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

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


Please click here to see GMCH's BPSAA Attestation

Please click here to see GMCH's Compliance with Hospital Parking Directives


Audited Financial Statements

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


Expense Policy

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.


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
Jill Schitka
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

Executive Compensation

Green Energy Act

Health Information, Release of Information and Privacy

Health Information, Release of Information and Privacy

Groves Memorial Community Hospital is committed to protecting the privacy and confidentiality of patient health information.  Our policies and procedures comply with the provincial legislation.

Accurate health information is essential to make sure you get appropriate care.  We record and maintain information about your current condition and care, including the results of tests, procedures and therapies.  Information such as your name, address and date of birth is recorded for the purposes of identification, contact and billing.  Your personal information whether stored on paper or electronically, is kept safe and secure. 

Policies and procedures are in place that protects how your information is collected and used.  We will share your health information with your family doctor, specialist or other health care providers who are involved in your care.  You may request that your health information not be shared with your health care providers, to do this contact Release of Information.  Your consent is required to share your health information with third parties such as lawyers, insurance companies or police. 

Further information about how the hospital collects, uses and discloses health information can be obtained from the Your Health Information and Your Privacy in Our Hospital pamphlet available to all visitors and staff.

How to make a Release of Information Request?

The patient health record is the property of the hospital; however you may request a copy of your health information or to share your information outside of the hospital.  Contact Health Information Services – Release of Information to make a request during office hours (Monday – Friday 8:00 am – 4:00 pm).

How to report a Privacy Concern?

If you have a concern about how your health information has been shared please contact the Privacy Officer at 519-843-2010 ext. 3254. You can also contact the Information and Privacy Commissioner of Ontario at 1-800-387-0073.

Mailing address:

Health Information Services Department

Release of Information Office

235 Union Street East
Fergus, Ontario
N1M 1W3

Freedom of Information

Freedom of Information and Protection of Privacy (FIPPA) provides the right for every person to access information held by hospitals and a formal process is in place for people to make Freedom of Information (FOI) requests for records that came into the hospital’s custody and control on or after June 2007.

FIPPA has been amended as of January 01, 2012 so certain types of hospital records are excluded from the act. For example:

  • Records that relate to the operations of a hospital foundation
  • Records regarding charitable donations
  • Administrative records of a regulated health care professional
  • Records relating to certain labor relations or employment matters
  • Quality of Care Information
  • Certain records associated with research/teaching

Personal health information is subject to the Personal Health Information Protection Act(PHIPA) and is not subject to FIPPA

Who can make a FOI request?

Any person can make an FOI request. The requestor does not have to be a Canadian citizen

How to make a FOI request?

The request can be made in writing to the hospital and accompanied by the $5.00 application fee (i.e. a cheque payable to the hospital)

Mailing address:

Privacy & Freedom of Information Office
Wellington Healthcare Alliance
235 Union Street East
Fergus, Ontario
N1M 1W3

Hospital Service Accountability Agreement

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.


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 98.88%
January 2017 98.42%
July 2017 99.20%
January 2018 98.88%
July 2018 100%


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 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
Aug 2018 0 0
July 2018 0 0
June2018 0 0
May 2018 0 0
Apr 2018 0 0
Mar 2018 0 0
Feb 2018 0 0
Jan. 2018 0 0
Dec.2017 0 0
Nov.2017 0 0
Oct 2017 0.88 1
Sept2017 0 0
Aug2017 0 0
July 2017 0 0
June2017 0 0
May 2017 0 0
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


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 - 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
April - June 2017 0 0
July - Sept. 2017 0 0
Oct - Dec 2017 0 0
Jan - March 2018 0 0
April - June  2018 0 0
  Rate of GMCH acquired VRE bacteraemia per 1,000 patient days Number of GMCH acquired VRE bacteraemia cases
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
April - June 2017 0 0
July - Sept. 2017 0 0
Oct - Dec 2017 0 0
Jan - March 2018 0 0
April - June  2018 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 2014 to March 31, 2015

Type of Indication % Compliance
Before initial patient/patient environment contact   77%                         
After initial patient/patient environment contact 78%     

April 1 2015 to March 31, 2016

Type of Indication % Compliance
Before initial patient/patient environment contact   83%                   
After initial patient/patient environment contact 82%     

April 1 2016 to March 31, 2017

Type of Indication % Compliance
Before initial patient/patient environment contact   72%                  
After initial patient/patient environment contact 92%     

April 1 2017 to March 31, 2018

Type of Indication % Compliance
Before initial patient/patient environment contact   85%                  
After initial patient/patient environment contact 91%     


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)

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

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

Patients First: Executive Summary

Public Sector Salary Disclosure

Groves Hospital annually posts employee salaries greater than $100,000 a year. These are generally posted in March for the previous calendar year. Below you will find links to our salary disclosures provided by the Ontario Treasury Board Secretariat:


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 Plan:

2019/20 Quality Improvement Plan 

2019/20 Quality Improvement Plan Narrative

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.

Strategic Plan

The Wellington Health Care Alliance's Common Strategic Plan explains what we are going to focus on over the next three years in order to realize our Mission, Vision and Values:

Vision:                  Your Health Matters

Mission:               Together, advancing exceptional care and wellness

Values:                 We are compassionate, respectful, innovative, professional and collaborative


The Strategic Directions that are included in the plan will help us to focus on what is most important:

  • Best possible care and experience, informed by our patients
  • Inspired people – feeling valued, performing their best
  • Optimize system resources to deliver seamless care
  • Accountable organizations, meeting community needs, through a strong Alliance

Please click here to read the full plan

Groves Memorial Community Hospital

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