Randy Penney, President & CEORenfrew Victoria Hospital &St. Francis Memorial HospitalMay 1, 2013
Clinics• Internal Medicine• Surgical• Respirology• Dietician• Shared Radiologists, andPACS Administration• 2 separate corp...
PARTNERS
Pre Dialysis 1993Pressures on patients and their families• Sick, elderly patients driving in excess of 300 kilometres 3 ti...
Fast Forward 2013• Renfrew Victoria Hospital designated by the Ministry of Health& Long Term Care as the Regional Centre f...
10002100400041004300500060006200660010200113001217013302142521660816962160341623416348165050200040006000800010000120001400...
RVH Regional Dialysis Program• 2 Nephrologists, Dr. Nicole Delbrouck & Dr. Amtul Musawir• General Practitioners educated w...
• Renfrew Victoria Hospital• Primary Care Physiciansin Renfrew County• Ministry of Health• Patient Focus Groups• Ontario R...
Stage 2Chronic Kidney Disease• Nephrology Clinics• Initial assessment, diagnosisand early intervention toslow progress of ...
Stage 5 – 4 OptionsOption 1Home Peritoneal Dialysis• Home training at RVH• RVH support 24/7• Surgical insertion PDcatheter...
Stage 5 – 4 OptionsOption 3Transplant• Complete pre-transplantworkup at RVH• Transplant and post-transplant care at TheOtt...
Pre Dialysis 1993Pressures on patients and their families• Sick, elderly patients driving in excess of 300 kilometres 3 ti...
VISION
The patient must be at the centre of health care.• Provide seamless access to the continuum ofcare in a timely manner.• Be...
• Provide services that are appropriate,respectful of individual choice and delivered ina manner that is timely, safe, eff...
• The health system must support residents in theChamplain LHIN in the prevention of illness and theenhancement of their w...
ONE TAXPAYER• There are significant financial challengesfor all health care providers• Increasing demands• Less resources•...
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Randy Penney - South Renfrew Health Link May 1 2013 (2)

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Randy Penney, CEO, Renfrew Victoria Hospital & St. Francis Memorial Hospital - May 01, South Renfrew Health Link Dev't

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Randy Penney - South Renfrew Health Link May 1 2013 (2)

