Transcript Clinical Restructuring Plan September 2004

Clinical Restructuring Plan
December 2, 2004
December 2, 2004
Clinical Restructuring Plan
Overview
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Provide update on 2005 Restructuring Plans
Current activity
Practical learnings
Identify next steps
December 2, 2004
Clinical Restructuring Plan
What’s New
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Tender Packages Awarded
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UC2 – closed, within budget and timelines
VC2 – closed, within budget and timeline
Some items from UC2/VC2 still to go to tender
In-Patient Mental Health
Space
December 2, 2004
Clinical Restructuring Plan
December 2, 2004
Clinical Restructuring Plan
Today: 228 beds
April 05: 189 beds
May 05: 177 beds
Sept 05: 140 beds
The redeveloped St. Joseph's Hospital
… a city-wide centre for ambulatory care & day
surgery centre, including:
Urgent Care Centre
Diabetes Program
HIV Program
Ivey Eye Institute
Hand and Upper Limb Centre
Rheumatology Centre
Diagnostic Imaging Centre
Family Birthing Centre
G.A. Huot Surgical Centre
December 2, 2004
Clinical Restructuring Plan
University Campus
2005
Today: 290 beds
April 05: 359 beds
Sept 05: 374 beds (380)
•Expanded Emergency Dept
•Expanded operating rooms &
Intensive Care Unit
December 2, 2004
Clinical Restructuring Plan
Victoria Campus at
M1
The redeveloped Victoria Campus will
include:
New Adult Emergency Department
Critical Care
Consolidated Clinical Care Programs
December 2, 2004
Clinical Restructuring Plan
Today: 228 beds
May 05: 424 beds
Sept 05: 440 beds
South Street
M1 to M2
Today: 283 beds
May 05: 68 beds
Mental Health
Dialysis
Clinics / Offices
WMCH, HSB, NR, Daycare
 over 600 staff daily
December 2, 2004
Clinical Restructuring Plan
London Hospitals
Shifting Culture
Supporting Staff
December 2, 2004
Clinical Restructuring Plan
Getting to Milestone 1
Human Resources
ER HR process completed - 68% staff transferring
HR Processes Underway
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General Surgery, Urology, Orthopaedics
Critical Care
Perioperative Programs
Clinical Support Departments
November & December
Over 2,000 staff letters
328 SJHC staff to LHSC
100 LHSC-VC staff to LHSC-UC
December 2, 2004
Clinical Restructuring Plan
Getting to Milestone 1
Past ‘lessons learned’
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Provide sufficient and appropriate support during
transitional chaos
Management capability to support change
Develop in advance, new ‘best practices’
Accelerate recruitment plans
Address retention issues (workload, shortages, etc.)
Recent ‘lessons learned’
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Union staff transferring to a non-union site
Plan for training and orientation
Develop Unit Councils
December 2, 2004
Clinical Restructuring Plan
2005 Time Line
SJHC ICU
Surgery
SJHC ER
Feb
Mar
UC CV ICU
December 2, 2004
April
SSC Cardiac
May
SJHC Surgery
Ortho/Trauma
June
SSC ICU
Medicine
Surgery
Cardiac
ER
Clinical Restructuring Plan
SJHC Medicine
Family Medicine
…
Sept
Consider …
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How will the 2005 restructuring of
London Hospitals affect your staff?
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Directly
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December 2, 2004
Indirectly
Clinical Restructuring Plan
Next Steps: December/January
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Formulate detailed sequencing plans
Communication Plans
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Communicate with staff and physicians – Vision
for London Hospitals
Begin external media communication
Invite external stakeholders to information
sessions
Hospital-wide staff meetings hosted by senior
leadership
Storyboards
December 2, 2004
Clinical Restructuring Plan