Transcript PROGRAM TRANSFERS - London Health Sciences Centre

DEFINITION:
 Program Transfer:
A shift in a clinical program between the two
organizations (LHSC / SJHC) which results in
patients receiving care at a different organization.
Definition
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Milestone 1:
An approximate point in time when there is
both the program transfers shifting from
LHSC/SJHC and services shifting from
SSC to WC and UC.
PROGRAM TRANSFERS
Process:
• Steering Committee to oversee action steps.
• Separate Task Force’s will address specific issues
and implement actions including:
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Human Resources
Education / Integration / Orientation
Communications
Equipment & Furnishing
Logistics
PROGRAM TRANSFERS
General Steps:
• Reaffirm scope of transfer
• Inpatient cases, pt days, beds, clinic visits,
clinical support, OR cases, procedures,
physician offices, research staff/space.
• Identify existing unit(s) resources.
• Identify resource requirements to operate
resultant unit.
PROGRAM TRANSFERS
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Validate budget requirements of resultant unit
with responsible VP’s, ELT / SLT.
Implement steps including HR plan,
communication plan, orientation, etc.
Logistics of move.
Operating budget adjustments.
IS / Capital needs.
Past Transfers
Complete Program Transfers
• Mental Health (acute) to LHSC
• Oncology / Haem to LHSC
• Rheumatology to SJHC
• Renal to LHSC
• Endocrinology/Diabetes to SJHC
• Cardiac to LHSC
• Ophthalmology (Phase I/II) to SJHC
• Vascular / Thoracic to LHSC
• ENT (Phase 1) to LHSC
• Adult Rehab to SJHC - Parkwood
Cumulative Impact to Date
As of March 31, 2002
Funding:
Employees:
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$9,293,222 from SJ
• 84 staff transferred to SJ
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$8,604,881 to LHSC • 222 staff transferred to LHSC
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$ 688,341 to LRCC
Cumulative Workload
Impact
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31,473 clinic visits to SJ
28,224 day / night care visits to LHSC
2,084 (3,590 weighted) cases to LHSC
13,536 patient days to LHSC
31 beds to LHSC
Upcoming Transfers
Milestone I Transfers
Moving from SJHC to LHSC
• Emergency to LHSC
• Critical Care to LHSC
• Medicine (Chest, GI, Gen Internal Med) to LHSC
• Partial GAU to LHSC
• General Surgery to LHSC
• ENT (Phase II) / Dentistry to LHSC
• Orthopaedics (lower limb trauma) to LHSC
• SSC acute Med / Surg, ER to VC/UC
• Moving from LHSC to SJHC- Ophthalmology
(adult periop)
Cumulative Workload
Impact
Estimated Milestone I
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~20,000 clinic visits to LHSC
~3,365 (5,643 weighted) cases to LHSC
~1,731 day surgery cases to LHSC
~1,333 day surgery cases to SJHC
~23,662 patient days to LHSC
~96 (net) beds (12 ICU, 46 Surg/ENT, 41 Med) to
LHSC, 3 Ophthal to SJHC
At LHSC Milestone 1 will increase size of clinical
operations by ~10% (PD, Admissions, Beds, Cases
etc), at SJH reduce by ~ 30%
March 22
Medicine Move to UC from SJHC
25 beds (20-4IP, 5, 7IP)
Next Steps
ENT/Opthamology move to WC from SJHC
6 beds ENT to WC, 2OPH to SJHC
Complete the rest of transfers
SSC/SJHC to WC/UC
SJHC – ER/ICU/Gen Surg/Ortho to LHSC (60/40
split)
SSC-ER/CCTC/Medicine/Surgery to WC
Cardiac Surgery to move to UC, 5 CCTC Card Surg
beds to UC
Cardiology/Family Medicine to UC, Beds:
Cardiology Beds move to UC, 16 General Medicine
from SJHC to WC Tower 1 level 5, 21 Family
Medicine Beds from SJHC to UC
TIMELINES
For (Milestone II) and beyond:
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NICU to LHSC
• High Risk Obstetrics / Gynecology to LHSC
• Orthopaedics (arthoplasty) to LHSC
• Family Medicine / Palliative Care to LHSC
• Cardiac Rehab to SJHC
• Ophthalmology (Ivey Clinics) to SJHC
• Clinical Immunology & Allergy to SJHC
• SSC closes to all patient care activity
Program Transfer
- Implications for LLSG
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SJHC workload associated with Milestone 1
has not yet been defined
 May result in shifts of workload from VC
/SSC to VC/WC and UC.
Just when you thought it is
done….
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We have OLA - QMPLS
 Potential retirements to access the HOOP
bridge benefit
 A new computer system in the Blood Bank
 Order Entry
 Pathology Satellite
The Good News
We will have new, less crowded space!
We have a chance to improve processes to meet the
demands of the new situation.
Your Steering Committee
Acre, Lew
Barr, Robert M
Bell, Jennifer
Bhayana, Vipin
Clements, Michele
Dietz, Glen
Hodgins, Karen
Keeney, Mike
Kelly, Dwain
Kinney, Jeff
Leigh, Kathie
Macpherson, Maureen
Pellar, Tom
Popma, Ted
Prabhakaran, Victor
How To Get Information

Watch for monthly information and updates
in the newsletter.
 A Think Tank Committee meets quarterly.
Bring issues to the group through your
Technical Specialist.