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Award Recipients 2011

 

Quality Awards

Palliative Care Consultation Team
Erie St. Clair Community Care Access Centre

Betty Kuchta, Cindy Stokes, Beth Lambie, Kelley Illisevic, Ann Brignell, Paul Brown, Glenn Madison

Background The community of Erie St. Clair recognized the need for an integrated system of palliative care delivery to provide a full continuum of care for patients living with a life-threatening illness and ensure patients are able to access the supports they need to live and die in the setting of their choice.
Solution In 2008, a partnership between the Erie St. Clair LHIN, the Erie St. Clair EOLCN, the Erie St. Clair Community Care Access Centre (CCAC), St. Joseph’s Hospice in Sarnia-Lambton, and local hospitals created the Palliative Care Consultation Team (PCCT).

This interdisciplinary team operates through the Erie St. Clair Community Care Access Centre to provide patients nearing end of life with an integrated system of holistic and quality care.
Results The Palliative Care Consultation Team has undeniably made an impact on palliative care treatment available to Community Care Access Centre clients and across the care continuum.

The team was able to help patients access effective palliative care, create opportunities for patients to reside at home during their illness, shorten hospital stays, reduce the number of unnecessary visits to the emergency department and lower hospital re-admissions. This allowed a significant number of palliative patients to live their final days in their preferred setting.

In a survey distributed to key stakeholders, all respondents answered that the quality of care had improved; 63% said that the quality of care was “much improved”.

With the success of the PCCT in the Sarnia-Lambton region, the team has been able to expand to the Chatham-Kent and Windsor-Essex communities.

Innovation Award

Aboriginal Human Papillomavirus (HPV) Screening Trial
Thunder Bay Regional Research Institute

Ingeborg Zehbe, Marion Maar, Alberto Severini, Julian Little, Gina Ogilvie, Ann Burchell, Nicholas Escott, Amy Nahwagabow, Helle Moeller

Background Cervical cancer is the second most common cancer in First Nations women, with a 73% higher incidence as compared with other Ontario women. Aboriginal women are also twice as likely to die from cervical cancer.

Cervical screening participation, particularly in rural communities, is very low among First Nations women.
Solution HPV testing, though a self-sample test, is a justified strategy for cervical cancer prevention.  Working in partnership with the First Nations community, a pilot self-collection HPV testing strategy was undertaken to reach previously unscreened women. 
Results The pilot study in one Northern Superior community found that 87% of First Nations women surveyed said this type of screening approach will increase their screening participation.  Self-sampling and HPV testing were very well received and the sample quality was excellent.

This successful initiative is seen as an effective way to partner with the First Nations communities to better understand the higher incidence, and as an innovative screening approach to increase screening participation and reduce barriers. 

Honourable Mention for Quality

Implementing Tobacco Cessation Clinical Practice Guidelines into North West Ontario Hospitals
Northern Ontario School of Medicine and Thunder Bay Regional Health Sciences Centre

Patricia M. Smith, Scott M. Sellick

Background North West Ontario has particularly high smoking rates and the highest rate of lung cancer mortality in the province.  

The team recognized that smoking cessation is essential to decreasing cancer rates, particularly lung cancer rates, and that one of the best ways to do that was to provide brief smoking cessation interventions to all patient who smoke and for hospitals to provide support for interventions.
Solution The implementation team was able to move all 13 North West Ontario hospitals through a complex system of change to ensure that all admitted patients and patients visiting emergency were systematically identified for tobacco use.
Results Tobacco cessation interventions and supports were provided for patients directly at the point of care, ensuring quality care across the region. All hospitals have implemented at least some of the smoking cessation guidelines, and 11 out of 13 hospitals have implemented all of the guidelines.  

All staff nurses systematically provide smoking cessation interventions to all in-patients – more than 15,000 patients to-date. The intervention has now been integrated into standard nursing care, and the intervention tracking forms have become part of quality chart audits.  

Eleven of the hospitals now systematically identify and document tobacco use on admission for all inpatients and ER visits. To-date, tobacco use prevalence has been recorded on more than 500,000 ER visits and more than 200,000 in-patient admissions.

This project has also provided the opportunity for the hospitals to be involved in research and to establish a partnership with the Smokers’ Helpline, both of which allow the hospitals to provide services beyond what they would be able to do on their own.

Honourable Mention for Innovation

Tobacco Addiction Treatment Initiative
St. Joseph’s Healthcare Hamilton

Mary Puntillo, Dawnna Keith, Mary Griffiths, Susan Strong, Robert Zipursky

Background Individuals who have been challenged by mental illness are at great risk of developing cancer because many in this population have double to triple the rates of tobacco use and higher levels of addiction. 

St. Joseph’s Healthcare targeted smoking cessation support specifically for individuals with mental illnesses. 
Solution By training the hospital staff and giving these patients active support to reduce or quit smoking at the point of care has shown to be a unique approach and utilizing Nicotine replacement gum and patches. 
Results This initiative has had a tremendous impact on both clients and staff. Clients are accomplishing their cessation/reduction goals. (For example, 84% of TARP clients quit smoking.)

Many clients report feeling empowered through this program. One stated: “This was the first time in any hospitalization that I was offered nicotine replacement therapy. I haven’t smoked in 5 months now. I know I am healthier and I feel stronger mentally and physically. I can do anything now!”