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Hospital Checklist of Mandatory Requirements Requirement Initiate By Date Due Date Instruction on How to Complete Submission Method Review and sign the Hospital Appointment Letter Immediately Immediately Attachment within the LHSC & St. Josephs hospital package email Email: medical.affairs@londonho...
… 6522 Online application: www.cmpa.org Email a copy of your CMPA membership to medical.affairs@londonhospitals.ca ☐ … attached to the LHSC & St. Joseph’s Hospital package email Your completion will by automatically recorded with Medical … attached to the LHSC & St. Joseph’s Hospital package email Your completion will by automatically recorded with Medical …
Hospital Checklist of Mandatory Requirements Requirement Initiate By Date Due Date Instruction on How to Complete Submission Method Review and sign the Hospital Appointment Letter Immediately Immediately Attachment within the LHSC & St. Josephs hospital package email Email: medical.affairs@londonho...
… document and then follow all the steps below to set up your: · Corporate ID (network account) · GroupWise (email … and in class sessions Purpose: How To: Corporate ID: Your Corporate ID will allow you to sign in to hospital … Username: Temporary Password: (case sensitive) Change your Temporary Password: Please change your Corporate ID …
Corporate Account and System Access Please review this entire document and then follow all the steps below to set up your: Corporate ID (network account) GroupWise (email account) ME(MyEducation) to access required elearning and in class sessions Purpose: How To: Corporate ID: Your Corporate ID w...
… document and then follow all the steps below to set up your: · Corporate ID (network account) · GroupWise (email … and in class sessions Purpose: How To: Corporate ID: Your Corporate ID will allow you to sign in to hospital … Username: Temporary Password: (case sensitive) Change your Temporary Password: Please change your Corporate ID …
Corporate Account and System Access Please review this entire document and then follow all the steps below to set up your: Corporate ID (network account) GroupWise (email account) ME(MyEducation) to access required elearning and in class sessions Purpose: How To: Corporate ID: Your Corporate ID w...
… • To be familiar with the process and respond to your page in a timely fashion • To determine the appropriate … One Number or CritiCall as appropriate • To familiarize yourself with the resources at LHSC and make use of placing … • To be familiar with the process and respond to your page in a timely fashion • To determine the appropriate …
PATIENT ACCESS Resident Orientation June 30, 2016 Rosilee Peto, Manager Patient Access (VH) Jill Smith, Manager ED and Patient Access (UH) What is Patient Access? Strategic Priority Timely Access to Care Ensuring every patient has access to quality care that meets the patients health care needs in ...
… to learn from adverse events Charting Humanity vs. Your Role in Patient Safety Summary The culture determines … Improving Patient Safety: Reporting Charting Humanity Your Role in Patient Safety Summary Questions/Discussion … to learn from adverse events Charting Humanity vs. Your Role in Patient Safety Summary The culture determines …
Patient Safety Through the Eyes of the Patient Cathy Litwin, BScN, Patient Safety Specialist Jeffrey Preston, Phd, Patient Advisor June 30, 2016 Objectives Culture of safety Importance of reporting Jeffs story Vital behaviors Summary Organization's structures and control systems Values Beliefs ...
… on call (has been determined by service – please check with your Consultant) • Remain on the line for administrative … Residents • To be familiar with the process and respond to your page in a timely fashion (within 5 minutes) • To … One Number Expectation for Residents • To familiarize yourself with the resources at LHSC: • make use of placing a …
PATIENT ACCESS Resident Orientation June 29, 2018 Sherri Lawson, Director Patient Access Pat Jewell, Coordinator Patient Access Patient Access and Flow Guiding Principles Improving flow requires an integrated, hospital-wide approach..Inpatient services have an important stake in this work (Jensen ...
A “safety net of relationships” to bridge the gap between hospital and community at discharge
A beneficial and cost-effective approach to mental health care that supports people as they go from hospital and back into the community is outlined in a new resource and has been recognized internationally by the World Health Organization (WHO).
"The immediate period after discharge from hospital, usually the first month, can be one of the most vulnerable times in the life of someone experiencing a mental illness. It can be when they are most at risk of committing suicide,” explains Dr. Cheryl Forchuk, Assistant Scientific Director at Lawson Health Research Institute. “However, what we’ve seen is that there’s often a gap between when someone says ‘goodbye’ to the hospital inpatient unit and ‘hello’ to the community care provider.”
During a virtual book launch, a research team from Lawson and several community organizations discussed details of a new publication from Routledge, From Therapeutic Relationships to Transitional Care: A Theoretical and Practical Roadmap, edited by Dr. Forchuk. The book combines theory, research and best practices into a “roadmap” for organizations and others worldwide coordinating services or studying mental health care systems. It includes a practical toolkit for implementing the Transitional Discharge Model (TDM), developed and tested in communities across Ontario.
