december 2, 2004clinical restructuring plan clinical restructuring plan december 2, 2004
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December 2, 2004 Clinical Restructuring Plan
Clinical Restructuring Plan December 2, 2004
December 2, 2004 Clinical Restructuring Plan
Overview
Provide update on 2005 Restructuring Plans
Current activity Practical learnings Identify next steps
December 2, 2004 Clinical Restructuring Plan
What’s New
Tender Packages Awarded
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
The redeveloped St. Joseph's Hospital … a city-wide centre for ambulatory
care & day surgery centre, including:Urgent Care CentreDiabetes Program
HIV ProgramIvey Eye Institute
Hand and Upper Limb CentreRheumatology Centre
Diagnostic Imaging CentreFamily Birthing Centre
G.A. Huot Surgical Centre
Today: 228 beds April 05: 189 beds May 05: 177 beds Sept 05: 140 beds
December 2, 2004 Clinical Restructuring Plan
University Campus 2005
•Expanded Emergency Dept•Expanded operating rooms & Intensive Care Unit
Today: 290 beds April 05: 359 beds Sept 05: 374 beds
(380)
December 2, 2004 Clinical Restructuring Plan
Victoria Campus at M1
The redeveloped Victoria Campus will include:New Adult Emergency DepartmentCritical CareConsolidated Clinical Care Programs
Today: 228 beds May 05: 424 beds Sept 05: 440
beds
December 2, 2004 Clinical Restructuring Plan
South Street M1 to M2 Today: 283
beds May 05: 68
bedsMental HealthDialysisClinics / 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
General Surgery, Urology, Orthopaedics Critical Care Perioperative Programs Clinical Support Departments
November & DecemberOver 2,000 staff letters328 SJHC staff to LHSC100 LHSC-VC staff to LHSC-UC
December 2, 2004 Clinical Restructuring Plan
Getting to Milestone 1
Past ‘lessons learned’ 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’ 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
Feb Mar April May June … Sept
UC CV ICU
SJHC ER
SSC Cardiac
SJHC ICU Surgery
SJHC SurgeryOrtho/Trauma
SSC ICUMedicineSurgeryCardiac
ER
SJHC MedicineFamily Medicine
December 2, 2004 Clinical Restructuring Plan
Consider …
How will the 2005 restructuring of London Hospitals affect your staff?
Directly
Indirectly
December 2, 2004 Clinical Restructuring Plan
Next Steps: December/January
Formulate detailed sequencing plans Communication Plans
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