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Ontario Health Quality Council Report Highlights Hospital Succeses

The Ontario Health Quality Council's (OHQC) 2009 Yearly Report profiles North York General Hospital's reduction of cancer wait times and patient flow initiatives.

Highlighted as examples effective quality improvement initiatives are our efforts to 1) improve patient flow in the emergency department; 2) reduce cancer wait times; and 3) ease the flow of patients from hospital to long-term care.

Our work in reducing wait times for cancer surgeries is given particular empasis and has generated media attention. Here is an excerpt from the OHQC news release:


"Long waits for surgery cause needless anxiety and may result in a patient's condition getting worse," said OHQC CEO, Dr. Ben Chan. "This is a serious problem, but solving it doesn't require large-scale restructuring or great expense."

The OHQC report notes that North York General Hospital has consistently met wait time cancer surgery targets through better coordinated cancer care. "We strongly encourage all hospitals that do urgent cancer surgery to take a close look at their numbers and commit to aggressive targets to bring down their wait times to match the best in the province."

                   OHQC news release, June 9, 2009

Minister of Health and Long-Term Care David Caplan was interviewed for the Canadian Press article on the report's release, Waits for cancer surgery twice as long in Ontario, and provided a quote on our hospital's success in reducing cancer surgery wait times:


"North York General will be a great case study for other hospitals to follow, said Health Minister David Caplan. "We know that there are practices out there, we know there are things we can do," Caplan said in an interview.

                             Canadian Press, June 9, 2009

An editorial in Toronto Star on June 11, titled Healthy Solutions, highlighted our hospital as a leader in cancer wait times. Here is an excerpt:


Across the province, only half the surgeries cancer patients urgently need are done within the required two-week window.

Yet North York General manages to achieve the target 97 per cent of the time. If North York can do it, why can't everyone else?

Everyone can, according to Dr. Ben Chan, CEO of the Ontario Health Quality Council, which issued its annual report this week. What's more, says Chan, "a lot of the solutions do not require additional money or resources." North York General's success is in large part due to a simple yet effective patient booking system.

                   Toronto Star Editorial June 11, 2009

In the June 12 North York Mirror article Follow NYGH's lead, province urges hospitals, Susan Kwolek, Vice President and Chief Nursing Executive, North York General Hospital, spoke about the link between our hospital's culture and quality patient care:


...Kwolek said the hospital has developed a culture in which all front-line workers from doctors and nurses to housekeeping and clinic staff are encouraged to think what it would be like if it was their parent, child or sibling needing care and what they can do to improve the system.

"It speaks to our broad attention to quality improvement in the organization," she said.

She dismissed suggestions personal care is sacrificed in meeting benchmarks such as shorter wait times, arguing the hospital's first goal is providing quality patient care and scores are simply a positive outcome of that philosophy.

                        North York Mirror, June 12, 2009

Here are links to the full report, news release, individual NYGH success stories, and selected media articles.

OHQC Annual Report

OHQC News Release June 9, 2009

Link to the three NYGH success studies:

1. Access to emergency department
Success study: Saving time and making patients safer by improving flow in North York General's emergency department.

2. Waits for specialized procedures, tests and surgery
Success study: North York General Hospital - Cancer waits

3. Smooth hand-offs from hospital to other services
Success study: Easing the flow of patients from hospital to long-term care

Canadian Press, Waits for cancer surgery twice as long in Ontario, that quotes David Caplan, Minister of Health and Long-Term Care, June 9, 2009

Toronto Star editorial, Healthy Solutions, June 11, 2009

North York Mirror, Follow NYGH's lead, province urges hospitals, June 12, 2009, that quotes Ontario Health Quality Council CEO Ben Chan and Susan Kwolek, Vice President and Chief Nursing Executive, North York General Hospital.