Hospital News August 2013 Edition

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Hospital News August Edition: Focus on Emergency Services, Critical Care, Trauma and Emergency Preparedness. Special coverage on Alberta Health Services and the people that made a difference during the flooding.

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<ul><li><p>INSIDE</p><p>Legal ...................................................15</p><p>Nursing Pulse .....................................22</p><p>From the CEO's desk ..........................26 </p><p>Care Giving .........................................30</p><p>Alberta Health Services responds to fl ooding disaster</p><p>Code Orange at North Bay General Hospital</p><p>16 24</p><p>FOCUS IN THIS ISSUEEMERGENCY SERVICES/CRITICAL CARE/TRAUMA/EMERGENCY PREPAREDNESSEmergency and trauma delivery systems and emergency preparedness issues facing hospitals. Advances in critical care medicine.</p><p>AUG 2013 | VOLUME 26 ISSUE 8 | www.hospitalnews.com</p><p>Canada's Health Care Newspaper</p><p>Preparing for a disasterThe Canadian Red Cross Emergency Response Unit in trainingBy Jamie Cuthbertson</p><p>s a member of the Canadian Red Cross Public Affairs team, I had the opportunity to visit the Red Cross Emergency </p><p>Response Unit (ERU) during a training exercise in June. I was in awe of the amount of work and training that is involved. A team of about 40 highly skilled medical and non-medical experts spend one week on a training exercise where they learn to as-semble the fi eld hospital in conditions that simulate an actual deployment. </p><p>The ERU, supported by the Government of Canada, is the fi rst of its kind in North Ameri-ca. Its a mobile hospital prepared for rapid de-ployment with teams that depart within 24-48 hours following a disaster or confl ict. </p><p>The ERU is designed to be operational within 12 hours of arrival on site and self-suffi cient for one month. The hospital, complete with an operating theatre and emergency wards, can provide in-patient care and surgical services for up to 300 pa-tients a day.</p><p>The Red Cross aims to train at least 300 delegates including surgeons, pediatri-cians, radiation technologists, laboratory technologists, OB/GYNs, nurses, psycho-social support workers, community health </p><p>workers, anesthetists, and midwives.It also includes experts in medical logis-tics, communications, administration and technical support.</p><p>Once trained, the team can be deployed </p><p>with the ERU in times of disaster or confl ict when the existing health system or infrastructure has been damaged or overwhelmed.</p><p>A</p><p>Continued on page 6</p><p>Working as a team, Red Cross delegates determine a plan for treating mock patients during a simulation exercise.</p><p>Photo by Johan Hallberg-Campbell</p><p>%HQHWVWKDWZRUNIXOOWLPHIRUWKRVHZKRGRQW</p><p>9LVLWZZZKHDOWKFDUHSURYLGHUVFDRUFDOO</p><p>$%HQHWV3ODQIRUSDUWWLPHDQGFDVXDOKRVSLWDOHPSOR\HHVDQGDOOKRVSLWDOUHWLUHHV</p></li><li><p>HOSPITAL NEWS AUGUST 2013 www.hospitalnews.com</p><p>2 In Brief</p><p>The national organizations represent-ing the majority of Canada's health-care providers the Canadian Nurses Asso-ciation (CNA), the Canadian Medical As-sociation (CMA) and the Health Action Lobby (HEAL) applaud the pan-Cana-dian collaborative approach of the health-care innovation working group (HCIWG). Continued progress will require a multi-year commitment from providers and gov-ernments together.</p><p>Leaders from the three provider groups met with premiers Brad Wall and Robert </p><p>Ghiz in Niagara-on-the-Lake in July dur-ing the Council of the Federation's sum-mer meetings. </p><p>On the agenda was a report on the completion of the second phase of the HCIWG. Providers are there to affi rm the continued need for this important pan-Canadian collaboration to address the quality, safety and sustainability of Cana-da's health system.</p><p>CNA, CMA and HEAL are all involved with the HCIWG, formed by the Council of the Federation in January 2012 and co-</p><p>chaired by Saskatchewan's Premier Brad Wall and Prince Edward Island's Premier Robert Ghiz. </p><p>The HCIWG is tasked with identifying and increasing the acceptance of shared health system initiatives. Progress has been made since last summer's release of the group's initial report, From Innova-tion to Action. The provider groups are working with decision-makers to develop a clear vision for the HCIWG and to ensure that the momentum and commitment by premiers continues. H</p><p>Want to protect your lifestyle against criticalillness like heart attack, cancer or stroke?</p><p>Zahid Syed Financial Advisor</p><p>CLU, CHS</p><p>Get paid up to $2 million tax free if you get sickGet 100% of your premium back by staying healthyYou get paid NO matter what!</p><p>www.illnesscoverage.ca 1-866-324-0008</p><p>Canada's Premiers spoke about their continuing work to improve Canada's healthcare system. The Canadian Associa-tion of Chain Drug Stores (CACDS) is a supportive partner in the Premiers efforts to manage healthcare costs, while ensur-ing access to high quality care.</p><p>Canada's Premiers also spoke about the need to expand access to services, and en-hance the quality of care by taking a closer look at the themes of appropriateness of care and seniors care. </p><p>Canada's neighborhood pharmacies ap-plaud this focus.