March - June 2013 0 0
July - Sept 2013 0 0
Oct - Dec 2013 0 0
Jan - Mar 2014 0 0
Apr - June 2014 0 0
July - Sept 2014 0 0
Oct-Dec 2014 0 0
Jan-Mar 2015 0 0
Apr-June 2015 0 0
July - Sept. 2015 0 0
Oct. - Dec. 2015 0 0
Jan - March 2016 0 0
April - June 2016 0 0
July - Sept. 2016 0 0
Oct - Dec 2016 0 0
Jan - March 2017 0 0

Hand Hygiene Compliance Rates

Ontario hospitals are posting their hand hygiene compliance rates as percentages for time periods identified by the Ministry of Health and Long-Term Care. 

  April 1, 2012 – March 31, 2013

Type of Indication

% Compliance

Before initial patient/patient environment contract

74%

After initial patient/patient environment contact

98%

April 1 2013 to March 31, 2014

Type of Indication % Compliance
Before initial patient/patient environment contact 82%
After initial patient/patient environment contact 92%

April 1 2014 to March 31, 2015

Type of Indication % Compliance
Before initial patient/patient environment contact   82%                          
After initial patient/patient environment contact 96%     

We are not required to report on the following:

Central Line Infection (CLI) Surgical Site Infection (SSI) Ventilator associated pneumonia (VAP) or Hospital Standardized Mortality Ratio (HSMR)

Organizational Chart

To access our organizational chart please click here.

Patients First: A Proposal to Stengthen Patient-Centred Health Care in Ontario

Patients First: Action Plan for Health Care is the next phase of Ontario's plan for changing and improving Ontario's Health System.

Ontario is committed to giving patients better access to care no matter where they live.

As part of this plan, Ontario is releasing this proposal for feedback. It outlines ways to:

  • Make it easier for patients to find a primary health care provider when they need one, see that person quickly when they are sick, and find the care they need, closer to home.
  • Improve communication and connections between primary health care providers, hospitals and home and community care.
  • Ensure the province has the right number of doctors, nurses, and other health care providers, and plan locally to make sure they are available to patients where and when they are needed.

The ministry looks forward to hearing from health care providers, patients and caregivers around the province on these recommendations. Feedback would be appreciated before 5 p.m. on February 29, 2016. Feedback and questions can be sent to health.feedback@ontario.ca

Patients First: Proposal to Strengthen Patient-Centred Health Care in Ontario

Patients First: Executive Summary

Procurement Policy/Reporting

The Wellington Health Care Purchasing Procedure Policy helps to govern how Groves Memorial Community Hospital conducts sourcing, contracting and purchasing activities, including approval segregation and limits, competitive and non-competitive procurement, purchasing, contract awarding, conflict of interest and bid protest procedures.

Please read the WHCA Purchasing Procedure Policy

Quality Improvement Plan/Reporting

In June 2010, the Ontario Government passed the Excellent Care for All Act.

This legislation will help support hospitals to further improve the quality and safety of care they provide for members of our community.

One of the ways that the Excellent Care for All Act is helping hospitals meet our community’s expectations regarding quality, patient safety and accountability is through the public reporting of Quality Improvement Plans.

Quality Improvement Plans (QIP) provide a meaningful way for Groves Memorial Community Hospital to clearly articulate our accountability to our community, patients and staff. Our QIP is focused on creating a positive patient experience and delivering high quality health care.

Our Quality Improvement Plan is made up of two parts:

  1.  A document that provides a brief overview of our quality improvement plan, highlighting and listing our hospital’s top priorities for the year.
  2.  A spreadsheet that includes our improvement targets and initiatives. The spreadsheet includes a core set of indicators that all similar hospitals across the province are working on.

Please find below our annual Quality Improvement Plans:

2017/18 Quality Improvement Plan

2016/17 Quality Improvement Plan

2015/16 Quality Improvement Plan

2014/15 Quality Improvement Plan

2013/14 Quality Improvement Plan

2012/13 Quality Improvement Plan

The Ontario Health Quality Council has requested that all hospitals report on a series of core indicators to support province-wide comparisons. The core indicators that apply to our hospital are reflected in our QIP. The QIP is only one of the ways we are working to improve our patients’ experiences. Please feel free to contact us with any questions you may have.

Groves Memorial Community Hospital

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  • 235 Union Street East, Fergus, ON N1M 1W3
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  • Phone: (519) 843-2010