Purchase your copy of the book HERE and enter promo code SMAO3 at checkout for a 20% discount.
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How Transitional Discharge works
TDM was born from a participatory action project with consumers of mental health services. They identified two factors that were most important to them when they were going from hospital to the community: consistency in therapeutic relationships and a supportive peer friendship.
It became known as a “safety net of relationships” that would bridge the gap between hospital and community services.
As a person-centred, evidence-based model, transitional discharge supports a smooth adjustment from hospital to community in two main ways:
- The inpatient staff continue to care for discharged clients until therapeutic relationships are established with community care providers.
- A friendship model of support with trained peer support workers who have lived experience of mental illness as they have made the same journey.
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Perspective of a TDM client and peer support coach
Lance Dingman was a TDM client during the early phases of the project. “It makes a big difference when you’re able to get back to living in the community and in your own dwelling. You get to make more of your own decisions and learn about what you want to do. You grow with your experience and the guidance of others who are there to support you.”
Later becoming a peer support coach, Dingman feels implementing TDM for mental health care is important because people can learn from each other and get healthier in the process. “As a peer support worker, I sit with people and they tell me their story. It takes me back and I know what they are going through – I was where they are. I can share my own story and tell them what I did to get better.”
Cost-analysis and savings for the system
Dr. Forchuk’s team analyzed the cost of TDM after being tested in nine hospitals across Ontario, including London Health Sciences Centre and St. Joseph’s Health Care London.
- On average, the length of stay in hospital was reduced by almost 10 (9.8) days per admission.
- Each site saved approximately $3.3 million per year.
“People can return home sooner because a higher level of care and support is in place when they leave hospital. If all hospitals in Ontario with mental health services were able to implement our transitional discharge model, we would save $60 million per year in hospital stay costs alone while providing enhanced mental health care.”
International implementation
In Scotland, the parliament has already declared TDM as a best practice after demonstrating a significant reduction in readmission rates.
The TDM approach is now considered a “good practice” by WHO and was recently the only Canadian example included in its Guidance on community mental health services: Promoting person-centered and rights-based approaches. This set of publications provides information and support to all stakeholders who wish to develop or transform their mental health system and services to align with international human rights standards including the UN Convention on the Rights of Persons with Disabilities.
Scientist
A “safety net of relationships” to bridge the gap between hospital and community at discharge
LONDON, ON – A beneficial and cost-effective approach to mental health care that supports people as they go from hospital and back into the community is outlined in a new resource and has been recognized internationally by the World Health Organization (WHO).
“The immediate period after discharge from hospital, usually the first month, can be one of the most vulnerable times in the life of someone experiencing a mental illness. It can be when they are most at risk of committing suicide,” explains Dr. Cheryl Forchuk, Assistant Scientific Director at Lawson Health Research Institute. “However, what we’ve seen is that there’s often a gap between when someone says ‘goodbye’ to the hospital inpatient unit and ‘hello’ to the community care provider.”
Today during a virtual book launch, a research team from Lawson and several community organizations discussed details of a new publication from Routledge, From Therapeutic Relationships to Transitional Care: A Theoretical and Practical Roadmap, edited by Dr. Forchuk. The book combines theory, research and best practices into a “roadmap” for organizations and others worldwide coordinating services or studying mental health care systems. It includes a practical toolkit for implementing the Transitional Discharge Model (TDM), developed and tested in communities across Ontario.
TDM was born from a participatory action project with consumers of mental health services. They identified two factors that were most important to them when they were going from hospital to the community: consistency in therapeutic relationships and a supportive peer friendship. They described it as a “safety net of relationships” that would bridge the gap between hospital and community services.
“As a person-centred, evidence-based model, transitional discharge supports a smooth adjustment from hospital to community,” says Dr. Forchuk. “The inpatient staff continue to care for discharged clients until therapeutic relationships are established with community care providers. At the same time, we have a friendship model of peer support. These are trained people with lived experience of mental illness who have made the same journey.”
Lance Dingman was a TDM client during the early phases of the project. “It makes a big difference when you’re able to get back to living in the community and in your own dwelling. You get to make more of your own decisions and learn about what you want to do. You grow with your experience and the guidance of others who are there to support you.”
Later becoming a peer support coach, Dingman feels implementing TDM for mental health care is important because people can learn from each other and get healthier in the process. “As a peer support worker, I sit with people and they tell me their story. It takes me back and I know what they are going through – I was where they are. I can share my own story and tell them what I did to get better.”