</p><p>"CACDS looks forward to ongoing work with Canada's Premiers as they consider key initiatives that can strengthen the healthcare system while reducing costs. For instance, the pharmacy community is in discussions with various governments on our proposed plan that could save gov-ernments across Canada between $8.5 bil-lion and $11 billion over the next three years - a much larger amount than isolated changes can deliver - while at the same time signifi cantly enhancing the quality of the patient experience in Canada," said Denise Carpenter, President and CEO of CACDS. </p><p>Neighbourhood pharmacy's proposal (9000 Points of Care: Improving Access to Affordable Healthcare) addresses the appropriateness of care and access to care through a combination of initiatives in-cluding; expanded scope of practice for pharmacists; improved accessibility of health services through the pharmacy; and, building appropriate infrastructure to help Canadians manage chronic diseases and prevent adverse drug reactions. H</p><p>On World Hepatitis Day on July 28th, the World Hepatitis Alliance called for ur-gent attention to be given to recent fi gures showing that although viral hepatitis kills as many as HIV/AIDS, in the great major-ity of countries.</p><p>The Global Burden of Disease study re-leased last year in the Lancet shows that viral hepatitis was responsible for almost 1.45 million deaths in 2010, the same as </p><p>HIV/AIDS and signifi cantly more than TB or Malaria. Despite this enormous annual death toll, leaders in global health consis-tently leave it off their agendas. </p><p>Currently, diseases receive attention and funding depending on their global prior-ity. However the global priority list does not necessarily refl ect the real burden of disease. This has led to responses that are disproportionate to disease impact, and </p><p>has left some diseases tragically under-re-sourced. </p><p>Viral hepatitis is a clear example; despite its huge burden there is little global pres-sure to address it. </p><p>Consequently, the majority of govern-ments have failed to dedicate resources to viral hepatitis, even in countries where prevalence is up to 20 per cent. </p><p>The World Hepatitis Alliance is a </p><p>non-governmental umbrella organisation with 165 member patient groups in 66 countries.</p><p>Representing 500 million people liv-ing with viral hepatitis worldwide, the Alliance strives to support and promote patient voices, to raise the profile of viral hepatitis and to establish compre-hensive hepatitis strategies in all coun-tries. H</p><p>The Honourable Leona Aglukkaq, Minister of Health, recently announced that nine teams of researchers have received funding to examine how en-vironmental factors can alter the ex-pression of our DNA and potentially affect our health. The research teams are being funded by the Government of Canada in partnership with Genome BC, Fonds de recherche du Qubec-Sant (FRQS) and the Japan Science &amp; Technology Agency.</p><p>In October 2012, Minister Aglukkaq </p><p>announced the funding committed to support the teams through the Canadian Epigenetics, Environment and Health Research Consortium (CEEHRC), a national initiative designed to position Canada as a leader in the fi eld of epi-genetics and health. Total funding for all nine teams is $21.8M over fi ve years.</p><p>The teams were selected by a rigorous peer-review panel of international ex-perts. They include six Canadian teams and three teams composed of Canadian and Japanese researchers. H</p><p>The Canadian Pharmacists Associa-tion (CPhA) recently reacted favourably to the health care-related announce-ments made by the Council of the Fed-eration (CoF) at the conclusion of its annual summer meetings. </p><p>The Council of the Federation is the body comprised of Canada's 13 provin-cial and territorial Premiers. In January 2012, the CoF created the Health Care Innovation Working Group (HCIWG), Chaired by Premiers Wall (SK) and Ghiz (PEI) tasked with developing a pan-Canadian approach to specifi c health care reform topics.</p><p>The CoF made a number of announce-ments of relevance to the pharmacy sector. Specifi cally, it stated:</p><p> Agreements have been reached with suppliers to lower the price of 10 brand name drugs, with another 17 ex-pected. Together, these agreements are expected to result in savings of $60-$70 million.</p><p> Premiers tasked the Health Care Innovation Working Group to "in-crease the important role that para-medics and pharmacists (emphasis added) can play in the provision of front line services", within a team-based model framework.</p><p> Premiers Wall and Ghiz will be stepping down as Co-Chairs of the HCI-WG, to be replaced by Premiers Wyn-ne (Ontario), Redford (Alberta), and Pasloski (Yukon). </p><p>Premier Pasloski's involvement is key in that he is Canada's fi rst pharmacist premier.</p><p>"We are very pleased that premiers have committed to continuing to look at ways in which pharmacists can play an even stronger role in the delivery of health care to Canadians," stated Sherry Peister, President of CPhA. "CPhA, its provincial associations, and other pharmacy stakeholders look for-ward to continuing our joint work with provincial and territorial governments in this regard.