  1. 1. Randy Penney, President & CEORenfrew Victoria Hospital &St. Francis Memorial HospitalMay 1, 2013
  2. 2. Clinics• Internal Medicine• Surgical• Respirology• Dietician• Shared Radiologists, andPACS Administration• 2 separate corporations– Boards of Directors– BudgetsSFMH Voluntary partnershipwith Renfrew VictoriaHospital since 1999.• Shared Chief ExecutiveOfficer• Information Technology• Shared clinical programs– Dialysis– Mammography– Bone Density– CT ScanPARTNERSHIP
  3. 3. PARTNERS
  4. 4. Pre Dialysis 1993Pressures on patients and their families• Sick, elderly patients driving in excess of 300 kilometres 3 times per week• 3-5 hours total driving time from various communities in Renfrew County• After treatment feeling fatigued• Cost of gas, parking, meals• Driver needed• Driving in all kinds of weather i.e. snowstorms, ice storms• Unable to keep a job due to treatment time• Ottawa at over-capacity• No treatment - you die• Everyone left Renfrew County for dialysis services
  5. 5. Fast Forward 2013• Renfrew Victoria Hospital designated by the Ministry of Health& Long Term Care as the Regional Centre for Renfrew CountyNephrology Services.• 12 station Hemodialysis Unit at Renfrew Victoria Hospital• 6 station Satellite Unit at St. Francis Memorial Hospital,Barry’s Bay• 6 station Satellite Unit at Pembroke Regional Hospital• Peritoneal Dialysis offered (home dialysis)• PRI (prevention) clinics• Today, very few leave Renfrew County for their treatment
  6. 6. 10002100400041004300500060006200660010200113001217013302142521660816962160341623416348165050200040006000800010000120001400016000180001993 1994 1995 1996 1997 1998 1999 2000 2001 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013Number of Hemodialysis TreatmentsNumber of Hemodialysis Treatments
  7. 7. RVH Regional Dialysis Program• 2 Nephrologists, Dr. Nicole Delbrouck & Dr. Amtul Musawir• General Practitioners educated with additional knowledge andexperience in hemodialysis in Renfrew, 2 General Practitioners inBarry’s Bay• Nurse Manager, Janice Verch-Whittington• 29 Registered Nurses• 9 Registered Practical Nurses• 2 Dialysis Bio Medical Technologists• 2 Dietitians• 1 Social Worker• Pharmacist SupportUnbelievable knowledge and expertise in Renfrew County
  8. 8. • Renfrew Victoria Hospital• Primary Care Physiciansin Renfrew County• Ministry of Health• Patient Focus Groups• Ontario Renal Network• The Ottawa HospitalVascular Access Program• The Ottawa HospitalTransplant Program• CCAC, PD Case Managerand Palliative CareServices for end of lifesupport• Kidney Foundation ofCanada, Eastern OntarioBranch, Patient ServicesCommittee• Regional Clinical PracticeCommittees forHemodialysis andPeritoneal Dialysis• Champlain LHIN RegionalChronic Kidney Disease• St. Francis MemorialHospital – Satellite• Pembroke RegionalHospital - SatelliteHow Did We Get There?Linkages & Partnerships
  9. 9. Stage 2Chronic Kidney Disease• Nephrology Clinics• Initial assessment, diagnosisand early intervention toslow progress of kidneydiseaseStage 3 & 4Chronic Kidney Disease• Progressive RenalInsufficiency (PRI) clinic– Dietitian– Social Worker– Nephrologist– Nurse– PharmacistGoal to slow progression ofkidney diseasePATIENT CONTINUUM OFCARE
  10. 10. Stage 5 – 4 OptionsOption 1Home Peritoneal Dialysis• Home training at RVH• RVH support 24/7• Surgical insertion PDcatheter by The OttawaHospitalOption 2In-centre Hemodialysis- 3 sites available- Vascular access creation/insertion at The OttawaHospitalPATIENT CONTINUUM OFCARE
  11. 11. Stage 5 – 4 OptionsOption 3Transplant• Complete pre-transplantworkup at RVH• Transplant and post-transplant care at TheOttawa HospitalOption 4Treatment without Dialysis- Nephrology palliative care- Working with familyphysicianPATIENT CONTINUUM OFCARE
  12. 12. Pre Dialysis 1993Pressures on patients and their families• Sick, elderly patients driving in excess of 300 kilometres 3 times per week• 3-5 hours total driving time from various communities in Renfrew County• After treatment feeling fatigued• Cost of gas, parking, meals• Driver needed• Driving in all kinds of weather i.e. snowstorms, ice storms• Unable to keep a job due to treatment time• Ottawa at over-capacity• No treatment - you die• Everyone left Renfrew County for dialysis services
  13. 13. VISION
  14. 14. The patient must be at the centre of health care.• Provide seamless access to the continuum ofcare in a timely manner.• Be based on need• Take into consideration the individual needsand preferences of the patient and his/herfamily.• Treat the patient with respect and dignity.LESSONS LEARNED
  15. 15. • Provide services that are appropriate,respectful of individual choice and delivered ina manner that is timely, safe, effective andbased on the latest evidence.QUALITY
  16. 16. • The health system must support residents in theChamplain LHIN in the prevention of illness and theenhancement of their well being.• The health care system has a duty to provide andadvocate access to quality care sensitive to thechallenges of rural Renfrew County.IMPROVE POPULATION HEALTH
  17. 17. ONE TAXPAYER• There are significant financial challengesfor all health care providers• Increasing demands• Less resources• How can we provide services to maintainor improve access especially in ruralcommunities?

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