Dr. Forchuk’s team analyzed the cost of TDM after being tested in nine hospitals across Ontario, including London Health Sciences Centre and St. Joseph’s Health Care London. On average, the length of stay in hospital was reduced by almost 10 (9.8) days per admission and each site saved approximately $3.3 million per year. “People can return home sooner because a higher level of care and support is in place when they leave hospital. If all hospitals in Ontario with mental health services were able to implement our transitional discharge model, we would save $60 million per year in hospital stay costs alone while providing enhanced mental health care.”
The TDM approach is now considered a “good practice” by WHO and was recently the only Canadian example included in its Guidance on community mental health services: Promoting person-centered and rights-based approaches. This set of publications provides information and support to all stakeholders who wish to develop or transform their mental health system and services to align with international human rights standards including the UN Convention on the Rights of Persons with Disabilities.
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About Lawson Health Research Institute
Lawson Health Research Institute is one of Canada’s top hospital-based research institutes, tackling the most pressing challenges in health care. As the research institute of London Health Sciences Centre and St. Joseph’s Health Care London, our innovation happens where care is delivered. Lawson research teams are at the leading-edge of science with the goal of improving health and the delivery of care for patients. Working in partnership with Western University, our researchers are encouraged to pursue their curiosity, collaborate often and share their discoveries widely. Research conducted through Lawson makes a difference in the lives of patients, families and communities around the world. To learn more, visit www.lawsonresearch.ca.
Media Contacts
Celine Zadorsky
Senior Media Relations Consultant
Communications & Public Engagement
T: 519-685-8500 ext. 73502
Celine.zadorsky@lhsc.on.ca
… longer than 30 minutes. Snack Always plan ahead and carry your own fluids, snacks, and a fast acting carbohydrate for … of 6-8% carbohydrate may be used to cover some or all of your carbohydrate needs (i.e. sports drinks such as Gatorade). Snack before exercise according to your blood glucose level and type of activity. During …
A Guide for Exercise and Diabetes Benefits of Exercise Builds muscle and burns fat Maintains strong bones Improves blood lipid profile Increases insulin sensitivity Decreases blood glucose (short term and in longer term) Increases life expectancy Improves mood Common Exercise Challenges in Ty...
… A guide to managing your pain during COVID-19 Our services Hospitals across … out about virtual offerings and information for managing your condition. Contact Flora at 519 646-6100, ext. 61792 to have your name and email added to our list. We know that managing …
A guide to managing your pain during COVID-19 Our services Hospitals across Ontario are doing everything they can to limit the spread of COVID-19, including rescheduling non- urgent outpatient clinic appointments for the time being. What does this mean for the Pain Management Program? For now, our g...
A vision for the future of ICES Western: Q&A with Dr. Kristin Clemens
Dr. Kristin Clemens has been selected as the new Site Director for ICES Western, the London, Ontario division of a province-wide non-profit focused on using health-related data to evaluate outcomes. ICES Western is a collaborative initiative between Lawson Health Research Institute, Western University, London Health Sciences Centre (LHSC) and St. Joseph’s Health Care London.
Dr. Clemens is a Scientist at Lawson and an Endocrinologist at St. Joseph’s. She is also an Assistant Professor in epidemiology and biostatistics at Western’s Schulich School of Medicine & Dentistry. Dr. Clemens recently sat down to discuss the impact of the work being done through ICES Western and her hopes for the future.
1. What are you most excited for as ICES Western’s new site director?
I get to continue to work closely with an amazing group of ICES Western staff and scientists. ICES Western is already a well-oiled machine and home to scientific hubs of research in neurological health, homelessness and socioeconomic disparities, surgery, mental health, kidney disease and more. As a leader, I will not only be able to help harness some of our existing strengths, but have a chance to continue to move our institution forward. For example, Dr. Amit Garg (outgoing Site Director) will be advancing new and innovative randomized controlled trials in London, and ICES Western's going to continue to play a major role in that. There is so much more potential for innovation using our data sources; I think it's going to be a really exciting next few years for us.
2. Why did you choose to become involved with ICES Western?
I have been with ICES for about 14 years. I have lived it as an ICES trainee as a Medical Student and Resident/Fellow and became an ICES Adjunct Scientist after completing the inaugural ICES Faculty Scholars program hosted by ICES Western. I became more and more engaged with the community as a member of local ICES committees and then started to lead some of the larger research programs at ICES Western. It was the perfect time and really a natural fit for me to embark on a new leadership journey with the institution.
3. What do you hope to bring to your new position?
I'm an enabling and collaborative researcher and have been fortunate to work with multidisciplinary teams of scientists from across Western and Lawson. What I hope to do is not only support existing ICES staff, scientists, and initiatives, but also attract new researchers to the institution. I think London, Ontario, is such an incredible city for academia. I really want to use my collaborative skills and strong relationships to try to grow and expand our reach.