</p><p>We are also happy to see Premier Pasloski's leadership added to the Health Care Innovation Working Group table ", she added. H</p><p>World Hepatitis Alliance calls for urgent action to address disease killing as many as HIV/AIDS</p><p>Canadian Pharmacists Association reacts to Council of the Federation's announcements on health care</p><p>National and international research teams to study the impact of environmental factors on human health and disease</p><p>Neighbourhood Pharmacy supports Premiers' efforts to strengthen sustainable healthcare</p><p>What's next for health care? </p></li><li><p> AUGUST 2013 HOSPITAL NEWSwww.hospitalnews.com</p><p>3 News</p><p>magine the day when doc-tors repair damaged, diseased or arthritic joints with new ones not made of titanium </p><p>or plastic but with a patients very own tissue. Driven by new research, that day is swiftly approaching. </p><p>Scientists at Mount Sinai Hospitals Centre for Regenerative Medicine and Musculoskeletal Research, including Dr. Rita Kandel, are pioneering an entirely new frontier in Canada: the use of three-dimensional printing to construct re-placement parts that mimic the patients own joint. </p><p>This powerful technology creates ob-jects by laying down many successive mi-cro-layers of material. In biomedicine, 3D printing can help generate a part of the human body that is an accurate replicate of a patients own structure. </p><p>With a rapidly growing population of older adults in Canada, these innovations couldnt be timelier.</p><p>Joint replacements such as artifi cial knees and hips are increasingly common and are often essential for people with fail-ing joints. However, despite being built of advanced materials, current replace-ment parts aren't as durable as the original joints, as they: Are most commonly made of metal and </p><p>plastic May require cementing to bone Can deteriorate and come loose Usually need replacing after 10 to 20 </p><p>yearsFor the past few years, Dr. Kandel, a sci-</p><p>entist at Mount Sinais Lunenfeld-Tanen-baum Research Institute, together with fellow Lunenfeld-Tanenbaum research-ers Drs. Marc Grynpas and Andras Nagy, have been studying the use of stem cells in joint replacement, working with bioen-gineers, orthopaedic surgeons, veterinary surgeons, bone biologists and stem cell bi-ologists to create replacement joints from a patients own tissues.</p><p>Dr. Kandel has also been working closely with Drs. Robert Pilliar and Ehsan Toyserkani of the Universities of Toronto and Waterloo, respectively, to construct highly personalized joints with the help of a three-dimensional printing machine. </p><p>This is a real meeting of minds, ex-</p><p>plains Dr. Kandel, who is also Chief of Pathology and Laboratory Medicine at Mount Sinai Hospital. Dr. Toyserkani uses 3D printing to literally construct the joint using biodegradable material. We then take that joint and use the patients stem cells to grow actual tissue (cartilage, etc.) on it. The original damaged joint will be replaced by a joint made entirely of the patients own tissues. Its quite extraordinary.</p><p>These bio-replacements stand to over-come many of the current limitations of traditional replacements, and could be </p><p>used to repair joint tissues damaged by dis-ease or injury, and could also play an im-portant role in intervertebral disc, or even bone replacements.</p><p>The joint is a very complex structure of specifi c shapes and all components have to work together to create the painless movement we experience when we move our knees and elbows, says Dr. Kandel. </p><p>Now, with 3D printing, we can tailor precisely the implant to the missing struc-ture in a patients body. </p><p>This work is a shining example of per-sonalized medicine, because the tissues </p><p>that comprise these joints are those of the exact patient who will receive the replace-ment, she adds.</p><p>The team hopes to be testing this in-novation in humans in the next few years. The implementation of these technolo-gies is not far off from clinical care, notes Dr. Kandel. </p><p>From printer to bench to bedsideits all in a few years work at Mount Sinai. H</p><p>Jyll Weinberg-Martin is a Communications Specialist at Mount Sinai Hospital.</p><p>Mt. Sinai Researcher Dr. Rita Kandel is helping to pioneer joint replacement technology using a 3D printer. </p><p>Printing new joints with a 3D printer: advancing regenerative medicine for canadiansBy Jyll Weinberg-Martin</p><p>I</p></li><li><p>HOSPITAL NEWS AUGUST 2013 www.hospitalnews.com</p><p>4 Editorial</p><p>THANKS TO OUR ADVERTISERSHospital News is provided at no cost in hospitals. When you visit our advertisers, please mention you saw their ads in Hospital News.</p><p>SEPTEMBER: 2013 ISSUEEDITORIAL AUGUST 2ADVERTISING: DISPLAY AUG. 23 | CAREER AUG. 27MONTHLY FOCUS: Patient Safety/Research/Infection Control:Developments in patient safety practices. An overview of current research initiatives. Innovations in the prevention and treatment of drug-resistant bacteria and control of infectious diseases, including HIV/AIDS and hepatitis. Advances in the measurement of patient outcomes and program metrics.</p><p>OCTOBER 2013 ISSUEEDITORIAL SEPTEMBER 6ADVERTISING: DISPLAY SEPT. 27 | CAREER OCTOBER 1MONTHLY FOCUS: Ambulatory Care/Neurology/Mental Health and A...</p></li></ul>