Joseph Brant Hospital Annual Report 2020 JBH Annual Report 2020 | Page 5

CO-DESIGNING OUR CULTURE BURLINGTON ONTARIO HEALTH TEAM In April 2019, the Ontario government passed The People’s Health Care Act. From the Act, came the introduction of Ontario Health Teams. Burlington has a long history of collaboration across health care organizations, including primary care, hospital care, long-term care, community health services, and social service groups. 12 health and social service organizations submitted an application and in December 2019, Burlington was selected as one of the first 24 Ontario Health Teams. Since that time, they have been designing a patient-centred, connected, coordinated care system with the community. This year, JBH began purposefully co-designing our culture and behaviours. Together, staff, leadership, patients and the community contributed to the building of a roadmap that will help JBH create and sustain a healthy, caring and positive workplace culture. Feedback was gathered from staff, patients and the community to be incorporated into a future vision for JBH culture. Our culture of caring will inspire and empower every staff member to consider how we interact, lead, collaborate, communicate with our patients, our community and each other. The strengths of our culture were highlighted during the COVID-19 pandemic, as our staff demonstrated teamwork, partnership, compassion and a sense of community. TOP EMPLOYER 2020 Joseph Brant Hospital was selected as one of Hamilton-Niagara’s Top Employers for 2020, the fifth consecutive year that JBH has received this prestigious award. This award reflects our commitment to creating an exceptional workplace for our staff, physicians, learners and volunteers. EMERGENCY DEPARTMENT REDUCTION IN WAIT TIMES Over the past year, significant effort was focused on delivering more timely and well-coordinated care for patients admitted through our Emergency Department (ED). This work began in early in the year with changes to how we use our ED space and changes to our ED Physician care model. In April 2019, a new model of care was implemented for Internal Medicine Physicians to improve coordination and continuity of care. To build upon these changes, an “Acute Patient Care Optimization Kaizen” event was held over six days in late May and early June 2019. Over 35 participants, including physicians, staff, supervisors, managers and senior leaders participated in an event to build processes that provide a timely, well-coordinated start to each admitted Medicine patient’s treatment journey. Ten changes were identified, developed, tested and implemented to optimize care for newly admitted patients. Even with increased ED patient visits, and increased need for inpatient beds this year, significant improvements have been achieved and sustained. While JBH had already been recognized in 2018-2019 for achieving significant improvement in our ED Payfor-Results (P4R) performance ranking, the Ontario government program to help hospitals meet specific ED wait time reduction targets, the performance gains following this year’s efforts were even more impressive. Joseph Brant Hospital was recognized as the Most Improved Medium- Volume Community Hospital by the Provincial Government, with a reduction of 44.0% in 90th Percentile ED Length of Stay, from Fiscal Year 2018-2019 to Fiscal Year 2019-2020. In March 2020, JBH was ranked 9th among all 74 Ontario hospitals in ED P4R performance - a top performer among Ontario medium-size hospitals, and first among all hospitals within the Hamilton-Niagara-Haldimand- Brant LHIN. Since its implementation, JBH has received an increase in the compliments regarding the ED patient experience. Annual Report 2019–2020 5