4. Has the work at ICES played a role in your research?
Yes, absolutely. My clinical and research focus has been on improving the care and outcomes of patients who live with complex comorbidities and disparities. ICES research allows us to focus on real-world gaps in care in Ontario and it gives us an opportunity to study people and patients who have not been able to participate in randomized trials or traditional research studies.
5. What impact does the work at ICES have on research being done in Ontario and across Canada?
ICES is home to one of the world's largest collections of administrative data sets that contain everything from hospital visits and physician encounters to use of medications and long-term care. We also have the unique ability to link data from national surveys or existing cohorts with administrative data. Because of this, ICES is very much at the forefront of improving care and quality for all Ontarians. Our research is shared internationally with both academics and non-academics, and it has changed practice and policy; it's an extremely impactful organization.
6. What do you see in the future for the organization?
I think in the future we will continue to do what we're already great at, like studying the use of health services and existing hubs of research, but also find ways to use our rich data sources, methods and talented staff to really innovate and advance research in London. With new collaborations in the city, we can also continue to grow and contribute.
7. What is the most important thing people should know about ICES?
ICES Western is here for London’s community of researchers, health care providers and decision makers. We have more than 20 scientists and dozens of highly qualified staff who are passionate about advancing high-quality, impactful work. ICES Western is a valuable resource for the community.
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Revised March 16, 2016 How to Access Archived Webcasts of the Survivor & Family Education Series 1. Go to http://webcast.otn.ca 2. In the middle of the screen, under Archived Events, select Public. 3. In the Search Box in the top right hand corner, type: Parkwood ABI Survivor Series and press enter....
… ways. Here are some examples of things you may notice in yourself after your injury. You may experience: • headaches • dizziness • … challenges • change in sleep patterns • problems with your memory and concentration • changes in your ability to … ways. Here are some examples of things you may notice in yourself after your injury. You may experience: • headaches …
CARING FOR THE BODY, MIND & SPIRIT SINCE 1869 Renowned for compassionate care, St. Josephs is one of the best academic health care organizations in Canada dedicated to helping people live to their fullest by minimizing the effects of injury, disease and disability through excellence in care, teachin...
… For 48 hours after a concussion you should rest and give your brain time to heal. You should also be assessed by a health professional such as your family doctor. They can provide you proper treatment and care. Driving A concussion can affect your reaction time, vision and ability to think. Do not …
Concussion care The first 48 hours after a concussion - REST Remember a concussion is a brain injury. R E S T A concussion is a brain injury caused by a hit to the head or other part of the body. When the head or body is hit, the force causes the brain to move back and forth inside the skull causing...
… dazed, memory problems, and being unable to multi-task, not your old self. Family Family interactions can be noisy and involve lots of mental work. Let your family know about your situation and that you may need to excuse yourself from … dazed, memory problems, and being unable to multi-task, not your old self. Family Family interactions can be noisy and …
Developed by the Acquired Brain Injury Outpatient Program, Parkwood lnstitute. The first 48 hours after concussionREST! Experiencing effects of a concussion? What is a concussion? A concussion is a mild brain injury caused typically, but not always, by an impact to the head, with or without loss of ...
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The Eat Sheet Planning your weekly menu Breakfast: ____________________________ Lunch: ______________________________ Dinner:______________________________ Snacks:______________________________ Monday Breakfast: ____________________________ Lunch: ______________________________ Dinner:______________...
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CARING FOR THE BODY, MIND & SPIRIT SINCE 1869 Renowned for compassionate care, St. Josephs is one of the best academic health care organizations in Canada dedicated to helping people live to their fullest by minimizing the effects of injury, disease and disability through excellence in care, teachin...
… Program Tip sheet Blind spot check Purpose: To increase your ability to turn your head and body easily and efficiently. It also helps you move your eyes, head, and neck separately. Starting position: … Program Tip sheet Blind spot check Purpose: To increase your ability to turn your head and body easily and …
Parkwood Institute Acquired Brain Injury Outpatient Program Tip sheet Blind spot check Purpose: To increase your ability to turn your head and body easily and efficiently. It also helps you move your eyes, head, and neck separately. Starting position: This exercise can be done while sitting (support...
… Program Tip sheet Dishwasher Exercise Purpose: To improve your balance when moving your head and neck Starting position: Stand comfortably with your feet hip width apart. Position yourself facing the … Program Tip sheet Dishwasher Exercise Purpose: To improve your balance when moving your head and neck Starting …
Parkwood Institute Acquired Brain Injury Outpatient Program Tip sheet Dishwasher Exercise Purpose: To improve your balance when moving your head and neck Starting position: Stand comfortably with your feet hip width apart. Position yourself facing the coloured numbers worksheet on the wall and have ...